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Cannoli are a pastry dessert that originated from Sicily. Cannoli consist of tube-shaped shells of fried pastry dough, filled with a sweet, creamy filling.
Prior to leaving to have Paulie Gatto killed for his betrayal of Vito Corleone, Clemenza's wife asked him to not forget to pick up cannoli. Prior to having Gatto killed, Clemenza did indeed stop and pick up cannoli, and when Gatto was dead instructed Rocco to be sure to leave the gun and take the cannoli with them.