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Keto Pizza Casserole

This recipe is one of our favorite quick, reliable recipes. In about 20 minutes of hands-on time, you’ve got a dinner that the whole family will love. Feel free to add to this recipe according to what you usually would have on your favorite pie. Mushrooms and bell peppers are particular favorites around our house.
Prep Time20 mins
Cook Time25 mins
Total Time45 mins
Course: Main
Cuisine: American, Italian
Keyword: Casserole
Servings: 8
Calories: 558.17kcal
Author: Wendy Polisi


  • 1 tablespoon avocado oil
  • ½ cup chopped onion
  • 1 teaspoon minced garlic
  • 16 ounces ground beef
  • 12 ounces Italian sausage casings removed and crumbled or chopped
  • 1 teaspoon Italian seasoning
  • 1 teaspoon sea salt
  • 1 ½ cups Keto Marinara or Rao’s
  • ½ cup heavy cream
  • 3 ounces cream cheese
  • 2 ounces mozzarella cheese grated
  • 2 ounces cheddar cheese grated
  • 2 ounces Parmesan grated
  • 4 ounces pepperoni


  • Preheat oven to 350 degrees.
  • Heat oil in a large skillet over medium-high heat.
  • Add onion and cook for 5 minutes. Add garlic and cook for another 30 seconds.
  • Add ground beef, sausage, Italian seasoning, and salt to the skillet. Cook until the ground beef and sausage are browned, breaking the meat up with the back of a spoon as you cook.
  • Stir in marinara, heavy cream, and cream cheese. Cook for 5 minutes, or until the cream cheese melts and the mixture heats through.
  • Transfer the mixture to an 8 x 8 casserole dish. Top with mozzarella, cheddar, Parmesan, and pepperoni.
  • Bake for 25 minutes. Cool for 5 minutes before serving.


Calories: 558.17kcal | Carbohydrates: 5.3g | Protein: 26.58g | Fat: 47.66g | Saturated Fat: 20.54g | Cholesterol: 137.39mg | Sodium: 1372.15mg | Potassium: 511.56mg | Fiber: 0.96g | Sugar: 2.91g | Vitamin A: 734.63IU | Vitamin C: 4.92mg | Calcium: 224.14mg | Iron: 2.57mg