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Serving up a slice of delicious keto pizza casserole
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4.56 from 74 votes

Keto Pizza Casserole Recipe (Keto & Low Carb)

This delicious Keto Pizza Casserole is one the entire family will love. It is easy to make, delicious, and super filling. 
Prep Time15 mins
Cook Time20 mins
Total Time35 mins
Course: Main Course
Cuisine: American, Italian
Keyword: Keto Pizza Casserole
Servings: 9
Calories: 267kcal
Author: Kasey Trenum


  • 8 pieces of deli ham (I use smoked or black forest)
  • 1/2 jar of marinara sauce (lower carb version)
  • 1 lb ground beef browned
  • 3 cups mozzarella cheese
  • 1 cup parmesan cheese (freshly grated not the canned version)
  • 1 tablespoon Italian Seasoning
  • 1/2 teaspoon oregano
  • pepperoni (for topping)


  • Preheat the oven to 350.
  • Brown ground beef then add sugar-free marinara sauce and seasoning. Cook on med/high for about 5 minutes.
  • Spray the casserole dish with cooking spray. (I use a 9 X 13 pan).
  • Cover bottom of dish with 4 pieces of ham. It's okay if they overlap.
  • Add 1/2 of the ground beef/marinara mixture on top of the ham.
  • Next, sprinkle half of the mozzarella and parmesan cheese.
  • Layer again with ham, ground beef/marinara mixture, and cheeses then top with pepperoni. 
  • Bake in a 350-degree oven for 20 minutes.
  • Move pan to the top rack and broil 1-3 minutes or until cheese is lightly browned on top.



The nutritional information is based on using a low carb marinara with 4g of net carbs per serving. 

Variations to this recipe:

Feel free to change up this Low Carb Pizza Casserole with your favorite pizza toppings. I’ve listed a couple of ideas below:
  • Green Peppers
  • Onions
  • Mushrooms
  • Sausage
  • Bacon
  • Spinach
  • Olives
  • Chicken
  • Jalapenos


Calories: 267kcal | Carbohydrates: 3g | Protein: 23g | Fat: 18g | Saturated Fat: 9g | Cholesterol: 70mg | Sodium: 455mg | Potassium: 207mg | Fiber: 1g | Sugar: 1g | Vitamin A: 349IU | Calcium: 337mg | Iron: 2mg