Crustless Keto Pizza Casserole


2 lbs Italian sausage 

2 tbsp olive oil

1 medium yellow onion, thinly sliced

1 large bell pepper 

8 oz baby Bella mushrooms (optional)

1/2 tsp salt

1/2 tsp black pepper

5 oz pepperoni

2 cups tomato sauce 

3 cups Mexican blend shredded cheese


Preheat oven to 425.

Brown the sausage and set aside.

In the same pan, add the olive oil, onions, peppers, mushrooms, salt and pepper. Saute until translucent. 

In a 9x13 pan, make 2 layers...sausage, veggies, sauce, cheese then pepperoni. 

Bake 15-20 min until cheese is melted. 


12 servings

436 calories

36g fat

7g total carbs

6g net carbs

23g protein


Enjoy!