Slice the Nashville hot chicken sausage into 1/2-inch rounds.
Spread the creamy garlic spread in random pools around the pizza crust, leaving some space between the pools.
Sprinkle the mozzarella and cheddar cheese over the pizza.
Arrange the sliced chicken sausage evenly over the cheese.
Bake the pizza until the crust is golden brown and the cheese is melted, about 10-15 minutes.
Remove the pizza from the oven and let it cool slightly.
Top the pizza with the bread and butter pickles.
Drizzle the hot sauce over the pizza to desired spice level.
Enjoy your Nashville Hot Chicken Pizza!