Pastitsio takes its name from the Italian pasticcio, a word for a pie or baked dish. It is thought to have entered Greek cooking through the Ionian Islands, long ruled by Venice, where earlier versions were sweet-and-savory pasta pies baked in pastry.
The pastitsio known today, crowned with a thick layer of béchamel, owes much to Nikolaos Tselementes, the influential early 20th-century chef who reworked Greek cooking with French technique and also gave moussaka its béchamel topping. The cinnamon and allspice in the meat sauce reflect the eastern Mediterranean habit of using warm spices in savory dishes. Traditional recipes add red wine to the meat; this version is alcohol-free.