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This Keto Pizza Casserole recipe is an awesome low-carb pizza night alternative for your entire family. This simple recipe is so versatile, and I give you tips on how to make this low carb pizza casserole your own with easy variations. It’s perfect for those who want crustless pizza and a keto option with no crust.
Benefits of a Crustless Pizza
- Sneak in veggies: This keto crustless pizza casserole is packed full of ingredients that make pizza so tasty without all the carbs (perfect if you’re on a low carb diet). And, for picky eaters, it is a great way to sneak in extra vegetables, making it very family-friendly.
- Meal Prep & Freezer Friendly: it’s perfect for a busy weeknight since it is easy to prepare ahead of time, reheats well and can be stored in the freezer. I love making this 1-2 days ahead of time and popping it in the oven when I’m ready to eat it.
- Quick and easy: With its simple ingredients and short prep time, this delicious, easy pizza casserole recipe requires little effort and is perfect for the whole family.
Ingredients Needed
- Italian Sausage: I’m using fresh raw Italian sausage that I picked up at the butcher counter in my local market. The great thing about this is that it comes packed with tons of flavor from Italian seasonings.
- Olive Oil: this is my cooking fat of choice. You could substitute avocado oil if you wish.
- Vegetables: to make this dish filling but also to enjoy this as a crustless pizza with all the toppings, I‘m using a mix of low-carb vegetables like yellow onions, green bell peppers, and mushrooms
- Natural Ancient Sea Salt
- Black Pepper
- Pepperoni: any pepperoni that you enjoy can be used in this recipe.
- Marinara Sauce: when I first shared this recipe, I used Tomato Basil Sauce from the market, but you could also make your own marinara sauce in minutes using canned tomatoes. These are two great options to have delicious pizza sauce.
- Pizza Blend Cheese: this is usually a mix of mozzarella cheese, romano cheese and cheddar. You can use any shredded cheese that you prefer if this is not available in your local market.
How To Make Crustless Pizza Casserole
The best way to learn how to make this delicious low-carb pizza casserole is to watch the post video. It’s located in the recipe card under the list of instructions and ingredients. In the video, you’ll notice these steps
- Brown the sausage: Heat a large skillet to medium-high heat. Brown the sausage meat, then set aside.
- Sauté the vegetables: In the same pan that you browned the sausage meat, add the olive oil, vegetables, salt, and pepper. Saute the vegetables until translucent & tender.
- Layer the casserole in a 9×13 baking pan. I made two layers with 1/2 sausage meat, 1 cup tomato sauce, 1/2 the vegetables, 1/2 the cheese, and 1/2 the pepperoni slices.
- Bake in the oven until the top is browned and the cheese is fully melted (~15-20 minutes).
Top Cooking Tips & FAQs
- This will appear loose when it’s hot out the oven: you didn’t do anything wrong. After it cools off, the sauce, meat and cheeses will firm up.
- Any Italian Sausage will work: There are many varieties of Italian Sausage, including hot or mild, pork, turkey, and chicken. Sometimes Italian flavored meat comes as a package of seasoned ground meat. All of those work in this recipe. You can even skip the pepperoni and use ground beef, or an Italian sausage meatless alternative.
Storage & Leftovers
If you have leftovers from this keto pizza casserole recipe, a great way to store it is in an airtight container for next time (up to 5 days).
Keto Crustless Pizza Recipe Variations
Pizza is one of those meals that you can let your imagination take over a bit. You can add your favorite pizza toppings and enjoy it with the entire family for the whole week.
My husband loves to add a little bit of sliced green pepper, fresh minced garlic, garlic power, red pepper flakes, and parmesan cheese to his servings.
We love to add our favorite toppings and different vegetables to our pizza bake like black olives, fresh parsley, fresh basil, and diced tomatoes.
Other vegetables that would be fantastic in this crustless low carb pizza casserole are:
- Cauliflower florets
- Zucchini
- Spinach
- Olives
- Eggplant
Crust Options
If you really want a pizza with a crust, there are some keto-friendly options available for you to choose from. For example, you could try Fathead Dough, which offers a low carb pizza crust to make a more traditional pizza out of.
Or, if you are curious about a cauliflower crusted pizza, you could check out my Buffalo Chicken Pizza for an option that is actually low-carb and available at many markets.
Pizza toppings are largely keto-friendly. So, a pizza without the crust would keep the carbs low enough for most people to enjoy crustless pizza it stick to 20g of net carbs per day. When making this recipe or buying it, just be sure to choose low-carb vegetables and sauce-free meats. For example, in this recipe, you’ll see that I include pepperoni, mushrooms, and peppers. You’ll want to skip things like bbq chicken unless you are using a keto-friendly bbq sauce.
This crustless pizza has only 6 grams of net carbohydrates in a serving. And, what I love about it, is that nearly all of these carbs are from fresh vegetables! As a means of comparison, according to the USDA, a third of a traditional medium pizza (which is about 2 slices) is 53 grams of net carbs, most of which is from the dough.
Yes – more restaurants are adding crustless pizza to their menu, such as Marcos. But, I personally save the money on takeout and make a large batch for multiple meals at home.
Recipes to Enjoy This With
Other Keto Italian Food Recipes
If you try this recipe, please stop back and leave it a star rating and/or a review in the comments. Stay connected & share photos of your creations with me & others on Instagram, Facebook, and Pinterest!
Keto Pizza Casserole Recipe
Use DRDAVINAHS at checkout to save on some equipment & ingredients!
Recommended Equipment
Ingredients
- 2 lbs Italian Sausage, hot or mild, casing removed
- 2 tbsp Olive Oil
- 1 medium Yellow Onion, sliced thinly
- 1 large bell pepper, I used red and green bell peppers, but you can use whatever you have on hand
- 8 oz baby bella mushrooms, optional
- 1/2 tsp Natural Ancient Sea Salt
- 1/2 tsp Black Pepper
- 5 oz Uncured Pepperoni
- 2 cups Tomato Basil Sauce, use DrDavinahS for 10% off!
- 3 cups Pizza Blend Cheese
Instructions
- Preheat your oven to 425 degrees
- Heat a large skillet to medium-high heat. Brown the sausage meat, then set aside.
- In the same pan that you browned the sausage meat, add the olive oil, vegetables, salt, and pepper. Saute the vegetables until translucent & tender.
- Layer the casserole in a 9×13 baking pan. I made two layers with 1/2 sausage meat, 1 cup tomato sauce, 1/2 the vegetables, 1/2 the cheese, and 1/2 the pepperoni.
- Bake in the oven until the top is browned and the cheese is fully melted (~15-20 minutes).
Nutrition Details
The nutrition facts come from entering the recipe ingredients into Spoonacular API, a database of food ingredients. They may vary for any recipe based on the exact product used. The keto sweeteners I use have 0g net carbs & are not included because sugar alcohols do not impact most people. This is provided as a courtesy, but you can do your own calculations if you wish!
Nancy Sproull says
We love this crustless pizza and have made it four times! We are going to make it again on New Years Eve. It has all of the wonderful flavors and so low in carbs!! We don’t miss the crust at all and it is so hearty and yummy! Love all of Dr. Davinah’s eats and am so glad I found her! She really knows how to cook!!
Dr. Davinah's Eats Team says
We really appreciate you stopping back to write such a thoughtful review. 🙂
Mary says
This is very delicious! My first time making this dish! My favorite loves it!! Will make again soon
Dr. Davinah's Eats Team says
Fantastic to hear that your first attempt was a success! It’s always special when your favorite enjoys it too. Looking forward to your next round of deliciousness. Happy cooking! 😊
Becky says
We love this! I add some black olives. I think next time I may use 2 peppers too, I feel like a little bit more veggies would be even better. We also use 4 cups of cheese in ours since it comes in a 4 c bag.
Dr. Davinah's Eats Team says
It’s so lovely of you to take the time to write such a thoughtful review. We really appreciate it!
Linda says
I tried this recipe and absolutely LOVED it!!! For sure, you think you’re eating the real thing!!!!
Dr. Davinah's Eats Team says
We’re so happy that you enjoyed this recipe. 🙂
Becky says
This is delicious, thank you. We added a can of diced black olives and 4 cloves of garlic.
Dr. Davinah's Eats Team says
Thank you so much for trying our recipe. We’re glad you liked it. You can always make adjustments depending on your taste.
Kim says
It’s awesome and i didn’t even miss the crust!! Honestly! It’s a keeper!!
Dr. Davinah's Eats Team says
We’re so happy that you enjoyed this recipe.
Sue says
Really delicious recipe. Didn’t miss the crust at all. Definitely a keeper. Don’t hesitate to try this recipe. It already has become a fan favorite!
Dr. Davinah's Eats Team says
We’re so happy that you enjoyed this recipe.
Kyle Anne says
Seriously????? It’s like eating pizza with a spoon! I’m in love!!!! I made my own tomato sauce because it’s cheaper and added green olives. I just have to be able to control myself so I don’t over eat. Wish me luck!!!
Dr. Davinah's Eats Team says
We really appreciate you stopping back to write such a thoughtful review.
Cecily Kiester says
I’ve made this several times and it’s delicious! It makes a lot and is amazing as leftovers. I’ve even split it between two smaller pans so I can bake one fresh later in the week. When you’re craving pizza but can do the bread, this one is for you!
Dr. Davinah's Eats Team says
We’re so happy you enjoyed it. Thanks for taking the time to leave a comment.
Swilborn says
I made this last night for supper and we loved it. The flavors of everything together are so delicious! My husband took to work today and I’m having for lunch too. Thank you for an awesome recipe!
Dr. Davinah's Eats Team says
You’re welcome! We’re so glad you loved it.
Sylvia T. says
I made your crustless pizza last evening for my fam. Omg, what a joy it was. Threw in a side salad and the dinner was amazing. Sooooo delectable. The recipe was a hit!
Dr. Davinah's Eats Team says
Thank you so much for trying our recipe. We’re glad you enjoyed it.
Stephanie says
This was so good! Definitely satisfied my weekend pizza craving!
Dr. Davinah's Eats Team says
Thank you for taking the time to leave a review.
Pris Frank | LikeHotKeto says
This is a great idea! I think the only reason we need a crust for the pizza is if we want to eat it as a hand-held food. Otherwise… this casserole pizza ticks all the pizza boxes: tomato sauce, pepperoni, and a lot of cheese! Thanks for the great recipe and idea!
Dr. Davinah's Eats Team says
You’re welcome! We’re so glad you liked it.
Sara Welch says
Gave this a try for dinner last night and it didn’t disappoint! Easily, a new favorite recipe in my home; the whole family loved it!
Davinah says
Happy you enjoyed this, Sara! Thanks for stopping by 🙂
Andrea Metlika says
I completely love this pizza casserole. My family is going to gobble it up!
Tara says
Definitely a wonderful low carb alternative! Looks amazing with the combination of Italian sausage with all that cheese.
Alison says
This is a crowd pleaser for sure! Great for a weeknight meal! Love the added veggies too!
Davinah says
I’m glad you agree, Alison! Thank you.
Adrianne says
This recipe has all of my favourite flavours and looks so darn delicious! I love that it is keto also. There is such colour and variety in the ingredients also. Can’t wait to give it a go!
Dr. Davinah's Eats Team says
Thank you for taking the time to leave a review. HOpe you enjoyed our recipe.
Nart says
Tried this recipe and it was really good. Will be making it again!
Davinah says
Happy that you enjoyed this!
Sally says
Not following a keto diet, but love a great casserole, and this one’s fabulous!
Davinah says
Thanks, Sally!
Cathleen @ A Taste of Madness says
I have GOT to try this! I just bought some pepperoni, so this looks perfect! Thanks for the recipe, bookmarked for later 🙂
Patty at Spoonabilities says
Oh wow! This looks absolutely amazing! I will definitely be making this!
Amanda S. says
This was so good! It tasted just like supreme pizza. I will definitely make it again.
Davinah says
Hi Amanda!
I’m so happy that you enjoyed this. I appreciate you for stopping back to leave a review!
Best,
Davinah