Pizza Meatloaf

Annie Lampella @ Ketofocus

By Annie Lampella, Pharm.D.

Published June 5, 2021 • Updated February 3, 2026

Reader Rating
4.5 Stars (2 Reviews)

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

Craving pizza but keeping it low carb? This meatloaf brings together juicy ground beef and pork with classic pizza toppings: marinara, mozzarella, and pepperoni baked right on top. My kids absolutely devour this one.

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Pizza Meatloaf

4.5 (2) Prep 15m Cook 60m Total 75m 6 servings

Ingredients

  • 1/2 onion, diced
  • 1 lb ground beef
  • 1 lb ground pork
  • 1 cup pork panko
  • 1 teaspoon red pepper flakes
  • 1 teaspoon oregano
  • 1 teaspoon parsley
  • 1 egg
  • 2 teaspoons minced garlic
  • 5 oz shredded mozzarella cheese
  • 1/3 cup low-carb marinara
  • 10 slices pepperoni

Step by Step Instructions

Step by Step Instructions

1
Preheat oven

Preheat oven to 375 degrees.

red 375 on a black background
2
Mix ingredients

In a large bowl, mix onion, ground beef, ground pork, pork panko, red pepper, oregano, parsley, egg and garlic.

a clear bowl with meatloaf mixed in
3
Put meatloaf in pan

Place into a 7” round cake pan, loaf pan or casserole dish. Push down to mold meat to fit the loaf pan or dish.

meatloaf packed into a round casserole dish
4
Marinara time

Add half of the marinara to the top of the meatloaf and spread to cover evenly. Cover with aluminum foil and place into the oven at 375 degrees for 30 minutes.

marinara spread over a meatloaf in a white dish
5
Pepperoni

Remove foil, add remaining sauce and ½ of the pepperoni slices. Replace foil and place back into the oven for 20 minutes.

pepperoni slices over marinara sauce in a casserole dish
6
Finish your pizza

Add cheese and remaining pepperoni to the top of the meatloaf. Place back into the oven for 5-7 minutes, or until cheese is melted. Serve pizza pie style.

pizza toppings on a meatloaf with red pepper flakes around
Nutrition Per Serving
637 Calories
25.4g Fat
44g Protein
2.2g Net Carbs
2.5g Total Carbs
6 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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Pizza Meatloaf

Frequently Asked Questions

Can I use turkey or chicken instead of ground beef and pork?

Yes. Turkey or chicken work, but they're leaner, so the meatloaf will be a bit drier. I'd add an extra tablespoon of olive oil to the mix.

What can I use instead of pork panko?

Almond flour or grated parmesan both work. Pork rinds give it a little crunch, but the others bind just as well.

How should I store leftover pizza meatloaf?

Fridge for 3-4 days in an airtight container, or freeze for up to 3 months. Reheat slices in the oven at 350°F so the cheese gets bubbly again.

Can I add other pizza toppings to this meatloaf?

Absolutely! Just chop them small and don't pile them on too thick or the meatloaf won't hold together.

Is this pizza meatloaf suitable for a keto diet?

Yes. 2.2g net carbs per serving. It's basically pizza without the crust.

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a pepperoni slice with basil on it

The base is seasoned ground beef and pork mixed with crushed pork rinds (they replace breadcrumbs), oregano, parsley, red pepper flakes, and garlic. I use half beef, half pork for the right balance of flavor and fat. Once it’s shaped and baked, I layer on marinara, mozzarella, and pepperoni, just like pizza but meatloaf-style.

a slice of meatloaf pulled up with cheese hanging down

Meat Swaps

Half beef, half pork gives the best flavor, but you can use all beef, all pork, ground chicken, or ground turkey if you prefer. For the binding, pork panko (crushed pork rinds) works best, but almond flour or grated parmesan work too. They just won’t crisp up quite the same way.

Low Carb Marinara Sauce

Homemade Marinara Sauce Marinara sauce is relatively easy to make and will give your dish a bright, clean taste. Homemade pizza sauce is also the best way to ensure your sauce is made out of the very best ingredients. You can control exactly what you want in your sauce so you know exactly what you are eating. Making your own marinara sauce is also a great way to get an affordable keto sauce. Fody Marinara Sauce If you have a sensitive stomach and require a low FODMAP marinara sauce, Fody marinara sauce is a great option. This rich and creamy pasta sauce does not contain onion or garlic, and it is gluten-free. Each ½ cup of Fody marinara sauce contains 3g net carbs. Rao’s Marinara Sauce This marinara sauce is made with high-quality Italian tomatoes and classic Italian ingredients. It only contains 3g net carbs for every ½ cup serving, and it has no added sugars, making it an excellent keto marinara sauce. Thrive Market Organic Marinara The secret ingredient to this pizza sauce is the sweet and low acidic organic tomatoes grown in volcanic soil near Mount Vesuvius in Italy. This natural marinara sauce does not contain any GMO’s, additives, or sweeteners, and best of all, it only has 5g net carbs for a ½ cup serving. Yo Mama's Marinara This low-carb pasta sauce only has 4 grams net carbs per 1/2 cup serving. It uses non-GMO tomatoes and real, whole ingredients.
ground beef and ground pork in a bowl with an egg and other ingredients near by

Keto Approved Pizza Toppings

The list of possible keto pizza toppings would be forever ongoing, but some of our favorites for this pizza meatloaf recipe include veggies such as bell pepper, onion, tomatoes, basil, green onion, olives, mushroom, or spinach. These vegetables give the keto pizza meatloaf a light and fresh taste. If you are in the mood for a meat-heavy dish, you can add meat toppings, including pepperoni, salami, sausage, or even bacon. Pizza toppings are very versatile, and you can put many different combinations on your pizza meatloaf.
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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Reviews 3
4.5 Stars (2 Reviews)
  1. G
    Gerry Jan 6, 2022

    I just discovered your recipes and they are all wonderful, simple and quick. I made a happy mistake in using ground Italian sausage instead of the ground pork. The result was a very dense meatloaf, but enjoyed by two. With so much left over I cut off the topping of cheese and pepperoni and meat loaf, crumbled it in a mini chopper to use as filling in fathead dough calzones and crumbled the 1 lb. of meatloaf and used it in the keto lasagna recipe. I can also use it for tacos, topping for pizza, use it in soups.

    1. Annie Lampella
      Annie Lampella Jan 9, 2022

      Oh yum.. this sounds amazing!

  2. L
    Lugene Lancaster Jul 6, 2021

    Nice change from regular meatloaf and a good pizza substitute.

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