A very disgusting person.
This is a reference to Jamie Oliver's food revolution. He dispises anyone who eats pizza for breakfast. Any person being called a pizza breakfaster is being called a really mean name.
Dude, I slept with your girlfriend.
YOU PIZZA BREAKFASTER. I HATE YOU.
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Leftover pizza from the night before, enjoyed the cold in the morning.
"Hey did you put that pizza in the fridge?"
"Yes I did!"
"Good, i'm ready for some breakfast pizza!"
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During Covid restrictions that required bars to sell food with any alcoholic beverage, it is the pizza you need to order even if you just had dinner -- hence it becomes planned breakfast pizza.
"You need to order food with that drink. All we have left is a slice of pizza."
"Yes! Breakfast pizza! Box it to go, please."