Keto Pizza Casserole
Keto pizza casserole made with Italian sausage, pepperoni, cheese, and low-carb pizza sauce. A crustless comfort food dinner.
Ingredients
- 1 pound Italian sausage mild or spicy
- 1 cup pepperoni slices
- 1 ½ cups low-carb marinara or pizza sauce
- 2 cups shredded mozzarella cheese
- 1 cup shredded cheddar cheese
- 4 ounces cream cheese softened
- 2 large eggs
- 1 tablespoon olive oil
- ½ teaspoon onion powder
- ½ teaspoon garlic powder
- 1 teaspoon Italian seasoning
- ½ cup black olives or bell peppers optional
Instructions
- Preheat oven to 375°F and grease a 9×13-inch baking dish.
- Heat olive oil in a skillet over medium heat.
- Add Italian sausage and cook until browned, breaking into crumbles.
- Drain excess grease and season with onion powder, garlic powder, and Italian seasoning.
- In a bowl, mix softened cream cheese with eggs until smooth.
- Stir in half of the marinara sauce.
- Spread cooked sausage evenly in the baking dish.
- Pour cream cheese mixture over the sausage and spread gently.
- Top with pepperoni, olives or peppers if using, and remaining marinara sauce.
- Sprinkle mozzarella and cheddar cheese evenly over the top.
- Bake uncovered for 25–30 minutes until cheese is bubbly and lightly golden.
- Let rest 10 minutes before slicing and serving.
Notes
Use thick, no-sugar-added sauce for best keto results. Drain meats well to prevent excess moisture.