Green’s Dictionary of Slang

(US/UK teen) one who suffers from a severe case of acne.

1967–8		Baker et al. CUSS.
1975		J. Wambaugh Choirboys (1976) 47: ‘Blow it out your ass, pizza face!’ Roscoe shouted to a sputtering acned man.
1983		S. King Christine 52: I’ll drive you on the rim, Pizza-face.
1993		T. Winton Lockie Leonard: Scumbuster (1995) 120: ‘Shut up, pizza face!’ yelled Pustling.
1997		(con. 1950s) J. Byrne Slab Boys [film script] 24: Beat it, Pizza Features.
2001		OnLine Dict. of Playground Sl. 🌐 pizza-face n. 1) spotty kid 2) kid with rampant acne.