This is yet another custard filled dessert pie (some cream pies are cakes). The pie is made from a pie shell, which is then filled with the custard - the custard is related to crème patissière, a pastry cream which has starch added to thicken it.
The creme, or cream, pie can have many different flavourings, with fruit being the most popular. In this case, the chosen fruit is banana. The bananas can be blended into the cream (very ripe bananas are best for this) or, alternatively, simply sliced up and placed in the cream. The pie is topped with whipped cream after cooking.
Like many such dishes, it has a strong association with the United States, in particular the American South.
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