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The original classic Italian pizza always comes with tomatoes since it was invented. However in a modern world you can use other, especially Italian sauces as well. A common modern Italian-style pizza without tomatoes is https://www.google.com/search?q=pizza+carbonara . However, many comparable specialties without tomatoes are not called pizza: https://en.wikipedia.org/wiki/Tarte_flamb%C3%A9e .