Ham and cauliflower casserole is the perfect way to use up that leftover ham! It's creamy and rich, and so easy to make. It's a crowd pleaser too.
Close up shot of keto cauliflower casserole in a white dish with a serving spoon.

Ham and cauliflower casserole is the perfect way to use up that leftover ham! It’s creamy and rich, and so easy to make. It’s a crowd pleaser too.

Titled image of keto ham and cauliflower casserole in a small dish, in front of the larger casserole


 

This keto cauliflower casserole is the perfect answer to that age old question: what do I do with all this leftover ham???

If you cook ham for Easter or Thanksgiving, or any other holiday meal, bookmark this recipe now and don’t lose sight of it. You will be so glad you did!

Ham always makes so much. Even a “small” ham feeds a veritable army. And I am sure I am not alone when I say that the leftovers can be overwhelming.

So we need any and all recipes to use it up! Be sure to also check out keto ham and cheese scones, and keto baked asparagus for more tasty ideas.

Close up shot of keto cauliflower casserole in a white dish with a serving spoon.

Is ham keto?

So let’s first discuss ham, and whether or not it’s appropriate for the keto diet. The truth is that it depends.

Ham is a cut of pork from the thigh, and it’s usually cured for longer shelf life and preservation. It may or may not be smoked as well. So it really depends on how your ham is treated before you purchase it.

Many commercial hams are cured with a brine of salt and sugar, amongst other additives. Which means that some hams can have up to 4 or 5 grams of carbs per serving, even without the sugary glazes.

It’s important to be a label reader and choose ham with the least amount of carbs. Some can even have 0g, if they are cured with salt brine or simply smoked.

A spoonful of ham and cauliflower casserole being lifted out of the casserole dish.

Ham and Cauliflower Casserole Inspiration

My husband’s brother sent us a gorgeous heritage breed ham from Zingerman’s for Easter. Of course, the very first thing I did was flip it over to look at the nutritional information. Phew, only 1g carbs per serving!

I am not a huge ham lover, but this was among the best I’ve ever had. Rich and flavorful, and no sugary sweetness. But as always with ham, it was far too much for one dinner.

We’ve all been picking at it daily, often eating it for breakfast with an egg on top. But I wanted to do something else more interesting with the leftovers. I saw this Ham and Hashbrown casserole on Salty Side Dish, and thought I could do something similar with cauliflower.

A photo collage showing how to make keto cauliflower casserole.

How to make Keto Ham Cauliflower Casserole

This is a super easy keto side dish that takes only 6 ingredients. It’s full of flavor and even my kids loved it. Big win!

Shred or coarsely chop the cauliflower

You could make this keto cauliflower casserole with cauliflower rice. But I wanted more texture than that. So I popped the florets in my food processor and pulsed it until coarsely chopped.

You could also use the shredding blade of a food processor. Or you could simply use a sharp knife and chop them by hand.

Dice the ham

You want to get bits of ham in every bite so dicing it works best. The pieces should be no more than 1/4 inch to 1/2 inch in size (small dice).

Grate the cheese

You can use pre-shredded cheese but grating an 8 ounce block of cheddar is easy. And this way, you can be sure that there are no added starches or fillers.

Use a thickener

Unlike hashbrowns, cauliflower releases a lot of water during baking. So I recommend sprinkling in some glucomannan powder before baking. The liquids will thicken up more as the casserole begins to cool.

It’s the same trick I use for Keto Rhubarb Crisp!

If you can’t find glucomannan, xanthan gum may also work. Neither is required, but the casserole will be a little watery when it comes out of the oven.

Bake until bubbly

The casserole is done when the filling is bubbly, the cheese is browned, and the cauliflower is fork tender.

Let stand

This casserole is super hot straight out of the oven. I recommend letting it sit for 10 or 15 minutes before serving. This also gives the filling a chance to thicken up a bit.

A serving of keto ham and cauliflower casserole in a small white dish.

That’s it, friends! This keto cauliflower casserole was a surprise hit in my house, with my middle child even coming back for seconds. That says a lot!

More delicious keto casserole recipes

Close up shot of keto cauliflower casserole in a white dish with a serving spoon.
4.97 from 27 votes

Ham and Cauliflower Casserole

Servings: 8 servings
Prep Time 15 minutes
Cook Time 40 minutes
Total Time 55 minutes
Ham and cauliflower casserole is the perfect way to use up that leftover ham! It's creamy and rich, and so easy to make. It's a crowd pleaser too.

Ingredients
 

  • 24 ounces cauliflower florets
  • 2 cups diced ham
  • 8 ounces cheddar cheese, grated, divided
  • 3 cloves garlic, minced
  • 1 tsp salt
  • 3/4 tsp pepper
  • 1/2 tsp glucomannan, (optional)
  • 1 cup full fat sour cream

Instructions

  • Preheat the oven to 350F and lightly grease a 9×13 pan or other large casserole dish.
  • Place half of the cauliflower florets in a food processor and pulse a few times on high until coarsely chopped. Transfer to a large bowl and repeat with the remaining cauliflower. (It's okay to have some bigger pieces in there…)
  • Add the ham, half of the cheese, and the garlic. Sprinkle with the salt, pepper, and glucomannan and toss to combine. Fold in the sour cream until well coated.
  • Spread the mixture in the prepared baking dish and sprinkle the top with the remaining cheddar. Bake 30 to 40 minutes, until the casserole is bubbly and the cheese is melted.
  • Let stand 10 minutes before serving.

Nutrition

Serving: 1serving = 1/8th of recipe | Calories: 244kcal | Carbohydrates: 6.5g | Protein: 16.4g | Fat: 15.5g | Fiber: 1.8g
I’d love to know your thoughts, leave your rating below!

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4.97 from 27 votes (9 ratings without comment)

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Recipe Rating




45 Comments

  1. Lucinda Craig says:

    4 stars
    I made this and used the same amount of Xanthan gum instead of glucomannan. It still came out soupy. Should I double that the next time I make it? It was still good.
    I also added a packet of Goya Jamon which helped boost the flavor.

  2. Nancy Skaja says:

    5 stars
    It was delicious! I added a half cup of chopped onions for added flavor.

  3. Monita Gruhlke says:

    If I use fresh cauliflower, about how much volume is 24 oz. of cauliflower? Half a head? 2 cups chopped? Thanks!

    1. This recipe already takes fresh cauliflower. You are much better off doing it by weight. But it’s more than you think… your amounts are very small. 🙂 It’s more like one large head or 5 to 6 cups.

  4. 5 stars
    This is delicious. Next time I will add the thickener though . Loved the addition of garlic

  5. Michele Doyle says:

    Could you add some cream cheese to thicken?

  6. Mary Haines says:

    5 stars
    This is really good! I recently started subbing out the ham with the Kirkland Pulled Pork from Costco and it was even better. Thanks for the recipe!

  7. Lisa Comstock says:

    I’m going to try this with zucchini, since I’m not that fond of cauliflower. Sounds like it will be fantastic.

  8. 5 stars
    This is sooo very good! Thank you for all your wonderful recipes!

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