Pizza Tower, the frantic 2D platformer inspired by Wario Land, became a cultural phenomenon upon its 2023 release, largely due to its expressive, hand-drawn art style and chaotic energy. The memes typically center around the protagonist, Peppino Spaghetti, whose high-stress animations—especially his wide-eyed scream—perfectly encapsulate feelings of anxiety, intense focus, or sheer madness. Fans use these templates to represent the difficulty of achieving a 'P-Rank' or to react to everyday stressors with the same manic intensity found in the game’s soundtrack and visuals. Its popularity stems from the game's distinct 90s-cartoon aesthetic, making every frame a potential reaction image for internet culture.