There are many variations of poutine. A common variation, Italian poutine, substitutes gravy with "spaghetti sauce" (a thick tomato and ground beef sauce), while another popular variation includes sausage slices. Some restaurants boast a dozen or more variations of poutine. For instance, you may find more upscale poutine with three-pepper sauce, Merguez sausage, foie gras or even caviar and truffle. Another variation, poutine Galvaude, includes shredded chicken and green peas, often eliminating the cheese. When ordering a fast food trio (or combo) in eastern Canada, you often pay extra to get your french fries replaced with a poutine. Note that "fast food poutine" will often be referred to as "fake poutine" by Quebecers because the freshness or the kind of cheese (a common substitution is grated cheese) is not the same as in Quebec where you can usually buy fresh cheese curds daily in almost any convenience store.
All variations look and probably taste disguting.