From VisitRochester.com:

A traditional plate is your choice of cheeseburger, hamburger, Italian sausages, steak, chicken, white or red hots*, served on top of any combination of home fries, french fries, baked beans, and/or macaroni salad. The plate is usually topped with “hot sauce”. Rochester hot sauce is a spicy meat sauce. Optional mustard and onions may be added on top (as a heartburn garnish). It is usually served with a side of buttered bread. But don't let the description or name deter you, it is not unlike other dishes where food of a similar genre are all piled on top of each other (we're looking at you Taco Bell Border Bowl).

*HOTS ARE A ROCHESTER VERSION OF HOT DOGS. THESE MEATY SAUSAGES COME IN TWO VARIETIES "RED" AND "WHITE". THE MOST POPULAR HOTS ARE MADE BY ZWEIGLES, A LOCAL COMPANY.