As I stood in my kitchen last week, the enticing aroma of Italian herbs wrapped around me like a warm hug, I realized I craved a comforting favorite without the guilt of excessive carbs. Enter my Easy Low Carb Pizza Casserole! This delightful dish beautifully combines the classic flavors of pizza—think melty cheese, rich sauce, and endless topping possibilities—all layered up in a hearty, satisfying casserole. It’s an ideal solution for busy weeknights and can be whipped up in a flash, making it perfect for both novices and seasoned home chefs alike. Plus, you can easily customize it to please everyone in your family—whether they’re keto enthusiasts or just looking for a healthier twist on their pizza fix. Curious about how to create this mouthwatering dish? Let’s dive into it!

Why is Low Carb Pizza Casserole a Must-Try?
Flavorful, comforting experience: The rich, savory blend of cheese, sauce, and savory toppings creates an unforgettable taste reminiscent of your favorite pizza night. Easy preparation: With just a few straightforward steps, you can have a delicious casserole ready in no time, perfect for busy nights! Customizable delight: Tailor your Low Carb Pizza Casserole with various toppings or vegetables to suit your family’s preferences. Healthy indulgence: This guilt-free version allows you to enjoy pizza flavors without the carb overload, making it ideal for keto diets. Crowd-pleaser: It’s bound to impress not only health-conscious folks but also everyone who enjoys hearty dinners. If you’re looking for more crave-worthy comfort dishes, be sure to check out my Pizza Tot Casserole and Cordon Bleu Casserole for satisfying family meals!
Low Carb Pizza Casserole Ingredients
For the Base
- Cauliflower – The perfect low-carb foundation; you can also use broccoli for a change of pace.
- Italian Sausage – Adds rich, savory flavor; remember to pre-cook and drain the grease for a healthier option.
- Mushrooms – Infuses umami goodness; spinach or bell peppers can be substituted for a different texture.
- Green Peppers – Crisp and crunchy addition; using red or yellow will provide a touch of sweetness to balance the flavor.
For the Sauce
- Pasta Sauce – Moistens the casserole and adds depth of flavor; opt for a high-quality marinara like Rao’s to avoid excess liquid.
For the Toppings
- Pepperoni – A classic pizza delight; consider turkey pepperoni for a lighter alternative.
- Mozzarella Cheese – Melts beautifully to bind all the layers together; mix in some cheddar for an extra flavor boost.
- Parmesan Cheese – Adds that irresistible cheesy crust; for a dairy-free option, nutritional yeast works as a great substitute.
For Flavor Enhancement
- Italian Seasoning – A delightful blend of dried herbs that enhances the overall flavor; make sure it’s a fresh mix for the best results.
Step‑by‑Step Instructions for Low Carb Pizza Casserole
Step 1: Preheat the Oven
Begin by preheating your oven to 400°F (200°C). This ensures a perfectly baked Low Carb Pizza Casserole with a bubbly, golden top. While the oven warms, you can gather your ingredients and equipment, including a microwave-safe bowl, skillet, and a 13×9 inch casserole dish for assembly.
Step 2: Prepare the Cauliflower
Place the cauliflower florets in a microwave-safe bowl, adding a splash of water to help steam. Microwave for about 3 minutes until tender. Once done, carefully drain the water, then pat the florets dry with a paper towel to prevent excess moisture, which can affect the casserole’s texture.
Step 3: Cook the Sausage
In a skillet over medium heat, brown the Italian sausage for approximately 15 minutes, stirring occasionally. Once it’s nicely cooked, drain any excess grease to keep your casserole lighter. This savory base will add a robust flavor to your Low Carb Pizza Casserole.
Step 4: Sauté the Vegetables
Using the same skillet, add sliced mushrooms and sauté for about 10 minutes until they become tender and moisture evaporates. This step intensifies their flavor, contributing to the overall taste of your Low Carb Pizza Casserole. Set them aside once done.
Step 5: Assemble the Casserole
Grease your 13×9 inch casserole dish with cooking spray, then spread ½ cup of pasta sauce evenly on the bottom. This layer of sauce prevents sticking and adds flavor. It’s the first step in creating the delicious layers of your casserole.
Step 6: Mix the Filling
In a large mixing bowl, combine the steamed cauliflower, cooked sausage, sautéed mushrooms, and chopped green peppers. Mix everything together until evenly distributed. This colorful filling is packed with flavor and forms the hearty base of your Low Carb Pizza Casserole.
Step 7: First Layer of the Casserole
Layer half of the cauliflower mixture into the prepared casserole dish. Pour ½ cup of pasta sauce over the filling, followed by half of the pepperonis and 6 oz of mozzarella cheese. This ensures a delightful flavor and gooey texture in every bite.
Step 8: Repeat for the Second Layer
Repeat the layering process by adding the remaining mixture, topping it with another ½ cup of sauce, the rest of the pepperonis, and another generous layer of mozzarella cheese. Each layer builds flavor, making your Low Carb Pizza Casserole irresistible.
Step 9: Add Finishing Touches
In a small bowl, blend the Parmesan cheese with Italian seasoning and sprinkle it over the top of your casserole. Add any reserved pepperoni slices to intensify the pizza flavor. This final touch enhances both the taste and presentation of your dish.
Step 10: Bake to Perfection
Place the casserole in the preheated oven and bake for about 30 minutes. You’ll know it’s ready when the cheese is melted, bubbly, and lightly golden. This step transforms all the delicious elements into a cohesive and comforting Low Carb Pizza Casserole.
Step 11: Cool and Serve
Once out of the oven, allow the casserole to cool for 10-15 minutes before slicing. This resting time helps the layers set, making it easier to serve. Enjoy the delightful flavors of your homemade Low Carb Pizza Casserole with family and friends!

Storage Tips for Low Carb Pizza Casserole
- Fridge: Store leftovers in an airtight container for up to 4 days to allow flavors to develop while keeping the casserole fresh and delicious.
- Freezer: Freeze unbaked casserole in a freezer-safe dish for up to 3 months or baked portions for up to 2 months for a convenient meal option later.
- Reheating: To reheat refrigerated leftovers, warm in the microwave or oven until heated through, ensuring the casserole retains its gooey texture.
- Thawing: If frozen, thaw in the refrigerator overnight before reheating for best results with your Low Carb Pizza Casserole.
Make Ahead Options
These Easy Low Carb Pizza Casserole preparations are perfect for busy home cooks! You can chop your vegetables, sauté the mushrooms, and cook the Italian sausage up to 3 days in advance; store them in airtight containers in the refrigerator. The assembled casserole can also be prepared and refrigerated for up to 24 hours before baking, keeping the flavors fresh and delicious. When you’re ready to enjoy this comforting dish, simply bake it as directed. To maintain its quality, avoid using watery pasta sauce and pat your cauliflower dry before mixing to prevent excess moisture. With these make-ahead tips, you’ll have a delectable Low Carb Pizza Casserole ready with minimal effort on busy weeknights!
Low Carb Pizza Casserole Variations
Feel free to get creative with this delectable Low Carb Pizza Casserole—each twist can bring a new layer of flavor and excitement.
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Dairy-Free: Substitute mozzarella and parmesan with vegan cheese alternatives for a completely dairy-free experience. Nutritional yeast can add that cheesy flavor without the dairy.
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Protein Swap: Use ground turkey or chicken instead of Italian sausage for a leaner protein choice. This not only reduces calories but lends a different flavor profile to your casserole.
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Vegetable Boost: Incorporate spinach or zucchini for added nutrients and flavor. These vegetables bring vibrancy and work beautifully with the cheese and sauce.
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Spice It Up: Add sliced jalapeños or crushed red pepper flakes for a spicy kick. It transforms your casserole into a fiery delight that spice lovers will adore!
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Herb Infusion: Mix fresh herbs like basil or oregano into your sauce for a burst of freshness. This simple addition can elevate the entire dish and offer a garden-fresh taste.
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Texture Twist: Sprinkle crispy bacon or croutons on top before baking for extra crunch. That contrasting texture will make each bite even more enjoyable.
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Mediterranean Flair: Try adding olives or artichokes for a Mediterranean twist. These toppings can give your casserole a whole new flavor dimension reminiscent of Greek cuisine.
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Family Favorites: Feel free to swap in any of your family’s favorite pizza toppings, like mushrooms, onions, or cooked bell peppers, to create a personalized version they’ll adore! If you’re a fan of casseroles that satisfy the whole family, check out my Beef Lombardi Casserole or Hobo Casserole Comforting.
Embrace these variations to make the Low Carb Pizza Casserole truly your own while keeping it family-friendly and delicious!
What to Serve with Easy Low Carb Pizza Casserole
Transform your delightful casserole into a complete meal with these tasty pairings that complement its rich flavors beautifully.
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Crisp Garden Salad: A fresh salad adds a refreshing crunch, balancing the richness of the casserole and enhancing your meal. Toss in seasonal vegetables and a light vinaigrette for a burst of flavor.
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Zucchini Boats: These low-carb boats are a fun, veggie-filled side. Stuffed with cheese and herbs, they echo the flavors of pizza while offering a nutritious complement.
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Garlic Parmesan Roasted Broccoli: The nutty flavor of roasted broccoli coated in garlic and Parmesan adds a satisfying texture to your meal. It’s a perfect way to sneak in more veggies!
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Cauliflower Rice: If you’re looking to keep it low carb, serve this fluffy, seasoned side dish to soak up any extra sauce. It’s light yet filling, creating a harmonious addition to your casserole.
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Balsamic Glazed Brussels Sprouts: The slight bitterness of Brussels sprouts can beautifully contrast the savory pizza flavors. Toss them in a balsamic glaze for extra sweetness and a delightful finish.
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Keto-Friendly Breadsticks: Soft, cheesy breadsticks not only satisfy those bread cravings but also make the meal more indulgent. Pair them with marinara for dipping to create a pizzeria experience at home.
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Red Wine: A glass of dry red wine like Chianti enhances the flavors of the casserole, while the acidity cuts through the richness beautifully. A match made in culinary heaven!
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Chocolate Avocado Mousse: End your meal on a high note with this creamy, rich dessert. It’s low-carb and healthy, offering a guilt-free sweet touch after your hearty meal.
Expert Tips for Low Carb Pizza Casserole
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Resting Time: Allow the casserole to rest for 10–15 minutes after baking to help flavors meld and ensure easier slicing.
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Broil for Crispiness: For a beautifully crispy top, broil for the last 2-3 minutes. Keep a close eye on it to prevent burning.
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Sausage Drainage: Make sure to drain the cooked sausage well to prevent excess grease from making the casserole soggy.
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Thick Sauce Selection: If using a watery pasta sauce, consider thickening it with some tomato paste to maintain the desired texture in your Low Carb Pizza Casserole.
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Layering Tip: Don’t skip the initial layer of sauce in your casserole dish; it prevents sticking and enhances flavor in every bite.

Easy Low Carb Pizza Casserole Recipe FAQs
How do I select ripe cauliflower for the casserole?
Absolutely! When choosing cauliflower, look for heads that are firm, with tightly packed florets and no dark spots or blemishes. A fresh cauliflower should feel heavy and have bright white or creamy color. If you see any yellowing or browning of the florets, it’s best to choose another one.
What’s the best way to store leftover Low Carb Pizza Casserole?
Very good question! You can refrigerate leftovers in an airtight container for up to 4 days. Just make sure it’s well-sealed to help maintain its flavor and moisture. When you’re ready to enjoy it again, simply reheat in the microwave or oven until warmed through.
Can I freeze the Low Carb Pizza Casserole?
Absolutely! You can freeze the unbaked casserole in a freezer-safe dish for up to 3 months. If you prefer freezing cooked portions, they can be stored for up to 2 months. To reheat, simply thaw overnight in the refrigerator, then warm in the oven for a delightful meal.
What should I do if my casserole seems watery after baking?
If you notice your casserole is watery, it usually occurs due to excess moisture in the vegetables or sauce. To avoid this, ensure you thoroughly pat dry the cauliflower after steaming, and drain cooked sausage well. Also, opting for a thick pasta sauce can prevent excess liquid during baking. If it’s already baked and watery, consider using a slotted spoon when serving to help drain off some of the liquid.
Are there any dietary considerations I should know about?
Yes! If you’re making this casserole for someone with allergies, be mindful of the ingredients. The recipe includes cheese and sausage, so consider alternatives like dairy-free cheese and turkey or chicken sausage for those watching their fat intake. This dish is keto-friendly and generally suitable for low-carb diets, but always check labels to ensure all toppings meet your dietary needs.
How do I make my casserole spicier?
If you’re looking for a bit of a kick, add sliced jalapeños or crushed red pepper flakes to your filling for an exciting heat. You can also include spicy sausage instead of the regular Italian sausage. Just remember, the more the merrier in terms of toppings—so feel free to experiment!

Delicious Low Carb Pizza Casserole That's Easy to Make
Ingredients
Equipment
Method
- Preheat your oven to 400°F (200°C).
- Microwave cauliflower florets with a splash of water for 3 minutes until tender. Drain and pat dry.
- In a skillet, brown the Italian sausage for about 15 minutes and drain excess grease.
- Sauté mushrooms in the same skillet for about 10 minutes until tender.
- Grease casserole dish and spread ½ cup of pasta sauce on the bottom.
- Combine steamed cauliflower, cooked sausage, sautéed mushrooms, and chopped green peppers in a large bowl.
- Layer half of the mixture in the casserole dish, top with ½ cup sauce, half of the pepperonis, and 6 oz of mozzarella cheese.
- Repeat the layering with remaining mixture, sauce, pepperonis, and mozzarella.
- Blend Parmesan cheese with Italian seasoning and sprinkle over the top.
- Bake for about 30 minutes until cheese is melted and golden.
- Allow to cool for 10-15 minutes before slicing and serving.







