Our Low Carb Pepperoni Pizza Casserole gives you that Pizza fix without all of the added sugar and carbs. This basic recipe is easily adaptable to fix all of your favorite pizza toppings!

The Best Low Carb Pizza
Low Carb Pepperoni Pizza Casserole has become an easy favorite here. Getting those vegetables in has never been so easy and delicious all at the same time. We have spent the better part of the year cleaning up some of our favorite recipes with some healthy swaps. Recipes like our CRAB STUFFED MUSHROOMS and NO SUGAR ADDED OATMEAL COOKIES show anyone how a few healthy swaps can make a big impact.
Ingredients for Low Carb Pizza Casserole
Like many of our other recipes, we like to get you started with some basics. This becomes more of a meat lovers pizza option but can really become whatever you want!
- Italian Chicken Sausage
- Minced Garlic
- Salt and Pepper
- Dried Oregano
- Dried Basil
- Onion Powder
- Raw, Riced Cauliflower
- Grated Parmesan Cheese
- Low Sugar Marinara Sauce
- Shredded Mozzarella
- Turkey Pepperoni Slices
See recipe card for quantities.
How to Make Pizza Casserole
We do a couple of things ahead of time and use a few shortcuts to make this mix and pour casserole easy and delicious.
Preheat oven to 350°. Slice chicken sausage and brown in a skillet. Drain and cool. Set aside. In a large bowl, add in sausage.
Add minced garlic, basil, oregano, onion powder, salt and pepper.
Mix in the raw, riced cauliflower, parmesan cheese, about â…” of the turkey pepperoni that you diced before hand and marinara. Stir to mix well. Pour in a 8.5 X 11 casserole dish or 10 inch cast iron skillet. Spread evenly. Top with mozzarella cheese and reserved whole slices of pepperoni. Bake for 20-30 minutes until melted and slightly brown on top.
Serve with your favorite salad or side and enjoy!
Storage
After cooling to room temperature this will keep in an airtight container for up to a week. Take out what you need and reheat in single servings.
Tips and Tricks
I like making this in a skillet so I can cut it into slices. Then it becomes just like I am eating a real piece of deep dish pizza.
Yes! This is a great place to get started to see how easy and yummy it is. Feel free to add other things like mushrooms, green peppers, or low sodium ham. Just make sure you are not adding anything that will make it stop being low carb.
Yes! I would not cook it though. I would leave it raw and just thaw it to room temperature and drain all of the excess water from it first.
What Goes Great with Pizza Casserole?
- SKINNY MINI BANANA PUDDING
- ITALIAN TORTELLINI SALAD
- PEACH AND PECAN CUSTARD PIE
- ITALIAN CAULIFLOWER SALAD
If you make this recipe, be sure and post it to Facebook or Instagram and tag us. We love pictures of food. Also, if you pin this recipe, we would appreciate that when you make it, you use the Made It function in Pinterest too.
And as always, we would love it if you shared this recipe with your family and friends. Over to the side on this post and all of the others are handy dandy share buttons. We would sure be grateful if you shared the love!
Stuff We Used!
Low Carb Pepperoni Pizza Casserole
Our Low Carb Pepperoni Pizza Casserole gives you that Pizza fix without all of the added sugar and carbs. This basic recipe is easily adaptable to fix all of your favorite pizza toppings!
Ingredients
- 1 pound Italian Chicken Sausage
- 1 teaspoon Minced Garlic
- Salt and Pepper
- 1 teaspoon Dried Oregano
- 1 teaspoon Dried Basil
- 1 teaspoonOnion Powder
- 2 cups Raw, Riced Cauliflower
- ¼ cup Grated Parmesan Cheese
- 2 cups Rao's Marinara
- 1 and ½ cups Shredded Mozzarella
- ½ cup to 1 cup Turkey Pepperoni Slices, some cut into pieces, reserve some whole
Instructions
- Preheat oven to 350°. Slice chicken sausage and brown in a skillet. Drain and cool. Set aside. In a large bowl, add in sausage.
- Add minced garlic, basil, oregano, onion powder, salt and pepper.
- Mix in the raw, riced cauliflower, parmesan cheese, about â…” of the turkey pepperoni that you diced before hand and marinara. Stir to mix well. Pour in a 8.5 X 11 casserole dish or 10 inch cast iron skillet. Spread evenly.
- Top with mozzarella cheese and reserved whole slices of pepperoni.
- Bake for 20-30 minutes until melted and slightly brown on top.
Nutrition Information
Yield 8 Serving Size 1Amount Per Serving Calories 250Total Fat 12gSaturated Fat 4gTrans Fat 0gUnsaturated Fat 7gCholesterol 95mgSodium 1330mgCarbohydrates 8gNet Carbohydrates 6gFiber 2gSugar 4gProtein 26g
**Nutritional Values are estimates only
Nina Lugo
Thank you for the wonderful recipes. Can’t wait to try them