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
Sopranos is a groundbreaking family drama that uses the mafia as an analogue to corporate suburban America, it's also incredible brainrot material and I had most fun with the show watching clips uploaded to YouTube with the comments sections all filled with parodied quotes.
One of my favorite lines is in the pilot where Tony tells his expensive lib therapist that he feels he got into the business at the end after the peak and its a shot of him walking to get the newspaper in his huge mansion.