Pimento cheese is a spread most common is the southern states of the U.S. Typically, it is made from cheddar cheese, pimentos, mayonnaise and spices. Garlic, cayenne, jalapenos onions, cream cheese, Monterey Jack cheese are some of the variations. Pimento cheese is most commonly used as bread spread for sandwiches, on a celery stick, on a cracker or even in baked potatoes.