Quad City Pizza is a unique style of pizza that originates from the Quad Cities region of Iowa and Illinois in the United States. There is malt in the crust which lends to a toasted nutty flavor. The pizza is hand tossed and is cut into strips. The sauce is spicy containing red chili flakes and ground cayenne pepper. The smooth tomato sauce covers the entire pizza. All of the toppings are under the cheese. The sausage is lean, precooked, ground fennel Italian Sausage, which ensures the pizza is covered with sausage in every bite.