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If you want to get technical no you don't need tomatoes to make a pizza. Pizza was being made a while before Tomatoes were even used in cooking. It wasn't until the non-poisonous version, tomatoes are a member of the nightshade family of plants, were found in NA that tomatoes started to be even used in cooking. And then it took a nut to start eating them, since they were just considered poisonous just because of their familiar relations.