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Easy Low Carb Pizza Casserole

A cheesy, savory low-carb casserole that tastes just like pizza without the crust. Loaded with cauliflower, sausage, pepperoni, and melty mozzarella.
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Prep Time 10 minutes
Cook Time 40 minutes
Total Time 50 minutes
Servings: 6 portions
Course: Casserole, Dinner
Cuisine: American, Low Carb
Calories: 390
Ingredients Equipment Method Notes

Ingredients
  

Main Ingredients
  • 1 head cauliflower, cut into florets
  • 1 tbsp olive oil
  • 1 tsp salt
  • 1/2 tsp black pepper
  • 1 lb Italian sausage, cooked and crumbled
  • 1 cup low-sugar marinara sauce
  • 2 cups shredded mozzarella cheese
  • 1/2 cup grated parmesan cheese
  • 20-25 slices pepperoni
  • 1 tsp Italian seasoning
  • 1/2 tsp garlic powder

Equipment

  • Baking dish
  • Skillet
  • Knife and cutting board
  • Mixing bowl

Method
 

  1. Preheat oven to 400°F (200°C). Roast cauliflower florets with olive oil, salt, and pepper for 18–20 minutes.
  2. Brown Italian sausage in a skillet and drain.
  3. Lower oven to 375°F (190°C). Add roasted cauliflower to a baking dish.
  4. Layer marinara and cooked sausage over the cauliflower.
  5. Add Italian seasoning, garlic powder, and half the cheese. Mix lightly.
  6. Top with remaining cheese and pepperoni slices.
  7. Bake 20 minutes until bubbly and golden.
  8. Cool slightly, garnish with basil, and serve.

Notes

Customize with your favorite low-carb pizza toppings.