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A spoonful of low-carb pizza bake being lifted from a rustic casserole dish, showing the creamy meat base.

Keto Pizza Casserole (Easy, Cheesy, & Low-Carb!)

This Keto Pizza Casserole recipe delivers all the savory, cheesy goodness you love, without the carbs. It's a simple, one-pan meal that brings together seasoned ground beef, rich marinara, and a generous topping of melted mozzarella and pepperoni.
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Prep Time 10 minutes
Cook Time 25 minutes
Total Time 35 minutes
Servings: 8 servings
Course: Dinner, Main Course
Cuisine: American, Italian
Calories: 450
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Ingredients Equipment Method Notes

Ingredients
  

  • 1 lb ground beef 80/20 recommended
  • 1/2 lb Italian sausage casings removed
  • 4 oz cream cheese softened
  • 1/4 cup heavy cream
  • 1 tsp Italian seasoning
  • 1/2 tsp garlic powder
  • 1/2 tsp onion powder
  • 1 cup low-carb marinara sauce no sugar added
  • 2 cups shredded mozzarella cheese
  • 1/4 cup grated parmesan cheese
  • 3 oz pepperoni slices

Equipment

  • 1 9x13 inch baking dish
  • 1 Large Skillet

Method
 

  1. Preheat your oven to 375°F (190°C).
  2. In a large oven-safe skillet, cook the ground beef and Italian sausage over medium-high heat until no longer pink. Drain any excess grease.
  3. Stir in the Italian seasoning, garlic powder, and onion powder.
  4. Reduce heat to low. Add the softened cream cheese and heavy cream to the skillet. Stir until the cream cheese is completely melted and the mixture is creamy.
  5. If not using an oven-safe skillet, transfer the meat mixture to a 9x13 inch baking dish. Spread evenly.
  6. Top the meat mixture with the low-carb marinara sauce, followed by the shredded mozzarella and grated parmesan cheese.
  7. Arrange the pepperoni slices over the cheese.
  8. Bake for 20-25 minutes, or until the cheese is melted and bubbly. For crispier pepperoni, broil for 1-2 minutes at the end, watching closely.
  9. Let it rest for 5 minutes before serving.

Notes

Tip 1: For an extra flavor boost, sauté some onions and bell peppers with the meat.
Tip 2: Ensure your marinara sauce is low in sugar to keep the net carb count down. Check the label for 'no added sugar'.