Keto Pizza Casserole (The Easiest Low-Carb Dinner!)

By Rowan Pierce

On February 24, 2026

A close-up shot of the cheesy, bubbly topping on the Keto Pizza Casserole right out of the oven. The pepperoni is crisp and the mozzarella is golden brown.

Cuisine

American, Italian

Prep time

15 minutes

Cooking time

25 minutes

Total time

40 minutes

Servings

8 servings

Craving the savory, cheesy goodness of pizza but sticking to a low-carb lifestyle? This Keto Pizza Casserole recipe is the answer to your prayers. It packs all the classic flavors of your favorite pepperoni pizza into a simple, hearty, and incredibly easy-to-make dish. Forget about complicated keto crusts; this crustless wonder delivers pure satisfaction and is ready in under an hour, making it the perfect weeknight dinner for the whole family.

We’ve created a rich, layered bake that combines savory Italian sausage, spicy pepperoni, and a perfectly seasoned tomato sauce, all smothered under a thick blanket of melted mozzarella cheese. It’s a true game-changer for anyone following a ketogenic diet.

Why This Keto Pizza Casserole is a Must-Try

If you’re looking for a simple and delicious low-carb meal, this recipe checks all the boxes. It’s not just a substitute; it’s a fantastic dish in its own right.

  • Incredibly Flavorful: We use a combination of Italian sausage, seasonings, and low-sugar marinara to capture that authentic pizzeria taste.
  • Quick and Easy: With minimal prep and a bake time of just 25 minutes, this is an ideal meal for busy evenings. It’s a true one-pan wonder.
  • Family-Friendly: Even those not on a keto diet will be asking for seconds. It’s a certified crowd-pleaser!
  • Perfectly Customizable: Treat this recipe as your canvas. Add your favorite low-carb pizza toppings to make it your own.

Ingredients You’ll Need

The beauty of this keto pizza bake is its simplicity. You only need a handful of common ingredients to create a truly memorable meal.

For the Casserole Base

  • Italian Sausage: Use one pound of ground Italian sausage (mild or hot) for a robust, savory foundation.
  • Cream Cheese: Four ounces of full-fat cream cheese makes the base rich and creamy.
  • Low-Carb Marinara Sauce: Choose a sauce with no added sugar to keep the carb count low. Rao’s Homemade is a great option.
  • Seasoning: A simple mix of garlic powder, onion powder, and dried oregano enhances the classic pizza flavor.

For the Toppings

  • Mozzarella Cheese: Two cups of shredded, whole-milk mozzarella for that essential cheesy pull.
  • Pepperoni: Use about half a cup of your favorite pepperoni slices.
  • Optional: Sliced black olives, mushrooms, or bell peppers for extra flavor and texture.

How to Make The Best Keto Pizza Casserole (Step-by-Step)

Follow these simple steps to create a flawless casserole every time. The key is to build layers of flavor, starting with a well-browned sausage base.

  1. Preheat and Prep: Start by preheating your oven to 375°F (190°C). Grease a 9×9 inch baking dish or a similar-sized casserole dish.
  2. Cook the Sausage: In a large skillet over medium-high heat, cook the Italian sausage until it’s browned and crumbled. Be sure to drain off any excess grease. This is a crucial step to prevent a watery casserole.
  3. Create the Base: Reduce the heat to low and stir in the softened cream cheese, marinara sauce, garlic powder, onion powder, and dried oregano. Continue stirring until the cream cheese is fully melted and the sauce is smooth and creamy.
  4. Assemble the Casserole: Pour the sausage mixture into your prepared baking dish and spread it into an even layer.
  5. Add Toppings: Sprinkle the shredded mozzarella cheese evenly over the top. Arrange the pepperoni slices and any other desired low-carb toppings over the cheese.
  6. Bake to Perfection: Bake for 20-25 minutes, or until the cheese is melted, bubbly, and slightly golden on top. Let it rest for 5-10 minutes before serving. This allows the casserole to set, making it easier to slice.

This dish is a fantastic alternative to traditional pizza, and you might find it even more satisfying. For another cheesy, family-friendly meal, check out our Cheesy Meatball Subs.

A serving of the keto pizza casserole being lifted from a baking dish with a spatula, revealing the rich and savory sausage and sauce layers underneath the cheese.
Layers of flavor in every single bite. Easy to make and even easier to eat!

Expert Tips for a Perfect Low-Carb Pizza Bake

Want to elevate your casserole from good to great? Keep these simple tips in mind.

  • Drain Everything: The number one rule for a perfect casserole is to remove excess moisture. Thoroughly drain the cooked sausage. If you add vegetables like mushrooms or bell peppers, sauté them first to cook off their water content.
  • Use Full-Fat Cheese: Full-fat cream cheese and whole-milk mozzarella not only taste better but also melt more smoothly and help create a richer texture.
  • Let It Rest: Don’t skip the resting period after baking! It’s essential for the casserole to firm up, ensuring you can serve clean, beautiful slices instead of a soupy mess.

Customizations and Variations

One of the best things about this recipe is how easy it is to customize. Here are a few ideas to get you started:

  • Supreme Pizza Casserole: Add cooked mushrooms, sliced bell peppers, onions, and black olives to the sausage mixture.
  • Meat Lover’s Dream: Mix in some cooked ground beef, crispy bacon, and diced ham along with the Italian sausage.
  • Different Cheeses: For a more complex flavor, try adding some provolone, parmesan, or asiago cheese to the mozzarella topping.
  • Spice It Up: Add a pinch of red pepper flakes to the sauce for a little extra heat.

If you enjoy this kind of hearty, one-pan meal, you might also love our Mexican Ground Beef Casserole for a different flavor profile.

A close-up shot of the cheesy, bubbly topping on the Keto Pizza Casserole right out of the oven. The pepperoni is crisp and the mozzarella is golden brown.
Look at that perfectly melted cheese! This is what low-carb dreams are made of.

Storage and Reheating Instructions

This Keto Pizza Casserole makes for fantastic leftovers, perfect for a quick lunch or dinner the next day.

Storing Leftovers

Store any leftover casserole in an airtight container in the refrigerator for up to 4 days. The flavors often meld and taste even better on the second day.

Can You Freeze This Casserole?

Yes, this casserole freezes beautifully! Allow it to cool completely, then cover the baking dish tightly with plastic wrap and aluminum foil. You can freeze it for up to 3 months. To reheat, thaw it in the refrigerator overnight and bake at 350°F (175°C) until heated through.

What to Serve with Your Casserole

This dish is a complete meal on its own, but it also pairs wonderfully with simple, low-carb sides. A fresh Caesar salad (without croutons), some steamed green beans, or roasted broccoli are all excellent choices to round out your dinner. If you’re looking for another great side dish idea, try our Korean Spinach Side Dish.

Frequently Asked Questions

Absolutely! You can assemble the entire casserole, cover it, and store it in the refrigerator for up to 24 hours before baking. You may need to add 5-10 minutes to the baking time if it’s going into the oven straight from the fridge.

The most important step is to thoroughly drain the grease from your cooked sausage. Additionally, if you add vegetables like mushrooms or zucchini, it’s best to sauté them separately first to cook off their excess moisture before adding them to the casserole.

This recipe has approximately 5 grams of net carbs per serving. The exact amount can vary slightly depending on the brand of marinara sauce and any optional vegetables you add.

Yes, as long as you use a gluten-free Italian sausage and marinara sauce, this recipe is naturally gluten-free.

Ground beef is a great substitute. You can also use ground turkey or chicken, but you may want to add extra Italian seasonings to compensate for the milder flavor.

The Best Keto Pizza Casserole Recipe

A close-up shot of the cheesy, bubbly topping on the Keto Pizza Casserole right out of the oven. The pepperoni is crisp and the mozzarella is golden brown.

Keto Pizza Casserole (The Easiest Low-Carb Dinner!)

This Keto Pizza Casserole is a game-changer! Packed with savory Italian sausage, pepperoni, and gooey mozzarella, this easy, low-carb recipe delivers all the classic pizza flavor without the crust. Perfect for a quick and satisfying weeknight dinner.
Prep Time 15 minutes
Cook Time 25 minutes
Total Time 40 minutes
Servings: 8 servings
Course: Dinner, Main Course
Cuisine: American, Italian
Calories: 450

Ingredients
  

  • 1 lb ground Italian sausage mild or hot
  • 4 oz cream cheese softened
  • 1 cup low-carb marinara sauce no sugar added
  • 1 tsp garlic powder
  • 1/2 tsp onion powder
  • 1 tsp dried oregano
  • 2 cups shredded mozzarella cheese whole-milk
  • 1/2 cup pepperoni slices

Equipment

  • 1 9x9 inch baking dish
  • 1 Large Skillet

Method
 

  1. Preheat your oven to 375°F (190°C). Grease a 9x9 inch baking dish.
  2. In a large skillet over medium-high heat, cook the Italian sausage until browned. Drain off any excess grease.
  3. Reduce heat to low. Stir in the softened cream cheese, marinara sauce, garlic powder, onion powder, and dried oregano until the cream cheese is fully melted and the sauce is smooth.
  4. Pour the sausage mixture into the prepared baking dish and spread evenly.
  5. Top with the shredded mozzarella cheese and arrange the pepperoni slices on top.
  6. Bake for 20-25 minutes, until the cheese is melted and bubbly.
  7. Let the casserole rest for 5-10 minutes before slicing and serving.

Notes

Tip 1: For a non-watery casserole, it's crucial to drain the sausage well and sauté any high-moisture vegetables (like mushrooms) before adding them.
Tip 2: Use full-fat, block mozzarella that you shred yourself for the best melting results. Pre-shredded cheeses often contain anti-caking agents that can affect the texture.

Craving More? Share This Recipe!

We hope you love this Keto Pizza Casserole as much as we do! It’s a staple in our low-carb rotation, and we know it will be in yours too. If you make this recipe, please leave a comment below and let us know what you think. Don’t forget to share it on Pinterest for others to enjoy!

A delicious slice of Keto Pizza Casserole on a white plate, showcasing layers of sausage, sauce, and melted mozzarella cheese with pepperoni on top. The perfect low-carb dinner idea.
All the pizza flavor, none of the guilt! This Keto Pizza Casserole is your new go-to for a quick and satisfying dinner.

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