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Low Carb Pizza Casserole

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Low Carb Pizza Casserole is a keto-friendly, gluten-free dish packed with Italian sausage, pepperoni, veggies, and lots of cheese, delivering all the flavors of pizza without the carbs.

Ingredients

14 ounces cauliflower florets, cut into bite-size pieces

2.5 ounces pepperoni

2 pounds Italian sausage (remove casing before cooking)

1 tablespoon olive oil

8 ounces mushrooms, sliced

1 green pepper, cut into bite-size pieces

12 ounces mozzarella cheese, shredded

1.5 cups low carb pasta sauce (such as Rao’s Homemade Marinara)

¼ cup Parmesan cheese, powdered

1 teaspoon Italian seasoning

Instructions

  1. Steam cauliflower in a microwave-safe bowl with 1 cup water, covered with damp paper towel, for about 3 minutes until tender. Drain and pat dry.
  2. Preheat oven to 400°F (200°C).
  3. Cook Italian sausage in a skillet over medium-high heat for about 15 minutes. Drain excess fat and set aside.
  4. In the same skillet, heat olive oil and sauté mushrooms over medium-high heat for 10 minutes to remove excess water. Set aside.
  5. Spray a 13×9 inch casserole dish with non-stick spray and spread ½ cup pasta sauce evenly on the bottom.
  6. In a large bowl, combine cauliflower, cooked sausage, mushrooms, and green peppers. Toss well.
  7. Spread half the mixture in the casserole dish. Top with ½ cup pasta sauce, half the pepperoni (press down), and 6 ounces mozzarella cheese.
  8. Spread remaining cauliflower mixture on top, followed by remaining pepperoni, ½ cup pasta sauce, and 6 ounces mozzarella cheese.
  9. Mix Parmesan cheese and Italian seasoning and sprinkle evenly over casserole. Top with remaining 10 pepperoni slices.
  10. Bake for 30 minutes until heated through and cheese is melted and bubbly.

Notes

Veggie Boost: Add spinach, zucchini, or olives.

Cheese Variety: Use mozzarella blend or cheddar.

Spicy Kick: Add red pepper flakes or hot sausage.

Meat Swap: Use ground turkey or chicken sausage.

Creamier: Stir in cream cheese for richer texture.

Store leftovers refrigerated up to 4 days; freeze for longer storage.

Nutrition

Find it online: https://chocolatecoveredamy.com/low-carb-pizza-casserole/