Low Carb Pepperoni Pizza Casserole

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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!

pizza casserole on a white plate with black pan in background

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 ⅔ 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.

overhead pic of pizza casserole on a white plate

close up of whole pizza casserole in black cast iron

Tips and Tricks

Make it like a real pizza!

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.

Can I add other toppings?

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.

Can I use frozen riced cauliflower?

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?

a slice of low carb pizza casserole on a white plate

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