I went with the Fiamm RoadThunder. It's no air horn, in fact it's name is a bit of wistful thinking: it's about as loud as a Volkswagon (and sounds very similar), but far louder than the stock (I realize that's not saying much) and had the huge advantage of drawing low enough current as to operate without adding any relay or new wiring. <http://www.ridesafer.com/Fiamm_RoadThunder_Horn_p/h0009.htm>
That being said, of course everything I do with the MP3 seems to wind up more complicated than I first thought. This horn has an external diaphram, like the stock horn but it's slightly bigger. When I tried to just swap it out, it wound up contacting the tupperware grille and just made a buzzing sound. Imagine a speaker playing and you pushed your finger against it; same idea. I could find nowhere in the general area of the original horn that it would fit without contacting SOMETHING, including facing it backwards. The only way to face it backwards was to drill a hole for the mounting screw in the tupperware, so since I now had a useless hole...I decided to mount the horn externally. I have heard some people criticize these external diaphram horns as being affected by repeated exposure to water, but I'm a fair weather driver so I don't anticipate any problems. No one will mistake me for a diesel locomotive, but it's more than loud enough to be clearly heard and I didn't have to run multiple relays and new wiring. It's also more than loud enough to pass my state inspection, which I have absolutely no doubt the stock horn would fail. That's a major issue for me with Piaggio: the stock horn is neither safe nor, at least in my state, legal.
One thing I would suggest for anyone considering this style of horn (in other words, a larger & louder version of the OEM horn): I see there are horns that have a metal grille in the front to protect their diaphrams from contacting anything (I admit that I saw these when shopping for the Road Thunder but I didn't realize the cover was functinal, I thought it was just decorative), and so long as you watch the amperage (the /500 horn fuse is 7.5 amps, while the Fiamm pulls only 4 amps) you'd be okay and might even be able to stuff it under the tupperware. Or you could always run wires...
...on the other hand, if you're okay with mounting it externally, the RoadThunder is definitely louder, definitely pulls low amps...and definitely works.