Easy Low Carb Keto Crustless Pizza Casserole

A close-up of Easy Low Carb Keto Crustless Pizza Casserole with melted mozzarella and bubbling cheese on a rustic wooden table. Save
A close-up of Easy Low Carb Keto Crustless Pizza Casserole with melted mozzarella and bubbling cheese on a rustic wooden table. | recipesbyleanne.com

This hearty Italian-American casserole delivers everything you crave from a pepperoni pizza while keeping carbs low. Ground Italian sausage, sautéed vegetables, and sugar-free sauce create a savory base, topped with melted mozzarella, cheddar, and Parmesan. The entire dish comes together in just 40 minutes, making it perfect for busy weeknights. Each serving packs 31 grams of protein with only 7 grams of net carbs.

The versatility makes this a meal prep superstar - swap ground beef or turkey for the sausage, add black olives or spinach, or customize with your favorite vegetable toppings. Let it rest for a few minutes after baking for the cheesiest, most satisfying slices.

The first time I made this crustless pizza casserole, my husband actually asked where the pizza was hiding. When I told him the bubbling cheese and spicy sausage skillet was dinner, he looked skeptical, but one bite converted him completely. Now it is our Friday night staple that delivers everything we love about pizza without the carb crash that follows.

Last winter when we were doing a whole30 reset, I was desperate for something that felt indulgent but still fit our eating plan. This casserole saved us from giving up, and honestly, now I prefer it to actual pizza. The flavors concentrate beautifully without a crust getting in the way.

Ingredients

  • Ground Italian sausage: The fennel and spices in the sausage give you that authentic pizza flavor base without any extra work
  • Mushrooms: They release moisture as they cook and become little umami bombs that taste like they have been simmering in sauce for hours
  • Sugar-free pizza sauce: Read those labels carefully because hidden sugars can add up fast on keto
  • Mozzarella cheese: Shred it yourself if you can because pre-shredded has anti-caking agents that prevent that gorgeous melty stretch
  • Cheddar cheese: Adds a sharpness that cuts through the richness of the sausage
  • Parmesan cheese: The salty finish that makes every bite taste like a pizzeria visit
  • Italian herbs: Dried herbs work better here than fresh because they stand up to the long bake time
  • Red pepper flakes: Add these if you miss the little kick that pepperoni usually provides

Instructions

Preheat your oven to 400°F (200°C).
Give yourself time to let the oven fully heat because a hot start is what creates those gorgeous bubbly cheese patches.
Brown the sausage in a large skillet.
Cook it until really browned with some crispy bits, then drain most of the fat but leave about a tablespoon for flavor.
Add the vegetables.
Toss in mushrooms, peppers, onions, and garlic, then cook until everything softens and smells amazing.
Stir in sauce and seasonings.
Let everything simmer together for a few minutes so the flavors can start becoming friends.
Transfer to a baking dish.
Use a 9x9 inch dish and give it a quick spray with oil so nothing sticks.
Layer on the cheeses.
Sprinkle mozzarella and cheddar evenly, then finish with Parmesan and those pepperoni slices if you are using them.
Bake until bubbly.
About 20-25 minutes should do it, but keep an eye on it because all ovens behave differently.
Let it rest briefly.
Five minutes seems like forever when cheese is involved, but this helps portions hold together better.
Serving suggestion for Easy Low Carb Keto Crustless Pizza Casserole garnished with fresh basil and red pepper flakes on a white plate. Save
Serving suggestion for Easy Low Carb Keto Crustless Pizza Casserole garnished with fresh basil and red pepper flakes on a white plate. | recipesbyleanne.com

My daughter now requests this for her birthday dinner instead of going out for actual pizza. The fact that she can eat three servings without feeling stuffed makes both of us happy, and watching her friends try it for the first time never gets old.

Making It Your Own

Think of this as your pizza canvas. Sometimes I add black olives or roasted red peppers from a jar, and fresh spinach works beautifully if you want to sneak in some greens. The best version is whatever your family fights over the next day for leftovers.

Meal Prep Magic

This recipe actually tastes better on day two when all the flavors have had time to hang out together. I make a double batch on Sunday and portion it into containers for the easiest lunch week of my life. The cheese reheats perfectly and nothing gets soggy.

Serving Suggestions

A crisp green salad with a vinaigrette cuts through all that richness perfectly. Sometimes I serve it with roasted broccoli or zucchini noodles if I want something warm on the side. The key is keeping sides light so the casserole stays the star.

  • Crushed red pepper on the table for heat lovers
  • Fresh basil leaves added after baking for a pop of color
  • Garlic powder dusted over the top during the last five minutes
The Easy Low Carb Keto Crustless Pizza Casserole shows golden-brown pepperoni and savory sausage in a glass baking dish ready to serve. Save
The Easy Low Carb Keto Crustless Pizza Casserole shows golden-brown pepperoni and savory sausage in a glass baking dish ready to serve. | recipesbyleanne.com

This recipe proves you do not have to sacrifice comfort food when you are eating low carb. Enjoy every cheesy, satisfying bite.

Recipe FAQ

Yes, substitute dairy-free cheese alternatives for the mozzarella, cheddar, and Parmesan. Many brands melt well and provide similar texture. Ensure your pizza sauce is also dairy-free.

Store leftovers in an airtight container for up to 4 days. Reheat in the microwave or oven at 350°F until heated through. The flavors often improve after a day or two.

Absolutely! Assemble the entire dish, wrap tightly with foil and plastic, then freeze for up to 3 months. Thaw overnight in the refrigerator before baking, or bake from frozen adding 15-20 minutes to the cooking time.

Mushrooms, bell peppers, and onions are classic choices. You can also add black olives, spinach, roasted red peppers, zucchini, or even broccoli. Avoid watery vegetables like fresh tomatoes unless you cook them down first.

Perfect for meal prep! Portion into individual containers after cooling. The casserole reheats beautifully and maintains its texture. Consider making a double batch - it freezes exceptionally well for future quick meals.

You can use regular pizza sauce, but it will increase the carbohydrate count significantly. For strict keto adherence, sugar-free marinara or make your own sauce with crushed tomatoes, garlic, and Italian herbs.

Easy Low Carb Keto Crustless Pizza Casserole

Cheesy, satisfying casserole with all the pizza flavors you love, minus the carbs. Ready in under an hour.

Prep 10m
Cook 30m
Total 40m
Servings 4
Difficulty Easy

Ingredients

Protein

  • 1 lb ground Italian sausage
  • 20 slices pepperoni

Vegetables

  • 1 cup sliced mushrooms
  • 1/2 cup diced green bell pepper
  • 1/2 cup diced onion
  • 2 cloves garlic, minced

Sauce

  • 1 cup sugar-free pizza sauce or marinara

Cheeses

  • 2 cups shredded mozzarella cheese
  • 1/2 cup shredded cheddar cheese
  • 1/4 cup grated Parmesan cheese

Seasonings

  • 1 tsp dried Italian herbs
  • 1/2 tsp salt
  • 1/2 tsp black pepper
  • Red pepper flakes, to taste

Instructions

1
Preheat Oven: Preheat oven to 400°F.
2
Brown Sausage: In a large skillet over medium heat, cook ground Italian sausage until browned. Drain excess fat if needed.
3
Cook Vegetables: Add mushrooms, bell pepper, onion, and garlic to the skillet. Sauté for 3-4 minutes until softened.
4
Add Sauce and Seasoning: Stir in pizza sauce, Italian herbs, salt, and black pepper. Simmer for 2-3 minutes.
5
Transfer to Baking Dish: Transfer mixture to a greased 9x9-inch baking dish.
6
Add Toppings: Sprinkle mozzarella and cheddar cheese evenly over top. Add Parmesan and arrange pepperoni slices if using.
7
Bake: Bake uncovered for 20-25 minutes, until cheese is melted and bubbly.
8
Rest and Serve: Let rest for 5 minutes before serving. Garnish with extra herbs or red pepper flakes if desired.
Additional Information

Equipment Needed

  • Large skillet
  • 9x9-inch baking dish
  • Knife and cutting board
  • Oven

Nutrition (Per Serving)

Calories 420
Protein 31g
Carbs 7g
Fat 29g

Allergy Information

  • Contains dairy (cheese)
  • May contain gluten if not using certified gluten-free sausage or sauce
  • Contains pork if using sausage and pepperoni
Leanne Porter

Home cook sharing easy, wholesome recipes and real kitchen wisdom for fellow food lovers.