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Delicious Low Carb Pizza Casserole topped with pepperoni, mushrooms, and melted cheese on a white plate

Low Carb Pizza Casserole (Delicious & Easy 4-Serving Recipe)


  • Author: Helen Bittner
  • Total Time: 40 minutes
  • Yield: 4 servings 1x
  • Diet: Gluten Free

Description

This Delicious Low Carb Pizza Casserole is a cheesy, satisfying keto-friendly twist on a classic pizza night favorite. With layers of seasoned ground beef, marinara, cauliflower, and gooey melted cheese topped with pepperoni and vegetables, it’s the ultimate low carb comfort food for the whole family. Easy to prep and perfect for meal prep, this Italian-American classic fits beautifully into your low carb lifestyle.


Ingredients

Scale

For the Base:

  • 1 large head cauliflower, chopped into florets

  • 1 tablespoon olive oil

  • Salt & pepper, to taste

For the Meat Sauce:

  • 1 lb ground beef (or Italian sausage)

  • 1/2 cup diced onion

  • 2 garlic cloves, minced

  • 1 cup low carb pizza sauce (no added sugar)

  • 1/2 tsp dried oregano

  • 1/2 tsp dried basil

  • 1/4 tsp crushed red pepper flakes (optional)

Toppings:

  • 1 ½ cups shredded mozzarella cheese

  • 1/2 cup sliced pepperoni

  • 1/4 cup sliced black olives

  • 1/4 cup diced green bell peppers

  • 2 tbsp chopped fresh parsley or basil (for garnish)


Instructions

  • Preheat oven to 400°F (200°C). Lightly grease a 9×9” or similar casserole dish.

  • Prepare the cauliflower base: Steam or microwave cauliflower until fork-tender (6–8 minutes). Mash lightly, season with salt and pepper, and press into the bottom of the casserole dish.

  • Cook the meat: In a large skillet, sauté onions until soft. Add ground beef and cook until browned. Drain excess fat.

  • Season and sauce: Stir in garlic, pizza sauce, oregano, basil, and red pepper flakes. Simmer for 5 minutes.

  • Assemble the casserole: Spread meat sauce over the cauliflower base. Top with shredded mozzarella, then layer with pepperoni, olives, and bell peppers.

  • Bake: Bake uncovered for 20–25 minutes or until the cheese is melted and golden.

  • Garnish & serve: Let cool for 5 minutes, then top with chopped parsley or basil.

Notes

  • Swap cauliflower for zucchini or eggplant for variation.

  • For extra creaminess, spread a layer of ricotta or cream cheese before adding meat.

  • Great for meal prep — reheats well and freezes up to 3 months.

  • Spice it up with jalapeños or hot sauce!

  • Prep Time: 15 minutes
  • Cook Time: 25 minutes
  • Category: Dinner, Main Dish
  • Method: Baking
  • Cuisine: Italian-American

Nutrition

  • Serving Size: 1 slice (¼ dish)
  • Calories: 390 kcal
  • Sugar: 4g
  • Sodium: 780mg
  • Fat: 28g
  • Saturated Fat: 12g
  • Unsaturated Fat: 14g
  • Trans Fat: 0g
  • Carbohydrates: 9g
  • Fiber: 2g
  • Protein: 28g
  • Cholesterol: 90mg

Keywords: Delicious Low Carb Pizza Casserole, keto casserole, low carb dinner, cauliflower pizza casserole