Smaller portions are simply called pique; pique macho is a huge portion, and traditionally spicy hot because of the locotos. Urban legend suggests that this is because you are macho if you can finish one by yourself.
The "Pique Macho" or "Pique a lo Macho" was created by Mr. Honorato Quinones and his wife Evangelina Gomez Quinones, owners of "Restaurante Miraflores" in Cochabamba, Bolivia.
slices of steak
hot dogs/sausages/vienna sausages (depending on your preference)
green and red peppers (or locotos, which are picante peppers)