I don’t know that there’s anything intrinsically different about Lou Malnati’s, I just prefer the texture of their crust and flavor of their sauce and sausage to the other places I’ve tried (Gino’s East, Giordano’s, Pizza Capri, Uno/Due, etc.). Some places also add a top crust to the pizza (a thin layer of dough over the cheese, then the sauce on top of that dough), and I don’t care so much for that. Lou’s covers the pizza completely with a sausage frisbee so there’s sausage in every bite, and I DO care VERY MUCH for that!
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