[citation needed] Cassata catanese, as it is often prepared in the Sicilian province of Catania, is made similar to a pie, containing a top and bottom crust, filled with ricotta cheese, and baked in the oven.

[citation needed] Cassatella di sant'Agata is a similar dessert, but made in a smaller, personal-serving size, with a candied cherry on top, and often a specifically green-colored marzipan.

The allusion to the female breast relates the specific torture Saint Agatha faced as a Catholic martyr.

[citation needed] In Cleveland, Ohio, and the surrounding region, the term Cassata Cake uniquely refers to a layered yellow sponge cake soaked in rum or rum syrup, filled with fresh strawberries and custard, and usually decorated with whipped cream and sliced strawberries.

[12][better source needed] The layered cake is served for special occasions such as weddings and large family events.