Strange meat pie is a consumable item in Fallout 3.
Widely suspected to be human flesh, no one knows exactly what it is, other than it looks and tastes strange. The presence of the item is often used in the game to indicate that those possessing it are cannibals.
Made from ground up strange meat that has been baked into a pie. It doesn't have any different effects from that of regular strange meat - restoring some Hit Points, but also gives you a small amount of radiation. You do not lose Karma for eating it, even though it is likely human flesh.