Nana Jo calls these her game-day lifesavers because you can pile them high and nobody misses the bread.

Top and secure: For a more sandwich-like feel, place a second romaine leaf over the top, curved side down to make a loose “lid.” Press gently so the pimento cheese helps hold everything together. If you like, secure each sandwich with a toothpick through the center.
Pile them high: Repeat the layering—romaine, ham, pimento cheese, second romaine leaf—building sandwiches and arranging them on the three paper plates. Keep stacking them slightly overlapping so the plates look full and inviting. This is where that game-day look comes in: a big, generous pile that makes folks forget there’s no bread.
Garnish and serve: If using, sprinkle sliced green onions and chopped parsley lightly over the top of the sandwiches for a little color. Set the plates out on the butcher block countertop so guests can grab one or two as they pass by. Serve right away, or cover loosely with plastic wrap and refrigerate for up to 2 hours before kickoff.
Variations & Tips
For extra flavor, you can add a few dashes of hot sauce or a pinch of cayenne pepper to the pimento cheese if your crowd likes a little heat. If you prefer a smokier bite, use smoked cheddar or add a bit more smoked paprika. Turkey or roast beef deli slices work just as well as ham for a different twist, and you can mix and match meats on the same platter. If romaine isn’t handy, butter lettuce or iceberg leaves make sturdy wraps, though romaine holds up best on the counter. For smaller, bite-size snacks, cut the romaine leaves in half and use just one slice of ham and a teaspoon of pimento cheese per piece, securing each with a toothpick. To make these ahead, prepare the pimento cheese a day in advance and keep it chilled; assemble the lettuce sandwiches within a couple of hours of serving so the leaves stay crisp. If you’re feeding both low-carb and bread-loving guests, set out a basket of slider buns alongside so people can choose their own base.