Since 2001, Piraro has toured the U.S. with his one-man comedy show,
The Bizarro Baloney Show, which won the 2002 New York International Fringe Festival's award for Best Solo Show.
Piraro received the National Cartoonists Society's Panel Cartoon Award for 1999, 2000 and 2001. Beginning in 2002, Piraro was nominated every year for the National Cartoonists Society’s Reuben Award, as Outstanding Cartoonist of the Year, and he finally was given a Reuben Award in 2010. Cartoonist-illustrator Steve Greenberg commented:
- Perhaps they finally gave him the award to get him off the ballot after so many consecutive years on it; the rule (at least since multiple-winner Bill Watterson’s Calvin and Hobbes) for the Reuben Award is once-only per creator. In any event, this is overdue recognition of a strip that is among the best drawn (for me, up there with 9 Chickweed Lane and Non Sequitur) and inventive (for me, up there with Li? and Zits). Bizarro has also given the world of comic strips signature icons, such as his ongoing placements of eyeballs, pieces of pie, aliens in space ships and somewhat menacing bunnies. It’s the comics world’s closest brush with the world of surrealist paintings (and by the way, Piraro is an excellent surrealist painter as well). To me, Bizarro hits heights of offbeat creativity and daily surprises that haven’t been seen since Gary Larson and his The Far Side panel. And speaking of panels, Piraro is one of the few creators who makes his daily offering into both a horizontal comic-strip space and a squarer panel format in order to fit more newspapers’ space needs.