The term fluffernutter can also be used to describe other food items, primarily desserts, that incorporate peanut butter and marshmallow creme.

The sandwich was first created in the early 20th century after marshmallow creme, a sweet marshmallow-like spread, was invented in Massachusetts.

For example, a New York caterer serves a fluffernutter hors d'oeuvre in a toasted ice cream cone with a spoon of peanut butter and torched marshmallow creme on top.

[14] During World War I, Emma Curtis published a recipe for the Liberty Sandwich, which consisted of peanut butter and Snowflake Marshmallow Creme on oat or barley bread.

[16] Earlier labels and booklets published by the Curtises suggested combining Snow Flake Marshmallow Creme with peanut butter or eating it on sandwiches with chopped nuts or olives.

[19] Among the people who defended the Fluffernutter at the time was Massachusetts State Representative Kathi-Anne Reinstein, whose district in Revere was close to Lynn, where Marshmallow Fluff is made.

[19][25] The sandwich has close ties to New England and Massachusetts, particularly to Somerville, where Archibald Query invented Marshmallow Fluff, and to Lynn, where Durkee-Mower has produced it for decades.

In 2011, NASA astronaut Richard Michael Linnehan, who was born in Lowell and ate a fluffernutter while aboard the International Space Station, acted as one of the contest judges.