Guy is just asking for chicken carbonara with no bacon and the server keeps telling him it isn't possible.
Then this lady gets super incensed and starts going off calling everyone that disagrees with her "medigan" which is apparently a derogatory term used by Italian Americans to insult people they think have "lost touch with their Italian heritage"
The comments and replies are 
CW obviously discussions of and images of meat https://xcancel.com/sandinistaoliva/status/1952374193275756572
lmao at that second one. a bunch of lazy, theiving assholes sitting doing nothing complaining about how hard they work and that the indigenous don't do anything to deserve any social assistance or respect. fucking beautifully organized scene.
I think in one of that later season, they show Vito hiding out upstate, trying his hand at working a straight job. guy doesn't even last an hour doing basic electrical work with a new friend before he loses his mind at the grind and quits.
I love how the show works in those little reminders that they aren't just scumbags and fuckups, they are all outrageously lazy and sit around all the time spending the money they took from actual working people on treats bullshit.