Easy Low Carb Keto Crustless Pizza Casserole (Printable Version)

Cheesy, sausage-loaded comfort with all pizza flavors and none of the carbs. Ready in 40 minutes.

# What You Need:

→ Protein

01 - 1 lb ground Italian sausage
02 - 20 slices pepperoni

→ Vegetables

03 - 1 cup sliced mushrooms
04 - 1/2 cup diced green bell pepper
05 - 1/2 cup diced onion
06 - 2 cloves garlic, minced

→ Sauce

07 - 1 cup sugar-free pizza sauce

→ Cheeses

08 - 2 cups shredded mozzarella cheese
09 - 1/2 cup shredded cheddar cheese
10 - 1/4 cup grated Parmesan cheese

→ Seasonings

11 - 1 tsp dried Italian herbs
12 - 1/2 tsp salt
13 - 1/2 tsp black pepper
14 - Red pepper flakes, to taste

# How to Make It:

01 - Preheat oven to 400°F.
02 - In a large skillet over medium heat, cook ground Italian sausage until browned. Drain excess fat if needed.
03 - Add mushrooms, bell pepper, onion, and garlic to the skillet. Sauté for 3-4 minutes until softened.
04 - Stir in pizza sauce, Italian herbs, salt, and black pepper. Simmer for 2-3 minutes.
05 - Transfer the mixture to a greased 9x9-inch baking dish.
06 - Sprinkle mozzarella and cheddar cheese evenly over the top. Add Parmesan and arrange pepperoni slices if using.
07 - Bake uncovered for 20-25 minutes, until cheese is melted and bubbly.
08 - Let rest for 5 minutes before serving. Garnish with extra herbs or red pepper flakes if desired.

# Expert Advice:

01 -
  • You get every beloved pizza flavor without the carb crash that usually follows
  • It reheats beautifully for lunch the next day, sometimes tasting even better
02 -
  • Draining the sausage fat prevents the final dish from becoming greasy, especially with higher-fat meats
  • Sugar-free pizza sauce varies wildly in quality, taste test before adding and adjust herbs accordingly
03 -
  • Use a mix of mozzarella and provolone for a more authentic pizza flavor profile
  • Sprinkle a little extra Parmesan across the middle of baking for an extra crispy top layer