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Pimento Cheese. Pimientos are large, sweet, heart-shaped peppers that are typically used for canning. Pimento cheeseâthe simple combination of grated cheddar cheese with mayonnaise and pimientosâis a Southern staple often served on crackers or vegetables.imento cheeseâthe simple combination of grated cheddar cheese with mayonnaise and pimientosâis a Southern staple often served on crackers or vegetables.
1 Most cheese spreads are very high in sodium and phosphorus. 2  The pimento spread in this recipe is made with cream cheese instead of processed cheese. ( 3 Look for the PhiladelphiaÂ® brand cream cheese logo on the label). 4  This is what keeps the sodium and phosphorus content low enough for a renal diet.