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Keto Pizza Casserole

Keto Pizza Casserole

Perfect Keto dinner Pizza Casserole. This was delicious and was super simple to make. Literally felt like eating pizza, also completely without any guilt.

Keto Pizza Casserole
Keto Pizza Casserole

How to make an easy Keto Pizza Casserole

Keto Pizza Casserole
Keto Pizza Casserole


  • 14 ounces cauliflower florets, cut into bite-size pieces
  • ½ teaspoon Salt
  • 2.5 ounces Pepperoni
  • 2 pounds Italian Sausage, if in casings remove from the casing before cooking
  • 1 tablespoon Avocado Oil 
  • 8 ounces Mushrooms, sliced
  • 1 Green Pepper, cut into bite-size pieces
  • 12 ounces Mozzarella cheese, shredded
  • 1.5 cups Low Carb Pasta Sauce, I use Rao’s Homemade Marinara
  • 1/4 cup Parmesan cheese
  • 1 teaspoon Italian Seasoning


1. Steam the cauliflower.
2. Drain the cauliflower pat dry with a paper towel. Set aside.
3. In a large skillet over medium-high heat cook the Italian sausage, approximately 15 minutes. When the sausage has finished cooking drain the excess fat. Set aside.
4. In the same skillet add avocado oil and saute the sliced mushrooms for 10 minutes. This will help remove some of the excess water. Set aside when done.
Keto Pizza Casserole

5. Prepare a 13 x 9-inch casserole dish by spraying it with non-stick spray then spread ½ cup of pasta sauce on the bottom.
6. In a large bowl add the cauliflower, cooked Italian sausage, mushrooms, and green peppers. Toss together until well mixed.
7. Spread ½ of the mixture in the casserole dish. Top with ½ cup of pasta sauce, followed by ½ of the pepperonis, and 6 ounces of mozzarella cheese. 
8. Next spread the remaining toppings mixture over the cheese followed by the pepperonis (save 10 slices for the top of the casserole), remaining ½ cup of pasta sauce, and 6 ounces of mozzarella cheese. 

9. In a small bowl mix together the Parmesan cheese and Italian seasoning. 
10. Sprinkle the Parmesan mixture over the Casserole and top with 10 slices of pepperoni.
11. Place in the oven and bake at 400 degrees F. for 30 minutes, or until the casserole is warmed through and the cheese is fully melted.

Recipe from @ketotommy.

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