Green’s Dictionary of Slang

pizza face n.

also pizza features
[-face sfx/-features sfx]

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

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