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Irresistible Keto Pepperoni Pizza Bake in Just 35 Minutes

Keto Pepperoni Pizza Bake

A keto-friendly, crustless pizza casserole loaded with Italian sausage, pepperoni, and cheese. Perfect for low-carb dinners or meal prep.

Ingredients

Scale
  • 1 lb Italian sausage (mild or hot)
  • 1 cup low-sugar marinara sauce
  • 8 large eggs
  • 1/2 cup heavy cream
  • 2 cups shredded mozzarella, divided
  • 1/2 cup grated Parmesan
  • 1 cup diced bell pepper (optional)
  • 1/4 cup diced onion (optional)
  • 1 tsp Italian seasoning
  • 1/2 tsp garlic powder
  • 1/2 tsp salt
  • 1/4 tsp black pepper
  • 1 cup sliced pepperoni, plus extra for topping
  • 2 tbsp chopped fresh parsley or basil (optional garnish)

Instructions

  1. Preheat oven to 375°F. Grease a 9-inch pie dish or 8×8 baking dish.
  2. Cook Italian sausage in a skillet until browned. Drain excess grease.
  3. Spread marinara on the bottom of the baking dish. Top with cooked sausage.
  4. Whisk eggs, heavy cream, Italian seasoning, garlic powder, salt, and pepper in a bowl.
  5. Stir in 1 1/2 cups mozzarella, Parmesan, bell pepper/onion (if using), and pepperoni.
  6. Pour mixture into the dish. Top with remaining 1/2 cup mozzarella and extra pepperoni.
  7. Bake 30–35 minutes, until the center is set and the top is golden.
  8. Rest 10 minutes before slicing. Garnish with parsley or basil if desired.

Notes

  • For crispier edges, use an oven-safe skillet.
  • Store leftovers in the fridge for up to 4 days.
  • Reheat in oven or air fryer at 350°F for 6–8 minutes.

Nutrition

Keywords: Keto pizza casserole, Pepperoni pizza egg bake, Crustless pizza casserole, Cheesy keto dinner, Keto meal prep casserole