Print
clock clock iconcutlery cutlery iconflag flag iconfolder folder iconinstagram instagram iconpinterest pinterest iconfacebook facebook iconprint print iconsquares squares iconheart heart iconheart solid heart solid icon

Low Carb Pizza Casserole Recipe

5 Stars 4 Stars 3 Stars 2 Stars 1 Star 3.9 from 82 reviews
  • Author: admin
  • Prep Time: 20 minutes
  • Cook Time: 55 minutes
  • Total Time: 1 hour 15 minutes
  • Yield: 10 servings
  • Category: Casserole
  • Method: Baking
  • Cuisine: Italian-American
  • Diet: Low Carb

Description

This Low Carb Pizza Casserole is a delicious and hearty dish that replaces traditional pizza crust with steamed cauliflower, making it a perfect choice for those seeking a low-carb alternative. Layered with Italian sausage, pepperoni, sautéed mushrooms, green peppers, and plenty of melted mozzarella, all smothered in flavorful low-carb pasta sauce and baked to perfection, this casserole offers all the comforting flavors of pizza with fewer carbs.


Ingredients

Scale

Vegetables

  • 14 ounces Cauliflower florets (cut into bite-size pieces)
  • 8 ounces Mushrooms (sliced)
  • 1 Green Pepper (cut into bite-size pieces)

Meat

  • 2 pounds Italian Sausage (if in casings remove from casing before cooking)
  • 2.5 ounces Pepperoni

Dairy

  • 12 ounces Mozzarella cheese (shredded)
  • 1/4 cup Parmesan cheese (powdered)

Other

  • 1 tablespoon Olive Oil
  • 1.5 cups Low Carb Pasta Sauce (we use Rao’s Homemade Marinara)
  • 1 teaspoon Italian Seasoning


Instructions

  1. Steam Cauliflower: Place the cut cauliflower in a microwave-safe bowl with 1 cup of water. Cover with a damp paper towel and microwave on high for approximately 3 minutes or until the cauliflower is tender but not overcooked.
  2. Drain and Dry Cauliflower: Drain the cooked cauliflower well and pat dry with a paper towel to remove excess moisture. Set aside.
  3. Preheat Oven: Preheat your oven to 400 degrees Fahrenheit to prepare for baking the casserole later.
  4. Cook Sausage: In a large skillet over medium-high heat, cook the Italian sausage for about 15 minutes until fully cooked. Remove from skillet and drain excess fat. Set the cooked sausage aside.
  5. Sauté Mushrooms: Using the same skillet, add olive oil and sauté the sliced mushrooms over medium-high heat for 10 minutes to remove excess water. Set aside when done.
  6. Prepare Casserole Dish: Spray a 13×9 inch casserole dish with non-stick spray. Spread ½ cup of pasta sauce evenly on the bottom of the dish.
  7. Mix Toppings: In a large bowl, combine the steamed cauliflower, cooked Italian sausage, sautéed mushrooms, and green peppers. Toss together until well mixed.
  8. Layer Bottom Half: Spread half of the vegetable and meat mixture into the casserole dish. Top with ½ cup pasta sauce, half of the pepperoni slices (pressing them in slightly), and 6 ounces of shredded mozzarella cheese.
  9. Layer Top Half: Spread the remaining mixture over the first layer of cheese. Then add the remaining pepperoni slices (reserve 10 slices for topping), ½ cup of pasta sauce, and the remaining 6 ounces of mozzarella cheese.
  10. Prepare Parmesan Topping: In a small bowl, mix the Parmesan cheese with Italian seasoning.
  11. Add Final Topping: Sprinkle the Parmesan and Italian seasoning mixture evenly over the casserole. Place the remaining 10 pepperoni slices on top.
  12. Bake: Place the casserole in the preheated oven and bake for 30 minutes, or until warmed through and the cheese is fully melted and bubbly.

Notes

  • Be careful not to overcook the cauliflower during steaming to prevent sogginess in the casserole.
  • Draining and patting the cauliflower dry helps avoid excess moisture in the final dish.
  • You can substitute the Italian sausage with ground turkey or chicken for a leaner version.
  • Using Rao’s Homemade Marinara or another low-carb pasta sauce keeps the dish low in carbohydrates.
  • Feel free to add other low-carb vegetables like spinach or zucchini to customize the casserole.
  • Let the casserole sit for 5-10 minutes after baking to set before serving.