Low-Carb Deconstructed Pizza Casserole (Video)
Low-Carb Deconstructed Pizza Casserole is a delicious comfort food casserole that the whole family is going to love. And this pizza casserole is one of the most popular low-carb casserole recipes on my blog!
PIN Deconstructed Pizza Casserole to try it later!
For today’s Friday Favorites feature I’m reminding you about this Low-Carb Deconstructed Pizza Casserole that’s been a hit with so many of my readers that it’s one of the most popular low-carb pizza casseroles on the internet! And if you sometimes struggle with feeling deprived when you give up carbs, I promise that this pizza casserole without the crust is a low-carb comfort food recipe that’s going to feel like a treat!
When the idea for a casserole with pizza flavors popped into my mind, I just couldn’t wait to make it. Then when the casserole was cooking I couldn’t wait to eat it, and after I tried it, I couldn’t wait to share the recipe with you! This is something I’ve made many times at my house, and I promise it will be a hit with anyone who likes pizza.
What ingredients do you need for this recipe?
- can of diced tomatoes
- uncooked turkey or pork Italian sausage
- Olive Oil (affiliate link)
- Dried Oregano (affiliate link)
- salt and fresh-ground pepper to taste
- fresh mushrooms
- grated Mozzarella cheese
- slices of pepperoni
Can you use other toppings for this low-carb Pizza Casserole?
Sausage, pepperoni, and cheese are the pizza toppings I love most, so of course that’s what I used for this Deconstructed Pizza Casserole recipe! But you can definitely replace the sausage with ground beef or use other toppings like ham, green bell pepper, olives, or even bacon if you want to switch it up a bit.
Can you freeze the Deconstructed Pizza Casserole?
Like most casserole recipes, this pizza casserole will freeze well and can be reheated in the microwave or a hot oven. Unfortunately at my house it usually disappears before I can get any in the freezer!
Want more ideas for low-carb pizza?
Any time you’re craving pizza but don’t want the carbs, check out my huge collection of Low-Carb Pizza Recipes. And most of those recipes are also gluten-free.
How to Make Low-Carb Deconstructed Pizza Casserole:
(Scroll down for complete printable recipe with nutritional information.)
- Dump a can of diced tomatoes into a colander and rinse; then spread them out to dry on a paper towel.
- Squeeze turkey Italian sausage out of the casings and brown well, then put it into a small casserole dish.
- Put the drained tomatoes over the sausage and season.
- Wash the mushrooms, pat dry, and cut into thick slices.
- Saute mushrooms until they give up their liquid and are starting to brown.
- Then layer mushrooms over the sausage-tomato mixture.
- Cut pepperoni in half (I use kitchen shears. (affiliate link)
- Spread the grated mozzarella over the casserole and top with pepperoni.
- Bake about 25 minutes, or until the ingredients are heated through and the cheese is starting to brown. (I baked mine a bit too long, don’t get distracted!)
- Serve hot and enjoy! And I promise this will hit the spot any time you’re really craving pizza.
More Low-Carb Pizza from Kalyn’s Kitchen:
- Pepperoni Pizza Chicken Bake
- Pepperoni Pizza Keto Crustless Quiche
- Sausage and Pepperoni Layered Pizza Bake
- Air Fryer Pizza
- Sausage and Pepperoni Pizza-Stuffed Peppers
Weekend Food Prep:
This recipe has been added to a category called Weekend Food Prep where you’ll find recipes you can prep or cook on the weekend and eat during the week!

Low-Carb Deconstructed Pizza Casserole
Low-Carb Deconstructed Pizza Casserole is a comfort food casserole the whole family will enjoy!
Ingredients
- 1 can diced tomatoes, well drained ((14.5 oz. can; do not use petite dice tomatoes)
- 5 links uncooked turkey or pork Italian sausage (19.5 oz.)
- 2 tsp. + 2 tsp. olive oil
- 1/2 tsp. dried oregano
- salt and fresh-ground pepper to taste (I didn't use much salt.)
- 12 oz. fresh mushrooms, washed and cut into thick slices (I used brown Cremini mushrooms.)
- 1 1/2 cups grated Mozzarella cheese
- 15 slices pepperoni, cut in half (I used regular pepperoni, but you can use turkey pepperoni if you prefer)
Instructions
- Preheat oven to 400F/200C.
- Spray an 8 inch x 11 inch glass casserole dish with non-stick spray or olive oil.
- Pour the diced tomatoes into a colander placed in the sink and rinse with cold water. Let tomatoes drain a minute or two, then spread them out on paper towels to dry (or blot dry with another paper towel on top.)
- While tomatoes dry, heat 2 tsp. olive oil in a large non-stick frying pan, squeeze the sausage out of the casing, and cook sausage over medium-high heat until it's nicely browned, breaking it apart as it cooks. (I use an old-fashioned potato masher (affiliate link) to break the sausage apart.)
- While sausage cooks, wash mushrooms, pat dry, and slice into thick slices.
- When the sausage is done make a layer of sausage in the bottom of the casserole dish and top with the drained tomatoes, spreading them out over the top of the sausage.
- Season with dried oregano, salt, and fresh-ground black pepper. (I didn't use much salt.)
- Rinse out the pan if needed, then heat the other 2 tsp. of olive oil over medium-high heat. When the pan is hot add the mushrooms and cook, stirring a few times, until all the liquid is released and the mushrooms are starting to brown.
- Layer the mushrooms over the sausage-tomato mixture.
- Cut pepperoni in half.
- Sprinkle the grated Mozzarella over the top of the casserole and lay the pepperoni pieces on top of the cheese, spacing them evenly so the whole top is covered with pepperoni.
- Bake about 25 minutes, or until the cheese is melted and starting to brown. Serve hot.
Notes
I used my favorite turkey Italian sausage for this recipe; use pork sausage if you prefer.
This recipe created by Kalyn.
Nutrition Information:
Yield:
6Serving Size:
1Amount Per Serving: Calories: 289Total Fat: 18gSaturated Fat: 7gUnsaturated Fat: 10gCholesterol: 85mgSodium: 561mgCarbohydrates: 6gFiber: 2gSugar: 3gProtein: 26g
Nutrition information is automatically calculated by the Recipe Plug-In I am using. I am not a nutritionist and cannot guarantee 100% accuracy, since many variables affect those calculations.

Low-Carb Diet / Low-Glycemic Diet / South Beach Diet Suggestions:
This low-carb pizza casserole would be great for low-carb and Keto diets, and it’s also gluten-free. It can also work for the original South Beach Diet with the right ingredients. Low-carb diet plans will probably prefer pork sausage and pepperoni and full-fat cheese. If you’re following the original South Beach Diet, they would recommend turkey Italian sausage, turkey pepperoni, and reduced fat Mozzarella.
Find More Recipes Like This One:
Use Casserole Recipes to find more recipes like this one. Use the Diet Type Index to find recipes suitable for a specific eating plan. You might also like to follow Kalyn’s Kitchen on Pinterest, on Facebook, on Instagram, on TikTok, or on YouTube to see all the good recipes I’m sharing there.
Historical Notes for this Recipe:
This Low-Carb Deconstructed Pizza Casserole was first posted in 2016, and it quickly became one of the most popular casseroles on my site. The recipe was last updated with more information in 2022.
231 Comments on “Low-Carb Deconstructed Pizza Casserole (Video)”
I used hot Italian chicken sausage and added the egg mixture talked about above but used cottage cheese instead of ricotta. I am incapable of cooking anything without onions and garlic, so added those with the mushrooms. I thought it sounded quite weird, but wow, it turned out fantastic. Even hubby liked it. I watch calories and am gluten free. I was shocked when I calculated the calories how low it was. Thanks for a great recipe!
So happy to hear you enjoyed it!
Glad you liked it; interesting to hear how you adapted the recipe.
This looks amazing! Do you think if I used a jarred tomato sauce, it would be too watery? Do the diced tomatoes help hold it together somehow?
Yes, I do think sauce from a jar will be too watery unless you cook it down for quite a while to thicken it. Even then I can't say for sure how it will work since I haven't done it that way, but that's why I rinsed the tomatoes.
Oops, sorry for the duplicate post. Feel free to delete at will. I didn't realize I'd submitted earlier yesterday.
No worries; glad to hear it worked out like you wanted!
Thank you, thank you, thank you for this recipe! My family has been missing pizza. 🙂 I did make a few changes the second time I made it. I decided to make the bottom layer hold together by adding ricotta cheese, 2 eggs, and some parmesan and Italian herbs to the sausage and tomato mixture. I also added some additional veggies – green pepper, green chile, red onion and sliced tomato and added some more parmesan over the top. Yum!:)
KT, sounds like it might work if you want a more pizza-like dish. I considered it a casserole, so I was eating it with a fork and didn't mind that it didn't stick together.
I'm not a fan of mushrooms. Any suggestions on what I can substitute with instead? Or can I just omit them?
It would be quite thin without the mushrooms; I'd replace them with another type of vegetable that you like on pizza.
This is a wonderful idea that absolutely tastes GREAT! It is my husband's favorite new low-carb recipe! I cooked the sausage with onions and bell peppers because we like that on our pizza too! I am sharing this recipe with all of my friends! Thanks so much for making pizza easy and low carb!!
So glad you're enjoying it!
I'm not clear where you'd put the spinach? As a topping? Mixed in with the meat?
This is a delicious recipe! I think you could customize the toppings to your own family. I had turkey breakfast sausage so I used that and omitted seasoning the meat. Yummy! Next time I will double the recipe so we have extra.
I found your site last year when we needed variety on South Beach. Thank you for posting your ideas. I don't feel very creative some days so I love what you have come up with. Thank you so much.
As a side note- I visit Salt Lake regularly as I have a son living there. I have tried the Red Iguana, it is delicious. I may try some of the restaurants you recommend. Thanks again!
Thanks Shayna, so glad you have been enjoying the recipes ! I love, love, love The Red Iguana. Have fun visiting Salt Lake.
Looks delicious and this is on the menu at the Winn's this week. 🙂
Hope you enjoy Jenn!
Why "rinse" canned, chopped tomatoes? What remains? Never seen that one before.
The reason for rinsing the tomatoes is so that the finished dish doesn't turn out watery. You can try it without rinsing if you prefer, but I thought the results were great with the rinsed tomatoes.
Yum gonna try it this week!
Hope you enjoy Sommer!
This sounds amazing, can't wait to try!!
Thanks Betti, hope you enjoy!
Do you think that this could work with ground beef or turkey substituted for the sausage? I have one picky eater in the family!
It will work, but truthfully a lot of the flavor in the dish comes from the sausage so I don't know if it will be as good that way. Maybe if you season the meat a bit more than I did?
Oh, wow, this looks wonderful! I absolutely love pizza, and even as a kid wished I could have the toppings only with no crust (Mom: Don't be wasteful, there are children starving in China!). Question, though, do the tomatoes add enough moisture like sauce does, to kind of bind everything together?
It's really the cheese that melts down and binds it together, just enough that you can cut it into pieces. Definitely you need to eat with a fork.
I like to serve my family low carb meals 2 or 3 times a week, and this sounds amazing, especially since we're crazy about pizza. Since I always put a few rings of green bell peppers & onions on my homemade pizza, I'll put a thin layer of (diced & sautéed) green bell peppers and onions over the tomato layer, and I'll definitely use turkey pepperoni. Thanks for this recipe, and Happy New Year to you and your family.
Thanks; Happy New Year to you too! Glad you like it. I think the peppers and onions sound like a nice addition.
thank you for this recipe. I try to really eat low carb these days. I will make this for next week when I go back to work after taking some time off for the holidays. Please keep posting low carb meals.
Thanks Maria, glad you like it!
Nice idea, I like it.
Thanks Amy; hope you enjoy!
I made it, was very very tasty !!
Glad you liked it!
I think there are some kids in my family who would eat this in a heartbeat! What a fun (and low carb) way to start the new year!
Thanks Lydia! I am seriously thinking about eating some of the leftovers for breakfast; it was so good!