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Cheesy Pizza Casserole Recipe

Cheesy Keto Pizza Casserole - easy low carb cheesy pizza casserole that is totally crave-able and so simple to make! Layers of meaty, cheesy pizza flavors you can't get enough of - with very few carbs!

Prep Time
5 mins
Cook Time
5 mins
Total Time
40 mins
Servings: 8 servings
Calories: 475 kcal
Course: Main Course
Cuisine: Keto

Ingredients

  • 1 lb ground Italian sausage hot or mild, depending on your personal preference
  • ½ onion diced finely
  • 6 cloves garlic diced finely
  • 8 oz cremini mushrooms cleaned and sliced thin
  • 2 tbsp Italian herbs blend
  • 1 bell pepper seeded and diced
  • 1 cup sliced pepperonis whatever thin-sliced pepperoni brand you love
  • ½ cup sliced black olives
  • 2 cups shredded mozzarella
  • 1 cup ricotta cheese
  • 1 cup grated Parmesan cheese
  • 1 can diced tomatoes - do not drain

Instructions

    Cup of Yum
  1. Preheat oven to 350 degrees Fahrenheit.
  2. In a large pan, cook and crumble ground italian sausage on medium high heat.
  3. When Italian sausage is browned, remove from pan and set aside. Do not drain or clean out pan.
  4. Add onions to pan and let soften and brown, about 5 minutes.
  5. Add garlic to pan and cook down until fragrant and lightly browned, another 3-4 minutes on medium-low. Do not let garlic burn.
  6. Add peppers and mushrooms to pan and cook to softened and lightly browned.
  7. Drain off any excess moisture from vegetables (very important!! I often will squeeze them to get any excess water out of the vegetables.)
  8. Prep a 9x9 casserole dish with coconut oil cooking spray (or your favorite way to prep pans - foil, parchment, butter, lard, cooking spray all work just fine.)
  9. Layer 1/2 the sausage crumbles onto the bottom of the pan.
  10. Add a layer of ricotta, parmesan, and mozzarella (use about 1/3 of each, there will be 3 layers of cheese overall.)
  11. Add a layer of 1/2 the vegetables.
  12. Layer some (about 1/2) the pepperonis across the casserole.
  13. Add a layer of diced tomatoes (and the water they are packed in.)
  14. Layer the rest of the meat, then another cheese layer, followed by the rest of the vegetables and tomatoes.
  15. Finish the casserole with a top layer of cheese and pepperonis, garnish with olives.
  16. Cover casserole with foil and bake for 20 minutes, until casserole is hot and bubbly.
  17. Remove foil and cook until cheese is browned, about another 10 minutes.
  18. Serve immediately and enjoy.

Notes

  • To further reduce carbs, you can eliminate the onion and reduce the garlic - as well as adding only 1/2 a diced bell pepper.
  • I personally think the flavor the vegetables brings is worth the extra carbs, but if you are closely watching macros, reducing the bell pepper, onion, and garlic can eliminate up to 6 carbs per serving.

Nutrition Information

Serving 1g Calories 475kcal (24%) Carbohydrates 13g (4%) Protein 28g (56%) Fat 35g (54%) Saturated Fat 15g (75%) Polyunsaturated Fat 20g Trans Fat 1g Cholesterol 84mg (28%) Sodium 1194mg (50%) Fiber 1g (4%) Sugar 4g (8%)

Nutrition Facts

Serving: 8servings

Amount Per Serving

Calories 475

% Daily Value*

Serving 1g
Calories 475kcal 24%
Carbohydrates 13g 4%
Protein 28g 56%
Fat 35g 54%
Saturated Fat 15g 75%
Polyunsaturated Fat 20g 118%
Trans Fat 1g 50%
Cholesterol 84mg 28%
Sodium 1194mg 50%
Fiber 1g 4%
Sugar 4g 8%

* Percent Daily Values are based on a 2,000 calorie diet.