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Street Food Italy

Pani ca Meusa

Pani ca Meusa counts among the traditional food of Italy, a sandwich locals hold dear.

Last updated Aug 14, 2026 · Reviewed by the WhatWhereVacay editorial team

About Pani ca Meusa

Pani ca Meusa counts among the traditional food of Italy, a sandwich locals hold dear. Key ingredients include cheese and lemon.

History & Culture

Pani ca Meusa is a beloved street food sandwich from Palermo, Sicily, though its precise origins are debated. It is widely regarded as a working-class staple, historically sold by street vendors to laborers seeking a hearty, inexpensive meal. The sandwich’s core identity lies in its filling of sliced spleen (and often lung), slowly boiled or fried in lard, which gives it a rich, savory flavor.

Regional variations exist across Palermo, with the most iconic version served on a sesame-topped bun, accompanied by caciocavallo cheese and a squeeze of lemon. Some vendors add ricotta or a touch of salt, while others omit the cheese, but the combination of tender offal, sharp cheese, and citrus is a defining local tradition. For many Sicilians, it is not just a snack but a cultural emblem of the city’s vibrant street-food heritage, often enjoyed late at night or during festivals.

How to make Pani ca Meusa

AI-assisted, not kitchen-tested

Pani ca Meusa (Palermo Spleen Sandwich)

A iconic Palermo street food featuring slow-simmered beef spleen and lung served on a soft sesame-free roll, traditionally dressed with squeaky-fresh caciocavallo cheese and a squeeze of lemon. The single, milza ('meusa in Sicilian), is eaten year-round but especially on winter mornings at the city's historic markets.

Prep
20 min
Cook
150 min
Total
170 min
Serves
4
Difficulty
Medium

Recipe ingredients

  • 600 g (1 lb 5 oz) beef spleen, with membrane trimmed, or substitute beef liver for a milder version
  • 300 g (10½ oz) beef lung (polmone), optional but traditional; can be omitted if unavailable
  • 1 l (4 cups) water
  • 1 medium yellow onion, peeled and halved
  • 1 stalk celery, with leaves
  • 1 bay leaf bay leaf
  • 8 g (1½ tsp) fine sea salt, plus more to taste
  • 5 g (1 tsp) black peppercorns
  • 60 ml (¼ cup) lard or beef tallow, for frying; traditional Palermo choice
  • 200 g (7 oz) caciocavallo cheese, fresh, semi-soft Sicilian; substitute with provolone if unavailable
  • 1 whole lemon, cut into 4 wedges, for serving
  • 4 soft round rolls vastedda cu sammucu, the traditional sesame-less Palermo roll; substitute with a soft, round Italian sesame-free roll or a small ciabatta-style bun

Steps

  1. 1 Rinse the spleen and lung under cold running water. Place them in a large pot, cover with cold water, bring to a boil, and blanch for 5 minutes. Drain and rinse well to remove impurities.
  2. 2 Return the meat to the clean pot. Add 1 litre (4 cups) fresh water, the halved onion, celery stalk, bay leaf, salt, and peppercorns. Bring to a gentle boil, then reduce to a low simmer.
  3. 3 Simmer partially covered for 2 to 2½ hours, or until the spleen and lung are fork-tender. Skim any foam that rises during the first 20 minutes. Do not let the liquid boil hard, or the meat will toughen.
  4. 4 Remove the meats and let them cool slightly. Slice the spleen into thin strips about 3 mm (⅛ inch) thick; chop the lung roughly if using. Strain the broth and reserve.
  5. 5 Heat the lard or tallow in a wide skillet over medium-high heat. When shimmering, add the sliced spleen and chopped lung in a single layer. Fry for 4 to 5 minutes without stirring, until a golden crust forms on the underside.
  6. 6 Flip the meat and fry the other side for 3 more minutes. Add about 60 ml (¼ cup) of the reserved broth and let it bubble for 1 minute so the meat absorbs the flavor. Cook until the internal temperature of the spleen reaches at least 74°C (165°F).
  7. 7 Slice each roll in half horizontally. Slice the caciocavallo into thin planks. Layer the hot fried meat onto the bottom half of the roll, immediately top with the warm cheese so it begins to soften from the meat's heat, then close the sandwich.
  8. 8 Serve right away with a lemon wedge. Squeeze the lemon generously over the sandwich just before eating - the acidity is essential to cut through the richness of the meat and cheese.
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Sources: none cited yet. The description and history on this page are AI-assisted and reviewed by the WhatWhereVacay editorial team; they are not taken from a cited reference, so check details locally before you rely on them. How we use AI

Where to eat it

Locals order it from a street cart in Palermo's Vucciria market, tearing off pieces of the soft bun as they lean against a weathered counter at dusk.

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Ingredients
Steps

Pani ca Meusa - frequently asked questions

What is Pani ca Meusa?

Pani ca Meusa counts among the traditional food of Italy, a sandwich locals hold dear. Key ingredients include cheese and lemon.

What is Pani ca Meusa made of?

Pani ca Meusa is made with cheese and lemon.

Where does Pani ca Meusa come from?

Pani ca Meusa comes from Italy. Pani ca Meusa is a beloved street food sandwich from Palermo, Sicily, though its precise origins are debated.

Where can I eat Pani ca Meusa?

Locals order it from a street cart in Palermo's Vucciria market, tearing off pieces of the soft bun as they lean against a weathered counter at dusk.

How do you make Pani ca Meusa?

Making Pani ca Meusa at home takes about 20 minutes of prep and 150 minutes of cooking. The recipe on this page serves 4 and is rated medium. Full ingredient list and step-by-step method are in the recipe section above.

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