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    Home » Keto Dinner Ideas » Keto Pizza Casserole

    Published: Sep 7, 2023 by Carolyn

    Keto Pizza Casserole

    This post may contain Amazon or other affiliate links. As an Amazon Associate I earn from qualifying purchases.

    8.9K shares
    Jump to Recipe Print Recipe

    This Easy Pizza Casserole has all the flavor of your favorite take-out with almost none of the carbs. Crustless pizza is low carb, keto-friendly, and gluten-free. And it really satisfies those cravings!

    Crustless pizza in a white baking dish with a wooden serving spoon digging into it.

    Like most red-blooded people, I love pizza. I love the combination of spicy meat, pungent tomato sauce, and melty cheese. I also love that it’s infinitely variable, with so many interesting toppings and flavor options.

    My keto pizza crust recipe is a reader favorite, and it stands up to all the toppings you want to throw at it. But it definitely takes some time to prep and pre-bake, so it’s not a quick recipe.

    That’s where Keto Pizza Casserole steps in and fills the void. It’s fast, it’s easy, and it satisfies those pizza cravings like nothing else!

    When I first created this crustless pizza, I was amazed at how much I enjoyed it. I found I didn’t miss the crust at all. I got all the the toppings and flavors I wanted and it barely registered on my glucometer.

    A fork lifting some Keto Pizza Casserole out of a white baking dish.

    Why you will love this recipe

    Some people give me grief over the term “crustless pizza”. But as we often do in the keto world, we adapt foods to suit our tastes and our dietary restrictions. The best parts of the pizza are still there, in my opinion. So who cares what we call it!

    Not only is this keto pizza casserole easy to make, but you can make as little or as much as you like. You can make a big family-sized version, or you can make individual servings. I originally developed this recipe for my Keto For Two Cookbook, but I’ve made it both ways!

    This time around, I added some shredded zucchini to lighten it and up the nutrition. The original recipe was pretty calorific and heavy for a small portion. This little addition adds bulk and makes it even healthier!

    You can also cook this in the air fryer or the oven. Or even in a little countertop oven! So many wonderful ways to enjoy it.

    Reader Reviews

    “Made this today and it was delicious!!! It was so good I didn’t even miss the crust. When I told my husband what I was making, he was like “what in the world is a crustless pizza?” I reminded him that it was just like him eating the kids pizza and scraping everything off the crust only better because we like lots of veggies. When he took the first bite he said, “Oh my, this is amazing!!!”” –Kristen H.

    “A Perfect Score!
    The cheese-meat combo is chewy enough to mimick a bread crust – without being bread! I used diced Sweet Italian sausages, stewed Italian tomatoes(drained and thickened a bit with tomato paste, diced Canadian bacan and Salami with onions and peppers. Thanks for the great recipe. My husband will make the next batch – it’s that easy!” — Holly

    “I’ve been Keto just over a year; lost 120 lbs. Started my 51 year old daughter on Oct. 1, 2021; lost 50 lbs. already even though she’s much more picky. She LOVES this crustless pizza!! I like to use ground turkey and it’s delicious. My new “go-to” recipe! Thank you for your site and reliable GOOD TASTING recipes.” — Kathryne

    Ingredients you need

    Top down image of ingredients needed for Keto Pizza Casserole.
    • Ground meat: I chose to use spicy Italian sausage but you could use any ground meat like mild sausage, ground beef, or ground turkey.
    • Shredded zucchini: Adding some veggies to the meat on the bottom helps bulk up the base as well as adds nutrition. You could easily use cauliflower rice as well. Make sure to squeeze out the excess moisture in the zucchini.
    • Marinara sauce: Read your labels and choose wisely. Look for a marinara or tomato sauce that has no more than 5 or 6g carbs per ½ cup serving. Or simply use tomato puree and add in a little garlic powder and perhaps a pinch of salt.
    • Shredded mozzarella: You can use pre-shredded mozzarella or shred your own.
    • Toppings: Pepperoni, mushrooms, green peppers. Feel free to switch it up and add your favorites.

    Step-by-step directions

    A collage of 6 images showing how to make Keto Pizza Casserole.

    1. Sprinkle the zucchini with salt and let drain 30 minutes, then squeeze out to remove the excess moisture. Place in a medium bowl.

    2. Cook the sausage: In a skillet over medium heat, cook the sausage until cooked through, breaking up any clumps with the back of a wooden spoon, about 8 minutes. Use a slotted spoon to transfer to the bowl.

    3. Stir the sausage and zucchini together, then spread in a small casserole dish or in two 8-ounce ramekins.

    4. Spoon the marinara sauce over the sausage and layer on the cheese and toppings. Save a little cheese to sprinkle over the toppings so that they stay in place.

    5. Air fry at 350ºF for 8 to 12 minutes, or bake in a 375ºF oven for 10 to 15 minutes.

    Crustless pizza casserole in a white baking dish on a wooden cutting board.

    Expert Tips

    Ground meat usually comes in 1 pound packages. You can divvy it up into three portions and freeze the unused portion while it’s raw, or you can cook the whole lot and freeze half for later. I like to do the latter so I can make this Keto Pizza Casserole more easily.

    You can scale the recipe up to feed 6 and use the whole pound of ground meat. I recommend baking it in a shallow casserole dish that holds at least 2 quarts.

    When baked in individual ramekins, this crustless pizza is a great make-ahead lunch to take to work!

    Baking in the air fryer

    It is important to note is that every air fryer is different. I have the Instant Pot Vortex Air Fryer, and I love it. Your cook time may be more or less than that, depending on your air fryer.

    You do need to choose a dish that will fit properly into your air fryer. You can do all of the crustless pizza in one dish, as I did, or use two ceramic ramekins. Whatever you choose, make sure it’s heatproof. Ceramic is a better choice than metal for this recipe.

    Baking in an oven or convection oven

    You can also do this little pizza in a standard oven or even a small countertop convection oven. For a regular oven, preheat to 375ºF before baking. For convection, you will want to drop the temperature to 35º0F.

    How long the crustless pizza for two takes to bake depends entirely on your oven so keep an eye on it. When the cheese is melted and beginning to brown, it’s ready.

    Top down image of a single serve Keto Pizza Casserole.

    Frequently Asked Questions

    What is a crustless pizza made of?

    Just as the name states, this dish includes all the fabulousness of a pizza, but without a crust. Italian sausage and zucchini make the base of this recipe and it is topped with cheese, green peppers, and pepperoni. Bake it in the oven or air fryer and you have an incredible keto meal.

    How many carbs are keto pizza casserole?

    This crustless pizza recipe has 6.3g of carbs and 1.1g of fiber per serving. That comes to 5.2g net carbs per serving.

    Can you freeze Keto Pizza Casserole?

    Store the leftovers in a covered container in the refrigerator for up to five days. You can also freeze it for several months. Let it thaw completely before re-warming in the oven or microwave.

    Keto Pizza Casserole in a white oval dish over a checked white and black cloth.

    Get more keto recipes for two!

    I have an ebook devoted to small batch keto recipes. Check it out below!

    Banner to order Keto For Two cookbook
    Crustless pizza in a white baking dish with a wooden serving spoon digging into it.

    Keto Pizza Casserole Recipe

    This Easy Pizza Casserole has all the flavor of your favorite take-out with almost none of the carbs. Crustless pizza is low carb, keto-friendly, and gluten-free. And it really satisfies those cravings! 
    5 from 29 votes
    Print Pin Rate
    Course: Main Course
    Cuisine: Italian
    Keyword: crustless pizza
    Prep Time: 10 minutes minutes
    Cook Time: 18 minutes minutes
    Total Time: 28 minutes minutes
    Servings: 2 servings
    Calories: 481kcal

    Equipment

    • 1 small oval baking dish

    Ingredients

    • 1 cup packed shredded zucchini
    • ¼ tsp salt
    • ⅓ lb bulk Italian sausage (hot or mild)
    • ¼ cup marinara sauce (choose a low carb one like Rao's)
    • ½ cup shredded mozzarella (about 2 ounces)
    • ½ ounce sliced pepperoni
    • ⅛ medium green pepper, thinly sliced
    • 2 small mushrooms, thinly sliced
    US Customary – Metric

    Instructions

    • Sprinkle the zucchini with salt and let drain 30 minutes, then squeeze out to remove the excess moisture. Place in a medium bowl.
    • In a skillet over medium heat, cook the sausage until cooked through, breaking up any clumps with the back of a wooden spoon, about 8 minutes. Use a slotted spoon to transfer to the bowl.
    • Stir the sausage and zucchini together, then spread in a small casserole dish or in two 8-ounce ramekins.
    • Spoon the marinara sauce over the sausage mixture and layer on the cheese and toppings. Save a little cheese to sprinkle over the topppings so that they stay in place.
    • Air fry at 350ºF for 8 to 12 minutes, or bake in a 375ºF oven for 10 to 15 minutes.

    Notes

    This casserole can be scaled up or down, as needed. Make a family size meal in a 9×13 casserole dish, or individual servings in 8-ounce ramekins. Individual servings are great for make-ahead lunches! 
    Storage Information: Store the leftovers in a covered container in the refrigerator for up to five days. You can also freeze it for several months. Let it thaw completely before re-warming in the oven or microwave. 
    Nutrition Facts
    Keto Pizza Casserole Recipe
    Amount Per Serving (1 serving = ½ recipe)
    Calories 481 Calories from Fat 320
    % Daily Value*
    Fat 35.5g55%
    Carbohydrates 6.3g2%
    Fiber 1.1g4%
    Protein 28.1g56%
    * Percent Daily Values are based on a 2000 calorie diet.
    8.9K shares

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    Nutritional Disclaimer

    Please note that I am not a medical or nutritional professional. I am simply recounting and sharing my own experiences on this blog. Nothing I express here should be taken as medical advice and you should consult with your doctor before starting any diet or exercise program. I provide nutritional information for my recipes simply as a courtesy to my readers. It is calculated using MacGourmet software and I remove erythritol from the final carb count and net carb count, as it does not affect my own blood glucose levels. I do my best to be as accurate as possible but you should independently calculate nutritional information on your own before relying on them. I expressly disclaim any and all liability of any kind with respect to any act or omission wholly or in part in reliance on anything contained in this website.

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    Comments

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      Recipe Rating




    1. Lori Huhn says

      September 09, 2023 at 11:12 pm

      5 stars
      looks so yummy

      Reply
    2. Pam C says

      September 09, 2023 at 9:45 am

      5 stars
      These sound wonderful can’t wait to broaden my menus and appreciate upu

      Reply
    3. Allison says

      September 09, 2023 at 12:02 am

      5 stars
      Husband and I both loved this! Great flavors and so easy to customize. We made a double recipe and omitted the mushrooms. Also added some garlic powder and Italian seasoning to up the flavors a bit.

      Reply
    4. Robin says

      September 07, 2023 at 11:42 am

      5 stars
      I’m going to make this with vegetarian ingredients. YUM!
      Thank you for all the delicious recipes! You’re my favorite!

      Reply
    5. wayne tomaszewski says

      May 12, 2023 at 4:37 pm

      5 stars
      WOW. I made this, and not just for 2, but more of us and wanted to let others know, that yes this is fantastic in larger sizes. I used a 9×13 dish, a little over a pound of Italian sausage cooked on the bottom. used a jar of RAO pizza sauce and mixed it together, added some diced pepperoni and Italian seasoning over this, then added the cheese I had in the fridge, proved, and mozzarella, then went crazy with the toppings. Anchovy, sliced onion, sliced jalapeño, sliced mushroom, and sliced black olives. Then added more mozzarella and shredded parmesan on top with more Italian seasoning and ground cayenne. Popped it in the oven preheated to 425 since it’s a larger size for about 20 minutes, and what a pizza. No crust, just all the delicious toppings that anyone could want. Fantastic. So, this works no matter what size you want to make, and comes out fantastic. Plus KETO friendly with all the taste of your favorite pizza. Thanks Carolyn for a wonderful, fast and easy recipe. Think this will be fallen back on quite a bit in this house.

      Reply
    6. Valencia says

      March 24, 2023 at 1:36 pm

      5 stars
      Oh YES! This is getting 5 stars from me, even though I haven’t made it yet – I know I will love it! I do miss pizza & champagne Fridays with my hubby, which used to be our weekly date night ritual – and now I won’t have to! I have tried several times to love Fathead pizza crust (amongst other versions of keto crust), but alas it is the one and only keto recipe that I simply don’t like. At all. So I too just make regular pizza with regular crust, and scrape off the filling(which is a shame, because it’s homemade and I hate to waste food). Thank you for this! Genius!

      Reply
    7. Rachel says

      January 06, 2023 at 5:36 pm

      5 stars
      I love the sausage on the bottom and this is pretty fast to make on a busy night

      Reply
    8. Kirsten H says

      October 05, 2022 at 11:56 am

      5 stars
      Made this today and it was delicious!!! It was so good I didn’t even miss the crust. When I told my husband what I was making, he was like “what in the world is a crustless pizza?” I reminded him that it was just like him eating the kids pizza and scraping everything off the crust only better because we like lots of veggies. When he took the first bite he said, “Oh my, this is amazing!!!”

      Reply
    9. Christine says

      August 22, 2022 at 1:40 pm

      5 stars
      Best recipe for Keto Pizza that I’ve found. Love it. Mine turned out perfect. Thank you so much.
      I also own you Baking cookbook. Love it too.

      Reply
    10. Jennifer says

      July 10, 2022 at 2:39 pm

      What size ramekin did you use for these? I am worried mine are too small!

      Reply
      • Jennifer says

        July 10, 2022 at 2:43 pm

        Nevermind! I swear I read the recipe twice and didn’t see it before!

        Reply
    11. Laurel says

      July 02, 2022 at 8:35 am

      So many pop ups that I can’t even read your recipe. Can’t even see what I’m typing, lol. This sucks.

      Reply
      • Carolyn says

        July 02, 2022 at 9:19 am

        YOu need to update your browser. I am on my site constantly, on both mobile and desktop, and I have no issues whatsoever.

        Reply
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