Easy Low Carb Keto Pizza Casserole (Printer-friendly)

A cheesy Italian-American bake capturing pizza flavors without carbs. Ready in 40 minutes, perfect for weeknight dinners.

# What You’ll 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 or marinara

→ 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 Guide:

01 - Preheat your oven to 400°F.
02 - In a large skillet over medium heat, cook the 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 the 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 -
  • It delivers every comforting flavor of pizza without the post-meal carb crash that leaves you heavy and sluggish
  • The whole thing comes together in under 45 minutes, making it perfect for those nights when everyone's hungry and patience is running thin
02 -
  • Don't skip draining the sausage fat or your casserole will have an oily layer on top that no one wants to eat
  • Sugar-free pizza sauces vary wildly in quality and carb count, so taste it before adding and adjust your seasonings accordingly
03 -
  • If you're meal prepping, under-bake by about 5 minutes so reheating doesn't dry out the cheese
  • Letting it rest before serving is non-negotiable or it will run across your plate like a lazy river

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