If you are on the lookout for a delicious, comforting meal that won’t sabotage your low carb goals, this Low Carb Pizza Casserole Recipe is just the dish you need. It brings together all the best flavors of a classic pizza—sausage, pepperoni, gooey mozzarella, and vibrant veggies—in a warm, satisfying casserole form. The secret magic lies in the cauliflower base that perfectly mimics traditional pizza dough, keeping it light without skimping on taste. Whether you are prepping for a family dinner or a weekend treat, this casserole is sure to become one of your favorite go-to recipes, packing hearty satisfaction with every cheesy, savory bite.

Ingredients You’ll Need
Crafting this Low Carb Pizza Casserole Recipe is easier than you might think. The ingredients are simple yet thoughtfully chosen to create layers of flavor, different textures, and a colorful presentation that’s easy on the eyes and delightful to the palate.
- Cauliflower florets (14 ounces): The low carb substitute for traditional pizza dough that packs freshness and fiber.
- Pepperoni (2.5 ounces): Adds a spicy, savory punch and a classic pizza flair.
- Italian Sausage (2 pounds): Brings rich, meaty depth and is the star protein in this casserole.
- Olive Oil (1 tablespoon): Helps sauté the mushrooms to perfection, enhancing their flavor.
- Mushrooms (8 ounces, sliced): Provide an earthy umami layer and a meaty texture without adding carbs.
- Green Pepper (1, bite-size pieces): Offers freshness and a slight crunch for texture contrast.
- Mozzarella Cheese (12 ounces, shredded): Melted mozzarella creates the gooey, cheesy goodness you crave.
- Low Carb Pasta Sauce (1.5 cups): Serves as the flavorful tomato base; Rao’s Homemade Marinara is an excellent pick for authenticity.
- Parmesan Cheese (1/4 cup, powdered): Adds a sharp, nutty finish to the topping.
- Italian Seasoning (1 teaspoon): A classic herb mix that rounds out the flavors beautifully.
How to Make Low Carb Pizza Casserole Recipe
Step 1: Steam the Cauliflower
Begin by placing the bite-size cauliflower florets into a microwave-safe bowl filled with 1 cup of water. Cover this bowl with a damp paper towel and microwave on high for about 3 minutes. The goal is to get the cauliflower tender but not soggy, so keep a close eye—overcooking will lose the perfect texture.
Step 2: Drain and Dry
Once steamed, drain the cauliflower carefully and pat it dry with a paper towel. Getting rid of excess moisture is key to avoid a watery casserole later.
Step 3: Preheat Your Oven
Set your oven to 400 degrees Fahrenheit so it’s fully ready for baking once your casserole is assembled.
Step 4: Cook the Italian Sausage
In a large skillet over medium-high heat, cook the Italian sausage thoroughly—about 15 minutes—breaking it up as it cooks. After it’s done, drain any excess fat to keep the dish from becoming greasy but retain all that meaty flavor.
Step 5: Sauté the Mushrooms
Using the same skillet, add olive oil and sauté sliced mushrooms for 10 minutes to remove their moisture. This step intensifies the mushroom flavor and prevents the casserole from becoming soggy.
Step 6: Prepare the Casserole Dish
Spray a 13×9 inch casserole dish with non-stick spray. Spread half a cup of the low carb pasta sauce evenly on the bottom. This acts as the flavorful base layer that keeps every bite saucy and delicious.
Step 7: Combine the Vegetables and Meat
In a large bowl, toss together the steamed cauliflower, cooked sausage, sautéed mushrooms, and chopped green peppers until everything is well mixed. Each bite will have a perfect balance of flavors.
Step 8: Layer the First Half
Spread half of the vegetable and meat mixture evenly in the casserole dish. Then spoon on half a cup of pasta sauce, followed by half of the pepperoni slices—pressing them slightly into the layers—and top with 6 ounces of shredded mozzarella cheese.
Step 9: Build the Second Layer
Spread the remaining half of the mixture over the cheese layer. Add the rest of the pepperoni slices (save about 10 slices for topping), pour on the remaining half-cup of pasta sauce, and sprinkle with the final 6 ounces of mozzarella cheese.
Step 10: Prepare the Parmesan Topping
Mix the powdered Parmesan cheese and Italian seasoning in a small bowl until well combined. This mix will add a sharp, herby crust to your casserole’s surface.
Step 11: Add the Final Touches
Evenly sprinkle the Parmesan and Italian seasoning mixture over the top of the casserole. Then arrange the last 10 pepperoni slices on top for a visually appealing and flavor-packed finish.
Step 12: Bake Until Perfect
Place the casserole in the oven and bake for 30 minutes. You’ll know it’s ready when the casserole is hot throughout and the cheese is beautifully melted and bubbly.
How to Serve Low Carb Pizza Casserole Recipe
Garnishes
Sprinkle some fresh chopped basil or parsley on top just before serving to add a pop of color and fresh herbal aroma. A light drizzle of extra virgin olive oil can also elevate the flavors beautifully.
Side Dishes
This casserole shines as a standalone meal, but if you want to add some greens, consider a crisp Caesar salad or a simple mixed greens salad with a tangy vinaigrette to balance out the richness.
Creative Ways to Present
Serve individual portions in small ramekins for a chic presentation at dinner parties. You can also pair it with keto-friendly garlic bread or roasted vegetables for a complete low carb feast.
Make Ahead and Storage
Storing Leftovers
Store any leftover Low Carb Pizza Casserole Recipe in an airtight container in the refrigerator for up to 4 days. The flavors actually develop even more after sitting, making the next day almost as good as the first.
Freezing
This casserole freezes wonderfully. Portion it into freezer-safe containers and freeze for up to 3 months. Thaw overnight in the fridge before reheating for best results.
Reheating
Reheat leftovers in the oven at 350 degrees Fahrenheit for about 15-20 minutes until warmed through. Using the oven keeps the cheese melty and preserves the texture better than a microwave.
FAQs
Can I use frozen cauliflower instead of fresh?
Yes, frozen cauliflower works fine. Just make sure to thaw and drain it well to avoid excess water in your casserole.
Is this recipe suitable for strict keto diets?
Absolutely! With cauliflower replacing the carb-heavy crust and a focus on high-fat meats and cheeses, this casserole fits perfectly into keto meal plans.
Can I substitute the Italian sausage for other types of meat?
Sure! Ground turkey, chicken, or even beef can be used, but keep in mind the sausage adds specific spices that enhance the pizza flavor.
How spicy is this Low Carb Pizza Casserole Recipe?
The pepperoni and Italian sausage offer a mild spice level. You can increase heat by adding crushed red pepper flakes or using spicy sausage varieties.
Can I prepare this casserole without pepperoni?
Definitely. Feel free to omit pepperoni or replace it with your favorite low carb topping like olives or sliced jalapeños to customize the flavor.
Final Thoughts
This Low Carb Pizza Casserole Recipe is a joyful melt of all your pizza favorites, reimagined into a comfort food casserole that delights without the carb overload. It’s hearty, cheesy, and full of vibrant flavors that will keep you coming back for more. So go ahead, gather your ingredients, and treat yourself to a slice of low carb happiness. Your taste buds will thank you every step of the way!
Print
Low Carb Pizza Casserole Recipe
- Prep Time: 20 minutes
- Cook Time: 55 minutes
- Total Time: 1 hour 15 minutes
- Yield: 10 servings
- Category: Casserole
- Method: Baking
- Cuisine: Italian-American
- Diet: Low Carb
Description
This Low Carb Pizza Casserole is a hearty and flavorful dish combining cauliflower, Italian sausage, pepperoni, mushrooms, and green peppers, all layered with low carb pasta sauce and cheese, then baked to perfection. It offers a satisfying pizza-inspired meal option that’s perfect for those watching their carbohydrate intake without sacrificing taste.
Ingredients
Vegetables
- 14 ounces Cauliflower florets (cut into bite-size pieces)
- 8 ounces Mushrooms (sliced)
- 1 Green Pepper (cut into bite-size pieces)
Meats
- 2 pounds Italian Sausage (if in casings remove from casing before cooking)
- 2.5 ounces Pepperoni
Dairy & Cheese
- 12 ounces Mozzarella cheese (shredded)
- 1/4 cup Parmesan cheese (powdered)
Other Ingredients
- 1 tablespoon Olive Oil
- 1.5 cups Low Carb Pasta Sauce (we use Rao’s Homemade Marinara)
- 1 teaspoon Italian Seasoning
Instructions
- Steam Cauliflower: Place cut cauliflower in a microwave safe bowl with 1 cup of water. Cover with a damp paper towel and microwave on high for approximately 3 minutes or until tender, being careful not to overcook.
- Drain Cauliflower: Drain the cauliflower and pat dry with a paper towel to remove excess moisture. Set aside.
- Preheat Oven: Preheat your oven to 400 degrees Fahrenheit.
- Cook Sausage: In a large skillet over medium-high heat, cook the Italian sausage for about 15 minutes until browned and fully cooked. Drain excess fat and set aside.
- Sauté Mushrooms: Using the same skillet, add olive oil and sauté mushrooms over medium-high heat for 10 minutes to remove excess water. Set aside when done.
- Prepare Casserole Dish: Spray a 13×9 inch casserole dish with non-stick spray, then spread ½ cup of pasta sauce evenly on the bottom.
- Mix Toppings: In a large bowl, combine the drained cauliflower, cooked Italian sausage, sautéed mushrooms, and green peppers. Toss until well mixed.
- Layer First Half: Spread half of the mixture evenly in the casserole dish. Top with ½ cup pasta sauce, half of the pepperoni slices (pressing them slightly into the toppings), and 6 ounces of shredded mozzarella cheese.
- Layer Second Half: Spread the remaining topping mixture over the cheese layer, followed by the remaining pepperoni slices (save 10 slices for topping), the remaining ½ cup pasta sauce, and the remaining 6 ounces mozzarella cheese.
- Prepare Parmesan Mixture: In a small bowl, mix the powdered Parmesan cheese and Italian seasoning together.
- Add Final Toppings: Sprinkle the Parmesan and Italian seasoning mixture evenly over the casserole, then top with the reserved 10 slices of pepperoni.
- Bake: Place the casserole in the preheated oven and bake for 30 minutes, or until warmed through and the cheese is fully melted and bubbly.
Notes
- Be careful not to overcook the cauliflower during steaming to avoid sogginess.
- Draining and patting the cauliflower dry is essential to prevent excess moisture in the casserole.
- Cooking the mushrooms until most of their water evaporates ensures the casserole doesn’t become watery.
- Use low carb pasta sauce to keep the dish suitable for low carb diets.
- The casserole can be refrigerated and reheated, making it great for meal prep.

