Set grill to medium heat. Slice the peppers in half lengthwise and remove the seeds.
Form ground Italian sausage into 3 equal-sized patties.
Add the poblano peppers and Italian sausage patties to the grill and grill the patties for 5 minutes per side or until the internal temperature reaches 160°F.
Remove Italian sausage patties and poblano peppers from the grill. Chop up the Italian sausage patties and combine with the pizza sauce and 1 cup shredded cheese.
Spoon the Italian sausage, cheese and pizza sauce mixture into the peppers and top with remaining cheese and mini pepperoni.
Return the peppers to the grill for 3 more minutes or until the cheese on top of them is melted.