Upper elementary students giggle and cringe when they have to choose who their "boyfriend" or "girlfriend" is when they play this very active game, but still request it frequently. I sometimes only ask them to name a favorite pizza topping. This way is less controversial, but not as hilarious.
Source: Locke, Eleanor G. Sail Away: 155 American Folk Songs to Sing, Read, and Play p. 6
See Also: Pizza, Pizza Mighty Moe as written by Jones, Bessie and Hawes, Bess Lomax. Step it Down: Games, Plays, Songs, and Stories from the Afro-American Heritage. p. 63
