Anchovy pizza is an item made with the cooking skill at level 55. It is made by combining cooked anchovies with a cooked plain pizza, granting 39 Cooking experience. Anchovy pizzas heal 18 hitpoints total, 9 hitpoints per half.
Plain pizzas are sold at the Warriors' guild, for a very cheap price (47 each). A bank is very close, so players may choose to buy plain pizzas and bank them to make anchovy pizzas instead of making plain pizzas themselves.
Similarly to Cooked karambwans, the first eat of the anchovy pizza has a short eat time, and are therefore used by free-to-play player killers to double eat in combination with swordfish to heal a total of 23. They are also the highest healing per slot food in free-to-play.