Low Carb Ham & Swiss Ziti Casserole
Published April 6, 2026
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This low carb ham and swiss ziti casserole is my kind of comfort food…easy, cheesy, and made with protein-packed lupini pasta so it actually keeps you full. I mix in smoky ham, melty swiss, spinach, and a creamy sauce for a cozy dinner that tastes like the classic, just without all the carbs.
This is one of those lazy casseroles I lean on when I want something hearty and cozy, but I’m not in the mood to spend an hour in the kitchen. It’s also one of my favorite ways to use up leftover ham, especially after a holiday when you’ve got random slices sitting in the fridge and no real plan for them. I can throw this together pretty quickly, slide it in the oven, and suddenly it feels like I actually tried…when in reality, this recipe is doing most of the heavy lifting.
Instead of traditional pasta, I’m using lupini-based ziti, which keeps the carbs low but still gives you that familiar pasta bite. As someone who’s tested a lot of low carb pastas over the years, I can tell you not all of them are worth it, but this one holds up really well in a baked casserole. Plus, it’s gluten-free…if that’s important to you. It doesn’t turn mushy, and it actually absorbs the creamy cheese sauce, which is key here. You still get that classic ham and cheese pasta feel, just without the excess carbs!
For the flavor, I keep it simple but intentional. The smoky ham, nutty melted swiss, and a handful of spinach balance each other out so it’s not just a heavy cheese bomb. I also layer in aromatics and seasoning to build that depth you expect from a comfort food dish. From a nutrition standpoint, this ends up being higher in protein thanks to the lupini pasta and ham, which means it’s a lot more filling than your typical casserole…and you’re not hungry again an hour later digging through the pantry.
What I’ve learned after making recipes like this for years, especially for my family, is that easy wins matter. This is the kind of dinner that gets everyone to the table without complaints, uses up what you already have, and doesn’t leave you with a sink full of dishes. It’s familiar, it’s practical, and it actually fits into a low carb, high protein lifestyle without feeling like you’re missing out.
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Ingredients
8 oz keto ziti noodles -
3 tablespoons butter
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1/4 cup chopped medium yellow onion
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1 tablespoon chopped garlic
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10 oz package frozen chopped spinach, thawed & well drained
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1/4 teaspoon cayenne pepper
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2 tablespoons cornstarch or 2 teaspoons arrowroot powder
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2 cups milk of choice
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2 tablespoons Dijon mustard
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3 cups cooked diced ham
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7 oz package Swiss cheese, divided
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1/2 teaspoon dried rosemary needles
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3/4 teaspoon salt
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1/2 teaspoon ground black pepper
Step by Step Instructions
Step by Step Instructions
Cook pasta
Cook pasta according to package directions, drain and set aside.
- 8 oz package of lupini ziti pasta
Saute aromatics
Meanwhile, in a large skill, melt butter over medium heat. Add onion and garlic, saute until onion is softened, about 3-4 minutes.
- 3 tablespoons butter
- 1/4 cup chopped yellow onion
- 1 tablespoon chopped garlic
Add spinach and thicken
Add spinach and cayenne pepper, continue cooking until all liquid is absorbed. Stir in cornstarch or arrowroot powder and cook for 1 minute.
- 10 oz package frozen chopped spinach, thawed & well drained
- 1/4 teaspoon cayenne pepper
- 2 tablespoons cornstarch or 2 teaspoons arrowroot powder
Make it creamy
Stir in milk and mustard, cook until thickened.
- 2 cups milk of choice
- 2 tablespoons Dijon mustard
Add ham and cheese
Stir in ham, cooked pasta, half of the swiss cheese, rosemary, salt and pepper. Mix well until combined.
- 3 cups cooked diced ham
- cooked pasta
- 3.5 oz Swiss cheese
- 1/2 teaspoon dried rosemary needles
- 3/4 teaspoon salt
- 1/2 teaspoon black pepper
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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Get My Macros + Recipes →Frequently Asked Questions
Can I use a different low carb pasta instead of lupini ziti?
Yes, but not all low carb pastas behave the same. I’ve tested quite a few, and lupini pasta holds up really well in baked dishes without getting mushy. If you swap it, look for one that can handle baking, otherwise you might end up with a softer texture.
Do I have to use cornstarch or arrowroot powder?
This helps thicken the sauce so it clings to the pasta instead of being watery. If you’re strict low carb, go with arrowroot or even a tiny pinch of xanthan gum, but don’t skip it completely or the sauce won’t come together the same.
Can I make this ahead of time?
Yes, and honestly this is a great make-ahead meal. You can assemble everything, cover it, and store it in the fridge for up to 24 hours before baking. Just add a few extra minutes to the bake time if it’s going in cold.
Brought this to a spring potluck last weekend and fielded three separate 'what pasta is this?' questions from people who weren't eating low carb. Told them lupini, got blank stares, they came back for more anyway.