Low-Carb Meat-Lovers Pizza Casserole Recipe

This Low Carb Meat Lovers Pizza Casserole is incredibly flavorful and satisfying. Packed with Canadian bacon, zesty Italian sausage, and pepperoni, this one-dish pizza-style casserole delivers all the comfort of pizza with fewer carbs — perfect for a keto or low-carb dinner.

Low Carb Meat Lovers Pizza Casserole Ingredients

• 4 cups cauliflower florets
• Salt and pepper, to taste
• 1 1/2 cups marinara sauce (use a low-sugar brand)
• 1 egg
• 2 cups shredded mozzarella cheese
• 1 lb ground Italian sausage
• 4 slices Canadian bacon, precooked and diced
• 1/2 cup pepperoni slices
• 1/2 teaspoon dried oregano
• 1/4 teaspoon onion powder
• 1/4 teaspoon garlic powder
• 1/4 teaspoon rosemary seasoning
• 2 tablespoons olive oil

Optional toppings: extra cheese, black or green olives, additional sausage, onions, bacon bits, etc.

Low Carb Meat Lovers Pizza Casserole Instructions

The complete, printable recipe follows in the recipe card below. In summary:

1. Preheat the oven to 400°F (200°C).
2. In a medium skillet, brown the ground sausage until fully cooked; set aside.
3. Dice the precooked Canadian bacon and set aside with the pepperoni.
4. Cut the cauliflower into small florets or pulse in a food processor for a finer texture. Place the cauliflower in a deep casserole dish, drizzle with olive oil, and season with salt, pepper, oregano, onion powder, garlic powder, and rosemary.
5. Bake the cauliflower for about 20 minutes, or until tender. Cooking time varies with the size of the pieces.
6. Whisk the egg into the marinara sauce to thicken it slightly; this helps the casserole hold together as it bakes.
7. Pour the warm cauliflower with the sauce mixture, then sprinkle with half of the shredded mozzarella. Top with the cooked sausage, diced Canadian bacon, and pepperoni. Finish with the remaining mozzarella.
8. Bake 10–15 minutes more, until the cheese is melted and lightly browned.
9. Remove from the oven and serve warm.

Low Carb Meat Lovers Pizza Casserole Nutrition

Makes 8 servings.

Per serving (approx.): Calories 248; Total Carbs 5g; Fiber 1.6g; Net Carbs 3.4g; Sugars 2.2g; Fat 18.5g; Protein 16g.

Here is a short video demonstrating how to make this pizza casserole recipe.

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Below are photos taken during preparation and serving of this recipe.

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Here is a printable version of the recipe card and full, step-by-step details.

Low Carb Meat Lovers Pizza Casserole

This one-dish pizza casserole combines Canadian bacon, Italian sausage, and pepperoni for a hearty low-carb meal.

Course Dinner idea, Keto Dinner

Cuisine American

Servings 8 servings

Calories 248 kcal

Ingredients

• 4 cups cauliflower florets
• Salt and pepper
• 1 1/2 cup Rao’s marinara sauce
• 1 egg
• 2 cups shredded mozzarella cheese
• 1 lb ground sausage
• 4 sliced Canadian bacon, precooked
• 1/2 cup pepperoni slices
• 1/2 tsp oregano
• 1/4 tsp onion powder
• 1/4 tsp garlic powder
• 1/4 tsp rosemary seasoning
• 2 tbsp olive oil

Optional Toppings:

• Extra cheese, olives, onions, bacon bits, additional sausage, etc.

Instructions

1. Fry the sausage in a medium skillet until browned; set aside.
2. Dice the Canadian bacon and set aside.
3. Cut cauliflower into small pieces using a food processor or knife. Pre-cut cauliflower works well too.
4. Place cauliflower in a deep casserole dish, drizzle with olive oil, and season with oregano, onion powder, garlic powder, rosemary, salt, and pepper.
5. Bake the cauliflower at 400°F for about 20 minutes, or until tender.
6. Whisk the egg into 1 1/2 cups marinara sauce to thicken it.
7. Pour the sauce over the warm cauliflower and stir gently to combine.
8. Add a layer of cheese, then top with cooked sausage, Canadian bacon, and pepperoni. Finish with remaining cheese.
9. Bake 10–15 minutes more, until cheese is melted and lightly browned.
10. Serve warm.

Video

Nutrition facts are provided as a courtesy.

More Keto Casserole Recipes to Try

Slow Cooker Keto Meatball Casserole Recipe

Keto Bacon Ranch Chicken Casserole Recipe

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