At Fat Sandwich Company in Champaign, Ill., Tom chows down on "The Big Fat Ugly," a house-special sandwich loaded with chicken nuggets, burger patties, pizza bites and hash browns. Then, at Church Brew Works in Pittsburgh, Pa., Tom learns an untraditional recipe for stuffing pierogies with rattlesnake and he tries some of the dishes they make with beer brewed on site. On his last stop, Tom finds Randy's Premier Pizza in St. Paul, Minnesota, which challenges patrons to eat a four-foot pizza.