Cream pies are made in many other flavors, including vanilla, lemon, lime, peanut butter, coconut, and chocolate.

The custard filling is related to crème patissière, a key component of French cakes, and tarts.

The "Magic Lemon Cream Pie", invented at Borden and attributed to their fictional spokesperson, Jane Ellison, is instead thickened by the room-temperature curdling of a mixture of sweetened condensed milk, eggs, and lemon juice.

It appears on stage in the music hall sketches of the English theatre impresario Fred Karno.

[4] The practice is also used to express disapproval of politicians or other public figures and is sometimes done lightheartedly at charity events, where someone in a position of authority will volunteer to receive a pie in the face from the winning bidder.