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5 from 1 vote

Low Carb Keto Pizza Casserole

This Low Carb Keto Pizza Casserole is an easy dinner idea.
Author Amy Tinnin


  • 1/2 Tbsp. avacado oil or olive oil
  • 1 lb. Italian sausage
  • 1/2 cup diced sweet onion
  • Pizza Sauce no sugar added
  • 1/2 tsp. Oregano seasoning
  • Dash of sea salt and fresh ground pepper
  • 1/3 cup diced green pepper
  • 1 cup fresh diced mushrooms
  • 20 Turkey Pepperoni make 4 rows
  • 8 oz. Fresh Mozzarella sliced. (make 3 rows)


  • Preheat oven to 400 degrees.
  • In a large skillet add Avocado oil on medium heat.
  • Add sausage and onion and cook until brown. Drain and use a paper towel to wipe out skillet.
  • Return cooked sausage and onion mixture to skillet and add pizza sauce salt, pepper, and oregano. Mix well.
  • Spray 13x9" casserole dish with non-stick spray and add sausage mix.
  • Dice green pepper and mushrooms and add to casserole dish.
  • Lay 4 rows of Turkey Pepperoni.
  • Top with 3 rows of the fresh mozzarella slices.
  • Bake for 15-20 minutes.
  • Remove from oven and let sit for 10 minutes to set up.