Keto Pizza Casserole

Annie Lampella @ Ketofocus

By Annie Lampella, Pharm.D.

Published October 17, 2021 • Updated June 2, 2025

Reader Rating
4.8 Stars (4 Reviews)

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When you don't feel like making keto pizza but have that pizza craving, try this easy keto pizza casserole without cauliflower or ground beef! Loaded with layers of cheese, sauce, pepperoni and pull-apart keto dough, this is one recipe that will please the whole family.

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Keto Pizza Casserole

4.8 (4) Prep 15m Cook 20m Total 35m 12 servings

Keto Pizza Casserole Ingredients

  • 4 cups shredded mozzarella cheese, divided
  • 16 oz cream cheese, softened
  • 1/2 cup grated parmesan cheese
  • 1 tablespoon Italian Seasoning
  • 1 teaspoon red pepper flakes
  • 3/4 cup low-carb marinara sauce
  • 3 oz pepperoni slices

Pull-Apart Keto Rolls Ingredients

  • 2 cups almond flour
  • 1/2 cup unflavored low-carb protein powder
  • 2 1/2 teaspoons baking powder
  • 2 teaspoons xanthan gum
  • 1 teaspoon salt
  • 1 egg
  • 1/2 cup shredded mozzarella cheese, melted
  • 1/2 cup unsalted butter, melted
  • 2 tablespoons sour cream

Butter Garlic Parsley Sauce Ingredients

  • 2 tablespoons butter, melted
  • 3 cloves garlic, minced
  • 2 tablespoons chopped parsley

Step by Step Instructions

Step by Step Instructions

1
Preheat oven

Preheat oven to 350 degrees. Spray a 8×10 casserole dish with cooking spray and set aside.

red 350 degree
2
Cheese mixture

To a large bowl, mix together 2 cups shredded mozzarella cheese, cream cheese, grated parmesan cheese, Italian seasoning and red pepper flakes using an electric mixer until creamy and smooth.

softened cheese mixture in a glass bowl
3
Cheese layer

Spread cheese mixture evenly into the casserole dish.

a white cheese mixture spread into a dish with a pizza spatula
4
Pizza sauce

Pour pizza sauce on top of the cheese layer and spread using the back of a spoon.

red sauce spread in a white casserole dish
5
More cheese

Sprinkle 2 cups shredded mozzarella cheese on top of sauce in a even layer.

sprinkling shredded mozzarella cheese in a baking dish
6
Pizza topping

Evenly lay down sliced pepperoni on to of the shredded cheese layer. Set aside.

pepperoni slices layers in a casserole dish
7
Make pull-apart keto rolls

In a food processor, pulse together almond flour, protein powder, baking powder, xanthan gum and salt until combined. Add egg, melted cheese, butter and sour cream. Pulse until dough ball forms. NOTE: You can also mix the dough using an electric mixer. It will take longer to evenly combine.

a ball of dough in a food processor
8
Roll into balls

Pinch off keto dough and roll in between the palm of your hands into 1/2 – 3/4 inch balls and layer on top of the pepperoni layer. Make sure the balls are touching or close to touching each other.

placing dough balls in a row in a white dish
9
Buttery Garlic Sauce

In a small bowl, mix together melted butter, minced garlic and chopped parsley. Brush on top of the keto dough.

spooning butter and parsley mixture on bread rolls in a casserole dish
10
Bake

Bake in a 350 degree oven for 15-20 minutes or until pull apart keto rolls are golden brown.

pull apart bread rolls in a row on a casserole dish
Nutrition Per Serving
491 Calories
48.4g Fat
21.7g Protein
5g Net Carbs
7.5g Total Carbs
12 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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Low Carb Pizza Casserole Recipe

pulling out a keto roll from the casserole
You are not alone in your love for pizza. Your kids, who you have been cooking for their entire lives, most likely also share the same affinity towards this saucy, cheesy delight. But what happens when it’s time to make dinner? From a mom’s perspective, the answer is easy: whip up a quick and delicious casserole that satisfies everyone’s tastes! So you can enjoy keto pizza and make an easy keto casserole for dinner without a lot of effort or cauliflower and ground beef! Most low-carb pizza casserole recipes use cauliflower or ground beef as their base for the heart of the pizza. This keto pizza casserole recipe doesn’t use cauliflower or ground beef at all! It has layers of cheese, sauce, pepperoni, more cheese and is topped with buttery pull-apart keto bread rolls to make the ultimate crustless pizza. This easy keto dinner will keep everyone coming back for more. Plus with only a few minimal ingredients that you probably already have this dish is simple enough to throw together any night of the week!
cheese pull with pull apart bread

Keto Pepperoni Pizza

For this keto pizza casserole recipe, I went with pepperoni as my topping, or filling in the case of this low-carb casserole recipe. My boys love pepperoni and it’s something I usually keep around the house since the kids love to snack on it. However, you can fill your keto pizza casserole with any of your favorite low-carb pizza toppings. Here are a few you might consider:
  • salami
  • sausage
  • cooked, crumbed bacon
  • mushrooms
  • bell pepper
  • sliced onion
  • olives
  • green onions

Pizza Sauce

You can go with your favorite low-carb pizza sauce for this recipe. Just make sure you read the label to ensure that there aren’t added sugars or carbs to your marinara. Generally, brands like Yo Mama and Rao's are safe and considered keto friendly, but you can also use canned tomato sauce if you can’t find a keto pizza sauce at the grocery store. For a budget friendly option, you can easily make your own homemade pizza sauce. This recipe uses crushed tomatoes and a few seasoning to make a flavorful, savory marinara.  
pizza casserole with a serving taken out next to tomatoes and basil

Pull-Apart Keto Rolls

What makes this recipe different that other keto pizza casserole recipes is the buttery, pull-apart keto rolls on top. These help soak up the juices from the marinara sauce and melted cheese. They add that missing element of pizza dough in every bite of casserole. This keto dough isn’t a fat head dough since the predominate ingredient is not mozzarella cheese, but the rolls are still fluffy and full of flavor. This is in-part due to the protein powder in the recipe. Plus they are easy to make.
Keto Pizza Casserole

Frequently Asked Questions

Can I use a different type of cheese instead of mozzarella?

Absolutely! While mozzarella gives a great texture and flavor, you can substitute it with cheeses like provolone or a blend of Italian cheeses. Just keep in mind that the taste and texture may vary slightly.

What can I use instead of cream cheese?

If you're looking for a cream cheese substitute, mascarpone or a dairy-free cream cheese can work well. You could also try using ricotta cheese for a different flavor profile.

How do I store leftover keto pizza casserole?

Store any leftovers in an airtight container in the refrigerator for up to 3-4 days. You can reheat it in the oven or microwave when you're ready to enjoy it again!

Is this recipe suitable for meal prep?

Yes! This keto pizza casserole is perfect for meal prep. You can make it ahead of time and portion it out for easy lunches or dinners throughout the week.

Can I add more toppings to this casserole?

Definitely! Feel free to customize your casserole with other low-carb toppings like bell peppers, mushrooms, or olives. Just make sure to adjust the cooking time if you add a lot of extra ingredients.

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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9 Comments

  1. This was really good and easy to put together for a weeknight dinner. I liked that it didn’t use cauliflower like some other keto recipes

  2. just made this. it was good. but, i have a couple questions…1) i dont have a food processor so used my hand mixer…how do you keep the melted mozzarella soft long enough to incorporate? 2) my keto rolls were soft inside (maybe a little moist). did i do something wrong? any advice appreciated

    1. I usually have all of my ingredients measured out and ready to combine before I mix everything. You could microwave the cheese right before you add it or I have even re-microwaved it before adding it. If the dough was still a little soft, they might have been too big or thick or you could try lowering the oven temperature a bit and cooking them longer.

  3. I made this tonight and it was delicious! I added more pepperoni and some cooked sausage cause 3oz of pepperoni was not enough for me 😉
    I’m going to try making the pull apart rolls by themselves, they were so good

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