The 'Hey Italian Man' or 'Peppino Scream' meme stems from the indie platformer Pizza Tower, featuring the high-strung protagonist Peppino Spaghetti. The template is often based on fan animations or parody comics where a character prompts Peppino, leading him to explode into a hyper-stylized, soul-shattering scream. It gained massive popularity across Twitter, YouTube, and Discord due to the game's unique Wario Land-inspired art style and Peppino's hilariously relatable levels of anxiety. This meme is primarily used to represent extreme reactions to minor inconveniences, startling realizations, or simply to convey pure, unadulterated chaos in a visual format.