Keto Pizza

Annie Lampella @ Ketofocus

By Annie Lampella, Pharm.D.

Published June 20, 2019 β€’ Updated February 7, 2026

The Original Fathead Crust Pizza

Reader Rating
4.9 Stars (81 Reviews)

This post may contain affiliate links. See my disclosure policy.

Fat Head crust is the go-to recipe for keto pizza. This cheesy crust has a chewy, bread-like texture with a crispy bottom. Top it however you want and have pizza night any night of the week.

Unless you are brand new here, you have probably heard of Fathead Pizza. It’s been a staple alternative to traditional high carbohydrate pizza for years. With this pizza crust recipe, you get that thick, hand-tossed crispy crust with a soft, chewy interior or roll it out flatter for a thinner crust.

knead fathead dough

 

What is fathead dough?

Fathead dough, when used as the base for pizza, creates a crust that looks like real pizza crust and has a similar texture and flavor as well. It’s low in carbs and high in fat which makes it the perfect solution to pizza cravings. Top with a low-carb marinara and your favorite toppings and you can easily enjoy pizza night any night.

One of the reasons fathead pizza crust tastes so good is because it’s mostly made up of cheese! The mozzarella along with the almond flour create a dense, crispy pizza crust packed full of flavor. Some crust recipes add cream cheese, but it’s not a necessary ingredient in this pizza dough. That’s why this pizza crust recipe doesn’t use it. The cream cheese in classic fathead dough recipes doesn’t add any purpose except adding calories and carbs! Yes, cream cheese as carbs so why add it in if it’s just not necessary?

Time to ditch the cauliflower crust.

Before fathead pizza, most of us were making pizza crust out of cauliflower. Cauliflower pizza crust is a pain to make. You have to get most of the moisture out of the cauliflower in order to create the ideal texture. On top of that, cauliflower pizza crust doesn’t taste that great. Most cauliflower crusts still have that off-putting cauliflower flavor.

A TRIED & TRUE RECIPE

“Hey, just to say that I’m still making this dough on regular basis! It’s by far the best keto dough ever! thank you”

βž₯ from YouTube subscriber @compitieux

“Wow! This is so perfect, I just made pizza for lunch. Very easy, I used a cookie tray drizzle some olive oil and press the dough until I get the thickness I want. I give this recipe A+++. Thank you!”

βž₯ from YouTube subscriber @kss865

I have perfected your fat head dough for mini pizzas. I cut the dough in 8 circles and press in tortilla press to make circles. I freeze them immediately and take one out at a time. I cook it in the air fryer at 400 for 5 minutes on each side. I then add sauce, toppings and cheese of choice. Perfect individual pizza for one. Thank you for the recipe!”

βž₯ from YouTube subscriber @janismcgovern5067

How to make keto pizza

  1. Make fathead dough. Combine melted mozzarella cheese with almond flour, egg, baking powder, xanthan gum and salt using a food processor, electric mixer or your hands.
  2. Roll out pizza dough into a giant circle. For a crispy crust, pre-bake your fathead crust for a few minutes.
  3. Top your dough with pizza sauce, cheese and your favorite pizza toppings.
  4. Bake at 400 degrees for 12-18 minutes or until crust is golden brown and cheese is melted.

half a pizza topped with pepperoni and shreds of cheddar cheese

Key ingredients for fathead pizza crust

  • Mozzarella cheese – The cheese is a necessary ingredient in fathead dough. The melted mozzarella works similar to gluten in wheat flour to provide a flexible protein matrix to trap air bubbles as the dough bakes in the oven. Other cheese, especially hard cheeses, don’t work as well because they aren’t as stretchy as mozzarella cheese is when melted. Mozzarella cheese has a neutral flavor so you can’t really tell the pizza crust is made out of cheese!
  • Almond flour – The foundation to this crust. It gives the cheese structure similar to flour. Sunflower seed flour can be used if allergic to nuts. Lupin flour is a delicious alternative but you will need to cut the amount in half (3/4 cup) as it doesn’t measure cup for cup with almond flour.
  • Egg – Will help hold the crust together.
  • Baking powder – The leavening agent to help the pizza dough rise.
  • Xanthan gum – Another ingredient that will work as a glue to hold the crust together so it keeps it shape. This can be omitted if sensitive to xanthan gum.
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Recipe
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Keto Pizza

4.9 (81) Prep 10m Cook 20m Total 30m 8 servings

Ingredients

  • 3Β½ cups (10 oz) shredded mozzarella cheese
  • 1Β½ cups almond flour
  • 1 teaspoon baking powder
  • 1 teaspoon xanthan gum
  • Β½ teaspoon salt
  • 1 teaspoon Italian seasoning, optional
  • Β½ teaspoon garlic powder, optional
  • 1 egg

Step by Step Instructions

Step by Step Instructions

1
Preheat oven

Preheat the oven to 400 degrees.

Oven preheated to 400 degrees ready for keto pizza
2
Melt the cheese

Place mozzarella in a microwave-safe glass bowl. Microwave for about two minutes. Stir to combine and make sure all of the cheese is melted. Microwave for additional time if the cheese hasn’t fully melted. Remove from microwave and let the mixture cool.

Microwave the cheeses
Tip If you are doubling or tripling this recipe, make sure you add on additional microwave time to ensure proper cheese melting.
Ingredients for this step
  • 3Β½ cups (10 oz) shredded mozzarella cheese
3
Mix dry ingredients

In a large separate bowl, mix together the almond flour, baking powder, xanthan gum, salt and seasonings, if using. Set aside.

mix other ingredients in bowl
Ingredients for this step
  • 1Β½ cups almond flour
  • 1 teaspoon baking powder
  • 1 teaspoon xanthan gum
  • Β½ teaspoon salt
  • 1 teaspoon Italian seasoning, optional
  • Β½ teaspoon garlic powder, optional
4
Mix dough

To a food processor, add melted mozzarella cheese, egg and dry ingredients.

slowly add the almond flower mixture
Tip If you don't have a food processer, an electric mixer can be used. Fathead dough can be mixed by hand by kneading the dough until it comes together; however, this is very messy and time-consuming.
Ingredients for this step
  • melted cheese
  • 1 egg
  • dry ingredients
5
Knead pizza dough

Once combined, form a big dough ball. Knead the dough a couple of times on a lightly almond floured surface to ensure the dough is uniform in appearance and all ingredients are fully combined.

form dough into a ball
6
Layer between parchment

Place the ball in between two pieces of parchment paper. You can also just use a silpat mat if you have one of those, but having that top layer of parchment paper keeps the dough from sticking to you and your rolling pin. Plus it allows you to roll out a nice thin pizza crust.

roll the ball between parchment paper
7
Roll out crust

Roll out dough to desired thickness. Remove top parchment layer and place on top of a baking sheet.

roll out the pizza dough
8
Watcha gonna add?

Add toppings.

decorate the pizza
Tip If you are counting macros, make sure you take into account any of the toppings you add! The Nutrition Facts listed in this recipe are for the crust only.
9
Bake

Bake in a 400 Β°F oven for 12 to 15 minutes or until crust is golden and cheese is bubbling.

Bake for 10 - 12 minutes
Nutrition Per Serving 1 slice
241 Calories
19.8g Fat
12.8g Protein
3.5g Net Carbs
5.8g Total Carbs
8 Servings
Nutrition disclaimer

The nutrition information provided is an estimate and is for informational purposes only. I am a Doctor of Pharmacy (Pharm.D.); however, this content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or other qualified health provider before making any lifestyle changes or beginning a new nutrition program.

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Keto Pizza

Frequently Asked Questions

Can I buy keto pizza?

Yes! Blaze Pizza has a cauliflower crust option that's about 6 grams of net carbs per slice. Papa Murphy's also has a crustless pizza that works.

Should I use a pizza stone to make keto pizza?

A pizza stone helps get the crust extra crispy and cooks the middle more evenly. It's not required though - a baking sheet works just fine.

Is it keto to pull the toppings and cheese off of pizza and eat it?

Yes, as long as the sauce isn't loaded with sugar. A lot of pizza places add sugar to their marinara, so just check the nutrition info first.

Who invented fathead pizza dough?

The name comes from Tom Naughton's documentary 'Fat Head.' But the original recipe was actually created by a blogger called Cooky's Creations who called it 'Holy Grail Pizza Crust.' Tom and his fans started calling it Fat Head dough and the name stuck.

Can I make substitutions for the almond flour in the crust?

Yes! Sunflower seed flour works as a 1:1 swap if you have a nut allergy. You can also use lupin flour but cut the amount in half (3/4 cup). Coconut flour is trickier because it absorbs a lot more liquid and the texture won't be the same.

How should I store leftover keto pizza?

Let it cool completely, then store in an airtight container in the fridge for up to 4 days. You can also freeze slices - just separate them with parchment paper and store in a freezer bag for up to 2 months.

What are the nutritional values of the keto pizza crust?

The nutrition facts are listed on the recipe card. One slice of the crust (without toppings) is about 241 calories, 19.8g fat, 12.8g protein and 3.5g net carbs.

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3 reasons why this pizza is amazing

  1. First, it’s the fat. Fat is where the flavor is and this crust is pretty much all cheese. This fathead crust is comprised of 70% fat per serving! When you’re eating keto, you naturally reach for foods like this because that’s your main source of energy. Dietary fat breaks down into ketones. Fat is fuel. Pizza is fuel.
  2. The second reason why this pizza crust is a favorite is the texture and consistency. The fathead crust is a perfect balance of chewy, bread-like texture in the middle and a crispy underside and outer crust. It is a pizza that you can eat with your hands and not with a fork. Unlike cauliflower crust pizza, that tends to have a soft underbelly and will break apart when you pick up a slice.
  3. Lastly, fathead pizza doesn’t take very long to prepare. The ingredient list is fairly short and you can be eating pizza in no time. It’s a perfect quick option for busy weeknights or weekend movie nights. One of our family traditions is to make pizzas and watch videos on Friday nights with the boys. Each kid gets to add their own toppings to their own mini fathead pizza.

Other uses for fathead dough

Besides pizza crust, fathead dough is a go-to in the low-carb world. We have used it as the breading for bagel dogs, breadsticks, hamburger buns, biscuits, donuts, cinnamon rolls, and crackers.

roll out fathead pizza dough

Pizza sauce

If you are making pizza with fathead crust, you need a good pizza sauce that won’t blow your carb count.

  • Store bought sauces can be high in sugar. You can’t just grab any jar off the shelf. Many of those add extra sugar for flavor and pack in unnecessary carbs.
  • Always check the nutrition label on the back of marinara sauce to find one with the lowest carb count.
  • My favorite pizza sauce brands are Yo Mama and Rao’s. If you are on a budget, you can make your own! Homemade pizza sauce is easy to make and this recipe uses crushed tomatoes and a few seasoning along with olive oil to give it that authentic flavor.

Pizza toppings

Most pizza toppings work great on fathead crust. The only one to skip is pineapple.Β  Pineapple is higher in sugar content. Here are some pizza toppings to try!

Meats

Any meat is fair game on a pizza. Go for a basic pepperoni pizza, or add salami, sausage, ground beef, bacon, Canadian bacon, anchovies. Or add all of them for the ultimate meat lovers pizza.

Vegetables

Whether you want to add a few to your pizza or looking to make a vegetarian pizza, load up on the bell pepper, mushroom, olive, onion, tomato, artichoke hearts, spinach or fresh basil

Extras

For the real foodies, drizzle olive oil, toss on the fresh herbs or sprinkle some freshly grated parmesan cheese or red pepper flakes on top.

Tips for making fathead pizza crust

  • Use a food processor – To make the dough, the fastest way to mix up all of the crust ingredient evenly is to use a food processor. It will combine all the ingredients in seconds for a uniform dough ball.
  • Roll out dough between parchment paper – To keep the dough from sticking to the rolling pin, place the dough in between two sheets of parchment paper. This will give you an even thickness of crust and help you transfer the dough to your baking sheet or pizza stone. If your parchment paper slides around on the table too much, place a damp paper towel underneath the bottom parchment paper. This will keep the parchment paper from slipping and make it easy to roll out the pizza crust.
  • Melting the mozzarella cheese – You have the option to melt your mozzarella cheese in the microwave at 60 second intervals until melted or you can melt the cheese on the stove top over low – medium heat in a non stick skillet.
an unbaked combination pizza with olives, mushrooms, pepperoni and salami

Storage and meal prep information

Freezing pizza dough

The fat head dough can be frozen either in a dough ball or rolled out in a circle crust shape. For the dough ball, wrap in plastic wrap and place in a freezer safe bag to freeze. For the pizza crust, keep the crust in between the two sheets of parchment paper used to roll out the dough. Then place in a freezer safe bag to freeze. This is a great way to store extra pizza dough. Double or triple the recipe to make multiple crusts. You can see that it is easy to have fat head pizza at your disposal, so there’s no excuse not to have pizza night at least once or twice a week ! To thaw, place dough in the refrigerator for a few hours or at room temperature.

Making frozen pizza

Rather than just freezing the crust, you can easily make your own frozen pizza. After the crust is rolled out, add the pizza sauce and toppings. Out of cardboard, cut a base for the crust to sit on (similar to frozen pizza from the box). Then wrap in plastic wrap and store in a freezer safe bag.

Baking frozen pizza

Bake the frozen pizza straight from the freezer in a 400 degree oven for just a bit longer 18-22 minutes or until crust is golden brown and cheese is melted.
About the Author
Annie Lampella, Pharm.D.

Annie Lampella, Pharm.D.

Annie is a Doctor of Pharmacy, mom, and the recipe creator behind KetoFocus. With a B.S. in Genetics from UC Davis, she has over 14 years of experience developing family-friendly keto recipes based on the science of human metabolism.

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  1. M
    Margie Feb 7, 2021

    I've made this several times and its PERFECTION!! I share this recipe link with all my keto friends. Thank you so much for sharing it! It comes together so quickly and it is really on point. So happy!!! <3

  2. S
    Steve Feb 7, 2021

    I made this yesterday and followed the guidelines that were provided and sprayed parchment paper with oil. I added Italian seasoning to the dough and forgot to put holes in the dough before putting the topping on it but the pizza turned out perfect. The Pizza was fantastic. I sauced the dough, added cheese's, a pound of cooked Italian seasoned ground beef, onions, green and black olives, mushroom's and topped with more cheese. It was awesome.

    I have used the same recipe on the dough with other ingredients making sweet rolls, cup cakes, cookies and dough to wrapped hotdogs in. Its very versatile.

  3. D
    Denise Feb 6, 2021

    What if you do not have a microwave?

    1. Annie Lampella
      Annie Lampella Feb 6, 2021

      You can melt the cheese on a non-stick skillet over the stove top

  4. L
    Liz Jan 23, 2021

    We use your recipe all the time. It’s the best! Would you happen to know what the β€œMyFitnessPal” β€œpersonal pizza keto focus” portion is?

    1. Annie Lampella
      Annie Lampella Jan 24, 2021

      That is probably a recipe of mine that someone added. It's probably this dough recipe but I'm not sure what toppings there are.

  5. S
    Sarahb Jan 19, 2021

    The recipe calls for something called "1 teaspoon xanthan gum", but that item is not included in the video which only has 4 ingredients. What is xanthan gum and it it optional?

    Thanks

    1. Annie Lampella
      Annie Lampella Jan 20, 2021

      I changed the recipe a little bit after that video was made. I felt like the xanthan gum helps to hold the crust together better.

  6. A
    Anne Jan 17, 2021

    I tried this last night, it was great! When I used to make pizza I would put cornmeal on the parchment before putting the crust down, I used Parmesan cheese instead, worked great. I also brushed the top of the pizza with garlic butter before topping.

  7. P
    Pamela Jan 13, 2021

    This pizza dough was amazing! Pizza is my most favorite food to eat. I was able to top my pizza with several ingredients. I used additional spices, such as; Italian seasoning, garlic powder, and onion powder. I hope that you will continue to shower us with additional recipes. I can’t wait !!! Thank you

  8. J
    Jenny Jan 8, 2021

    Can I make the dough a couple hours ahead of time and put in the fridge before rolling out? This is our first week on keto, so want to make sure I do things correctly :)

    1. Annie Lampella
      Annie Lampella Jan 8, 2021

      Yes you can! You can store it in the fridge for up to 5 days and you can freeze it too!

  9. P
    Paul Jan 4, 2021

    In your notes you say "The combination of mozzarella and cream cheese along with the almond flour yield a dense, crispy pizza crust packed full of flavor.". However, cream cheese is not listed in the ingredients nor in the instructions. Is it supposed to be part of this recipe?

    1. Annie Lampella
      Annie Lampella Jan 4, 2021

      Ah... it does not include cream cheese. I don't know why I said that :). I have updated and removed.

  10. D
    Dave F. Dec 28, 2020

    Ok I actually made this today instead of the mummy dogs. But! I am going to cut strips out of the dough I rolled out and refrigerated then put some hot dogs inside with cheddar ;)
    I’ll let you how it turns out. So far everything I make of your creations has been absolutely stellar. Best stuff I’ve found on the internet so far for keto heads!

    1. Annie Lampella
      Annie Lampella Dec 30, 2020

      That sounds delicious! I haven't tried adding cheddar but I will next time I make them.

  11. T
    TracyT Dec 27, 2020

    Do you think I could pre-bake the crusts and freeze or refrigerate? Then pull out as needed, top and bake? I am trying to think of meal prep as I am trying to get my whole family on board with healthier eating. I need quick week night meals for my super picky 10 year old who only eats pizza and chicken nuggets.

    1. Annie Lampella
      Annie Lampella Dec 27, 2020

      Yes, you could do that. Or you can roll it out unbaked, flash freeze and stack them together. Then freeze again. That's what I do.

  12. V
    Vanessa Dec 26, 2020

    Do you have the total carb count per serving?

    1. Annie Lampella
      Annie Lampella Dec 27, 2020

      I will be adding total carbs for each recipe. For now, 1/8 of this pizza is 5.8 grams total carbs.

  13. V
    Vanessa Guerrero Dec 26, 2020

    Amazing! I've tried different doughs and this is the best.

  14. C
    Christian Dec 19, 2020

    My crust got stuck to the paper. Should I spray the paper with cooking spray next time?

    1. Annie Lampella
      Annie Lampella Dec 19, 2020

      Yes, try spraying the parchment paper next time.

    2. C
      casey rogers Dec 19, 2023

      sorry about the inconvenience Christian. hope you got your crust unstuck after 3 years. have a good Christmas.
      maybe you could try putting flour on to your surface.

      lots of love
      jackyboo harrison (your pookie bear)

  15. D
    Devy Dec 13, 2020

    LOVE this dough. So quick to throw together and it actually holds up with toppings. Making it weekly now.

    1. Annie Lampella
      Annie Lampella Dec 13, 2020

      Thank you! I'm glad you liked the keto pizza crust!

    2. N
      Nona Jan 16, 2025

      Agree! We loved how easy it is to make. Also, it’s delicious!

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