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new bake low carb pizza casserole

Keto Pizza Casserole

Prep Time 20 minutes
Cook Time 35 minutes
Total Time 55 minutes
Servings 8
Calories 358kcal


  • 5 Cups Zucchini Noodles
  • 1 Teaspoon Kosher Salt
  • 1 Lb Italian Sausage
  • 1 Cup Red Onion chopped
  • 1 Bell Pepper chopped
  • 1/2 Cup Black Olives
  • 16 Ounces Keto Pizza Sauce
  • 15 Pepperoni slices
  • 2 Cups Mozzarella Cheese shredded


  • Preheat oven to 375 F.
  • Place zucchini noodles (5 cups) in a colander and toss in salt (1 teaspoon). Allow them to sit for 15 minutes. After 15 minutes, place them in a clean kitchen towel and gently ring out any additional liquid.
  • Meanwhile, cook the Italian sausage (1 Lb) until brown, breaking up with the tip of a wooden spoon as it cooks. Allow cooked sausage to drain excess grease on a paper towel-lined plate.
  • Add zucchini noodles, sausage, chopped red onions (1 cup), bell peppers (1 chopped), black olives (1/2 cup), and low carb pizza sauce (16 ounces) to a 9x13 casserole dish and toss to combine.
  • Sprinkle the top with mozzarella cheese (2 cups) and pepperonis (15 slices).
  • Bake in the oven for 20 minutes, or until the top become golden brown.
  • Allow casserole to cool slightly before slicing, and enjoy!


  • Zucchini Noodles - I like to buy spiralized zucchinis to save time. Use can also use a cheese grater to shred the zucchini.
  • Pizza sauce - Most storebought products are loaded with sugar. Opt for my homemade version or read labels carefully and find one without added sugar.
  • Nutritional information is for 1 slice if you slice this casserole into 8 pieces:


Calories: 358kcal | Total Carbohydrates: 11g | Protein: 18g | Fat: 28g | Sodium: 1388mg | Fiber: 3g | Sugar: 7g | Net Carbs: 8g

Delicious recipe from Lindsey Hyland // www.thelittlepine.com