Keto Pizza Sauce

Annie Lampella @ Ketofocus

By Annie Lampella, Pharm.D.

Published August 4, 2019 • Updated February 25, 2026

Reader Rating
4.8 Stars (14 Reviews)

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

I make this keto pizza sauce from whole canned tomatoes, garlic, and olive oil. At 1.2g net carbs per serving, it's the only red sauce I use for pizza night.

Homemade Pizza Sauce

Low Carb Keto Pizza Sauce
I used to grab whatever jar was on sale at the store. A couple had about 3g carbs per quarter cup, which seemed fine, but they all had added sugar and that flat, tinny taste you get from processed tomato sauce. Not a little flat. Completely bland. I wanted something with actual tomato flavor that I could pull together fast when the pizza mood hit.

So I started making my own. Whole canned tomatoes, a food processor, garlic sauteed in plenty of olive oil, salt. That’s the whole ingredient list. What surprised me is how different it tastes. Pureeing whole tomatoes yourself gives you a brightness that crushed or pre-made sauces don’t have. The tomatoes aren’t sitting in a can pre-broken-down and losing flavor. You’re starting with the highest-quality canned product and processing it right before cooking, so everything stays intact. Reader Megan told me she’d tried six or seven other keto recipes before landing on this one, and her take was the same: “Pureeing the whole tomatoes yourself instead of opening a can of crushed is what does it. The flavor’s just different.”

The olive oil matters here too. Four tablespoons bumps the fat to 2.3 grams per tablespoon of finished sauce, which makes a real difference for your macros. Standard jarred tomato sauce has zero fat. And the recipe yields about 12 servings (2 tablespoons each), so one batch covers anywhere from six to twelve pizzas depending on how heavy you pour.

I don’t just use this for pizza, either. It works on my crustless pizza, in pizza bowls, as a dipping sauce with keto focaccia, and as the base for cottage cheese pizza bowls. Once you have a batch in the freezer, you start finding excuses to use it. That’s the part I didn’t expect when I first made this. The sauce itself is simple, but having it on hand changes how often pizza night actually happens.

Dina brought a pizza made with this to her sister’s birthday dinner. Her brother-in-law, who avoids anything labeled “keto,” had two slices and asked what brand the sauce was. That’s what whole tomatoes done right taste like. People just taste good food, not a diet workaround.

How to make homemade pizza sauce?

Four ingredients, one saucepan. Olive oil, garlic, canned whole tomatoes, and salt.

I puree the tomatoes in a food processor first (8-10 seconds, no more). Then I saute the garlic in olive oil over low heat until it’s fragrant, about 1-2 minutes, add the puree, and bump the heat to medium. The sauce thickens as the water cooks off, usually 10-15 minutes. Salt goes in at the end.

The whole thing takes under 20 minutes. I’ve made this enough times that I can have it done while the oven preheats.

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Recipe
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Keto Pizza Sauce

4.8 (14) Prep 5m Cook 15m Total 20m 12 servings

Ingredients

  • 4 tablespoons olive oil
  • 2 cloves garlic, minced
  • 1 (28 ounce) can whole tomatoes
  • salt and pepper to taste

Step by Step Instructions

Step by Step Instructions

1
Puree the tomatoes

Using a food processor, blender, or immersion blender, puree the whole tomatoes for about 8 to 10 seconds or until all tomatoes are broken down.

tomato puree
2
Sauté the garlic

Preheat a medium saucepan over low heat, then add olive oil and garlic. Sauté until garlic is fragrant, about 1 to 2 minutes.

heating keto tomato sauce in a saucepan
3
Add the puree

Add tomato puree and increase heat to medium. Cook sauce until slightly thickened, about 10 to 15 minutes.

thicken keto pizza sauce
4
Add the salt & pepper

Remove from heat and season with salt and pepper.

season keto pizza sauce
Nutrition Per Serving
48 Calories
4.6g Fat
0.4g Protein
1.2g Net Carbs
1.6g 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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Keto Pizza Sauce

Frequently Asked Questions

How many carbs are in this sauce?

Each serving (2 tablespoons) has 1.2g net carbs and 1.6g total carbs. I've compared this to most store-bought options, and it comes in lower than anything I've found on the shelf, especially once you factor in the added sugars most jars sneak in.

Is Rao's a good store-bought alternative?

Rao's is one of the better options if you need something fast. Their marinara runs about 3g net carbs per half cup, which isn't bad for a jar. But I stopped buying it once I started making my own, because the flavor gap is real. Whole tomatoes pureed fresh give you something a low-carb jarred sauce can't. If you have 20 minutes, make this instead.

Is this a sugar free recipe?

No added sugar at all. There's a small amount of natural sugar from the tomatoes, but that's unavoidable with any tomato-based sauce. I've checked the labels on "sugar-free" store brands, and they still have the same natural tomato sugars. By industry standards, this qualifies.

What's the difference between using tomato paste and whole tomatoes?

I've tried both. Tomato paste is concentrated, so the carbs per tablespoon are actually higher, but you use less of it. The real difference is flavor. Paste gives you a thick, dense sauce that tastes cooked-down and heavy. Whole tomatoes pureed fresh taste brighter, more like actual tomatoes. I go with whole every time for this recipe.

Do I need to add a sweetener to cut the acidity?

I don't add any sweetener. The olive oil and the natural sugars in the tomatoes balance the acidity enough for my taste. Some people add a pinch of baking soda to neutralize acid, but I've never felt this sauce needed it. If yours tastes too sharp, try cooking it a few minutes longer. The acidity mellows as the sauce reduces.

Can I make a no-cook version with tomato paste?

You can mix tomato paste with olive oil and seasonings for a quick no-cook sauce, and I've done it when I'm short on time. But the flavor isn't close. Cooking the garlic in olive oil first and then simmering the puree is what builds the depth. The no-cook version works in a pinch, but I always come back to the cooked one.

Can I use this as a pasta sauce or dipping sauce?

I use it for both all the time. It works on anything that needs a red sauce. I've used it as the base when I make keto alfredo dishes that want a drizzle of red on top, as a dip alongside sugar-free ketchup on appetizer boards, and stirred into scrambled eggs for a quick shakshuka-style breakfast.

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Canned vs. fresh tomatoes

canned tomatoes in a glass bowl

I use canned tomatoes most of the year. In winter, fresh grocery store tomatoes are pale and mealy, and they’ll give you a flat, watery sauce. Canned whole tomatoes are picked and packed at peak ripeness, so the flavor is already there.

If you grow your own and they’re actually ripe (not the hard pink ones from the store), go ahead and use those. I roast mine first with a drizzle of olive oil and some salt, then peel and pulse in the food processor. The roasting concentrates the flavor and gets rid of excess water.

Which canned tomatoes to buy

keto tomato sauce in a jar with a spoon on table

Whole peeled tomatoes are what I use and what I recommend. They’re the highest-quality option because the tomato is still intact. Once tomatoes get broken down during processing, some of that fresh flavor disappears.

Diced tomatoes work in a pinch since you’re pureeing anyway, but they’re treated with calcium chloride to keep them firm. I’ve found they don’t break down as smoothly.

Crushed tomatoes are a mix of puree and chunks. Consistency varies by brand, which makes it harder to get a reliable result.

Stewed tomatoes are a no. They’re cooked with sugar and seasonings before canning, which means higher carbs and flavors you didn’t ask for.

Stick with whole. That’s what gives this sauce its flavor.

Customize your sauce

The base recipe is intentionally simple, but I tweak it depending on what I’m making. Two cloves of garlic is conservative on purpose. I’ve bumped it to 3 or 4 depending on the pizza, and it only gets better.

Basil, oregano, and crushed red pepper flakes all work well stirred in at the end. I sometimes add a pinch of oregano and a few flakes when I’m making this alongside garlic sauce for a two-sauce pizza night.

How to store the sauce

Extra sauce keeps in the fridge for up to five days. For longer storage, I freeze it in ice cube trays. Each cube is roughly one tablespoon, so I can pop out exactly what I need without thawing a whole batch.

Once frozen, I transfer the cubes to a freezer bag. They last up to three months. This is the detail that changed everything for me: having sauce ready in the freezer means pizza night goes from “maybe” to “definitely” on any weeknight.

pizza sauce in jar, ready for the fridge
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. A
    Angela Mar 14, 2026

    My son is 9 and suspicious of anything I make that's 'healthy.' He ate two slices last night and asked for extra sauce to dip his crust in. I didn't say a word. The garlic actually tastes like pizza sauce, and I think that's why he didn't question it. Keeping a jar in the fridge now.

    1. Annie Lampella
      Annie Lampella Mar 17, 2026

      The crust dipping is the tell. He went back for more on his own. The garlic cooked in the olive oil is what makes it read as actual pizza sauce instead of a healthy swap.

  2. K
    Kevin Mar 3, 2026

    On my fifth or sixth batch and switched to fire-roasted canned tomatoes maybe two batches ago. The way they puree, you get this underlying smokiness that regular whole tomatoes just don't have. Still 1.2g carbs either way but I'm not going back.

    1. Annie Lampella
      Annie Lampella Mar 4, 2026

      Fire-roasted are genuinely better for this. The smoke just sits in the sauce in a way that doesn't happen with regular whole tomatoes. I keep both in my pantry but I reach for fire-roasted most of the time now.

  3. H
    Heather Moore Feb 26, 2026

    I've tried probably four different keto pizza sauce recipes over the past year and they all tasted kind of flat, like something was missing, and I just assumed that was the trade-off. Made this last Friday (cold enough that pizza felt mandatory) and the garlic step hit me right away, that smell when it hits the olive oil is the whole thing. Every other recipe I was just blending canned tomatoes and calling it a day. Going back through my notes trying to figure out how to fix the others with that one change.

    1. Annie Lampella
      Annie Lampella Feb 27, 2026

      Yeah, that garlic in the oil is the whole thing. I've tried a no-cook shortcut and it doesn't even come close.

  4. M
    Megan Feb 22, 2026

    I've tried probably six or seven pizza sauce recipes since going keto, and most of them taste like they're working around the tomatoes rather than with them. Pureeing the whole tomatoes yourself instead of opening a can of crushed is what does it. The flavor's just different. Still tweaking the garlic ratio but this is the one I come back to.

    1. Annie Lampella
      Annie Lampella Feb 22, 2026

      Two cloves is conservative on purpose. I've bumped it to 3 or 4 depending on the pizza. The whole tomato part I wouldn't touch.

  5. D
    Dina V. Feb 18, 2026

    Brought homemade pizza to my sister's birthday dinner last weekend. Her husband who avoids anything labeled 'keto' had two slices and asked what brand the sauce was.

    1. Annie Lampella
      Annie Lampella Feb 18, 2026

      Ha. 'What brand' is the best thing he could have said. Whole canned tomatoes are doing a lot of the work there.

  6. F
    Franchesca Jan 17, 2023

    I've gone completely giddy! We will have a family heirloom of keto friendly recipes before it's all said and done. I will start a tradition of healthy eating and healthy bodies past adolescence. That's a privilege. I hope you realize just how much good you're doing and the lives you're changing and that you're so very much appreciated.

    1. Annie Lampella
      Annie Lampella Jan 23, 2023

      Family heirloom of keto recipes. I love that framing. My kids make this sauce themselves now, that's just how we cook.

  7. S
    Susan Trobaugh Apr 18, 2022

    So one could use home canned tomatoes to do this....

    1. Annie Lampella
      Annie Lampella Apr 19, 2022

      Yes! That works too

  8. A
    Angel Feb 19, 2022

    This is THE SAUCE!!! I love it! I added roasted garlic to mine and yum!!!!

    1. Annie Lampella
      Annie Lampella Feb 21, 2022

      Roasted garlic is a great call. Sweeter, way less sharp than the fresh minced. Adding that next time I make this.

  9. L
    Lori G Jul 27, 2021

    Great recipe! I like mine a little sweet so I sneak in some sugar substitute! Tastes great!!

    1. Annie Lampella
      Annie Lampella Jul 31, 2021

      I've never felt it needed sweetening, the tomatoes have enough natural sugar. But some cans run more acidic than others so I get it.

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