This is different. This shows you what in your operating system is making connections out and to where.

I run both (LS on Mac, at least), they do different things - pi.hole is a great ad blocker which applies to all of the devices on your network. Little Snitch is doing something different - it tells you every call that every app you use is making, and allows you to approve or deny each one. So, you can block telemetry for apps, or you can block certain apps from contacting certain servers, or you can just use it to watch what apps on your system are calling out to where.

LittleSnitch isn't for ad blocking (only), it is for tracking/blocking/allowing ALL connections from various processes. PiHole only blocks DNS requests to known ad servers.

Completely different thing. A littlesnitch type thing is for all traffic. Pihole is a DNS query thing that prevents various ad content from being loaded. It's also trivially easy for a malicious application with network access to bypass any instance of pihole on your LAN by doing its own DNS over HTTPS lookups to its own set of server(s) by IP.