Pizza Meatloaf
Published June 5, 2021 • Updated February 28, 2026
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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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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
Mix ingredients
In a large bowl, mix onion, ground beef, ground pork, pork panko, red pepper, oregano, parsley, egg and garlic.
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.
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.
Pepperoni
Remove foil, add remaining sauce and ½ of the pepperoni slices. Replace foil and place back into the oven for 20 minutes.
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 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.



Made this Sunday and my teenager sat down, cleaned his plate, and asked if I'd ordered from somewhere. That's why I'm posting. We've been keto since January and he's been loud about missing pizza nights, so him assuming we ordered is not a small thing. I did add more red pepper flakes than the recipe calls for since the base seasoning felt mild, but once the pepperoni crisps up on top the pizza flavor clicks into place.
A teenager assuming you ordered is better feedback than any five-star review. More red pepper flakes is right, that amount in the recipe is the floor not the ceiling.
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.
Oh yum.. this sounds amazing!
Nice change from regular meatloaf and a good pizza substitute.
Ha, my kids don't even notice the missing crust. They just care about the pepperoni situation on top.