Keto Crustless Pizza Casserole

Keto Crustless Pizza Casserole

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Low-Carb Keto Crustless Pizza Supreme Casserole gives you all the pizza flavors you know and love in an easy to make, low carb package. This delicious recipe feeds a crowd and is perfect for meal prep.


  • Prep: 5 mins
  • Cook: 40 mins
  • Ready in: 45 mins


  • 2 lbs Italian Sausagehot or mild, casing removed
  • 2 tbsp Olive Oil
  • 1 medium Yellow Onionsliced thinly
  • 1 large bell pepperI used red and green bell peppers, but you can use whatever you have on hand
  • 8 oz baby bella mushroomsoptional
  • 1/2 tsp Natural Ancient Sea Salt
  • 1/2 tsp Black Pepper
  • 5 oz Uncured Pepperoni
  • 2 cups Tomato Basil Sauce
  • 3 cups Pizza Blend Cheese


  • Preheat your oven to 425 degrees
  • Heat a large skillet to medium-high heat. Brown the sausage meat, then set aside.
  • In the same pan that you browned the sausage meat, add the olive oil, vegetables, salt, and pepper. Saute the vegetables until translucent & tender.
  • Layer the casserole in a 9×13 baking pan. I made two layers with 1/2 sausage meat, 1 cup tomato sauce, 1/2 the vegetables, 1/2 the cheese, and 1/2 the pepperoni.
  • Bake in the oven until the top is browned and the cheese is fully melted (~15-20 minutes).

Nutrition Details:

Calories: 436kcal | Carbohydrates: 7g | Protein: 23g | Fat: 36g | Saturated Fat: 11g | Polyunsaturated Fat: 1g | Monounsaturated Fat: 1g | Trans Fat: 1g | Cholesterol: 76mg | Sodium: 1181mg | Potassium: 453mg | Fiber: 1g | Sugar: 3g | Vitamin A: 605IU | Vitamin C: 23mg | Calcium: 81mg | Iron: 1mg

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