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This keto pizza casserole has all the best parts of a pizza baked together, creating the ultimate low-carb comfort food. It’s cheesy, meaty, and made with five ingredients.

We love all things low-carb pizza! Hello keto pizza, pizza bowls, and, more recently, keto pizza casserole. Rather than piling our toppings on a keto pizza crust, everything’s layered on a bed of low-carb pasta or cauliflower and baked until the cheese is bubbly and golden brown.
It’s one of my favorite dishes to make when we’re hosting since it’s full of delicious flavors everyone will love, yet it’s deceptively low in carbs.
Table of Contents
Why I love this recipe
- Easy to customize. I give you the base recipe, but you can get creative and layer on your favorite pizza toppings
- Always a crowd pleaser. Adults and kids alike always RAVE when I make this pizza casserole.
- Ready in 20 minutes. Like crustless pizza and chicken crust pizza, it’s so fast.
★★★★★ REVIEW
“I’ve tried this with cauliflower and your low-carb pasta, and it is delicious. Even my non-keto family are huge fans of it“.- Sabrina
Key Ingredients
- Cauliflower OR keto pasta. I’ve tested this recipe with seasoned steamed cauliflower and homemade keto pasta. Both work well, but it depends on how much time you want to put to this. The carbs aren’t all that different either!
- Pizza sauce. Homemade keto pizza sauce, not any store-bought ones full of sugar and unnecessary carbs! You can also use my pomodoro sauce or sugo.
- Parmesan and mozzarella cheese. A combination of both kinds of cheese yields stretchy and melted cheese.
- Pepperoni. Simple and classic pizza topping.
How to make a keto pizza casserole
This is an overview with step-by-step photos. Full ingredients & instructions are in the recipe card below.

Step 1- Layer pasta (or cauliflower), sauce, cheese, then pepperoni.

Step 2- Bake for 20 minutes or until the cheese melts.
Pizza casserole variations
- Lower the carbs. Use half the pasta and double up on the sauce.
- Add more protein. For a heartier casserole, add shredded chicken, bacon, or diced ham.
- Add more low-carb veggies. Like sliced green bell peppers, mushrooms, diced tomatoes, black olives, or spinach.
- Make it spicy. If you can handle the heat, add a few dashes of red pepper flakes to the sauce.
- Make a creamy red sauce. When I really want to go the extra mile, I’ll fold in ½ cup of cream cheese for a more decadent sauce.
Storage instructions
To store: Leftovers can be stored in the refrigerator, covered, for up to five days.
To freeze: Place the cooked and cooled casserole in a large container and store it in the freezer for up to 6 months.
Reheating: Either microwave portions for 30-40 seconds until hot or in a preheated oven.

Frequently asked questions
When made as written, there are just 3 grams of net carbs in a serving of this pizza casserole.
More keto casseroles
If you tried this Keto Pizza Casserole recipe or any other recipe on The Big Man’s World, please rate the recipe and let me know how it went in the comments below. It really helps others thinking of making the recipe.

Keto Pizza Casserole
Video
Ingredients
- 16 ounces keto pasta or steamed cauliflower * See notes
- 1 cup keto pizza sauce ** See notes
- 1/2 cup parmesan cheese divided
- 1 cup mozzarella cheese
- 1/4 cup pepperoni
Instructions
- Preheat the oven to 180C/350F. Grease a 9 x 13-inch baking dish.
- Add the layer of of pasta or steamed cauliflower. Next, add the keto pizza sauce, followed by the parmesan cheese and mozzarella cheese. Add the pepperoni.
- Bake the pizza casserole for 20 minutes, or until the cheese has melted.
- Remove the casserole from the oven, before slicing and serving.
Everything works for me except the dairy. Any suggestions ?
You can try dairy free alternatives like dairy free cheese.
great idea for a keto friendly pizza, and a nice keto pasta swap for the crust, thank you