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Keto Pizza Casserole with Sausage Pepperoni and Cheese

This Keto Pizza Casserole combines all your favorite pizza toppings—cheese, meat, sauce, and veggies—into one low-carb, crustless dish that’s perfect for keto and gluten-free diets. Easy to assemble, full of flavor, and ideal for meal prep or weeknight dinners.

Ingredients

Scale
  • 1 lb ground beef or ground turkey

  • 1/2 small onion, diced

  • 2 cloves garlic, minced

  • 1 1/2 cups low-carb marinara or tomato sauce (no sugar added)

  • 1 tsp dried Italian seasoning

  • Salt and pepper, to taste

  • 1/2 cup chopped green bell pepper

  • 1/2 cup chopped mushrooms

  • 1/4 cup sliced black olives

  • 1/4 cup chopped turkey pepperoni or beef pepperoni

  • 1 1/2 cups shredded mozzarella cheese

  • 1/4 cup grated Parmesan cheese

  • 1/2 tsp crushed red pepper flakes (optional)

Instructions

  • 1 lb ground beef or ground turkey

  • 1/2 small onion, diced

  • 2 cloves garlic, minced

  • 1 1/2 cups low-carb marinara or tomato sauce (no sugar added)

  • 1 tsp dried Italian seasoning

  • Salt and pepper, to taste

  • 1/2 cup chopped green bell pepper

  • 1/2 cup chopped mushrooms

  • 1/4 cup sliced black olives

  • 1/4 cup chopped turkey pepperoni or beef pepperoni

  • 1 1/2 cups shredded mozzarella cheese

  • 1/4 cup grated Parmesan cheese

  • 1/2 tsp crushed red pepper flakes (optional)

Notes

  • Use a high-quality low-carb marinara sauce to keep net carbs in check.

  • Drain your meat well to prevent sogginess.

  • Feel free to swap in any low-carb toppings like jalapeños, spinach, or sausage.

  • For more crunch, broil the top for the last 2–3 minutes of baking.

  • Store leftovers in an airtight container for up to 4 days, or freeze for longer storage.

  • Great as a base recipe—customize it to mimic your favorite pizza style.