a Italian family name stemming from great awesomeness. This family has very attractive members who are quite well connected and are most likely related to the Italian Mafia. If you come across a Pizzitola it is wise to kiss their feet or run.
In a gun fight real or in a game when you are exchanging fire with one person and you are then shot in the back by another. Similar to monkey in the middle with guns. Also When running after someone and getting shot from behind by another.
"wow i just pizzied Dave"
"F@$K i was hunting down Chris and got pizzied by Dave"