Irresistible Keto Pepperoni Pizza Bake in Just 35 Minutes
A keto-friendly, crustless pizza casserole loaded with Italian sausage, pepperoni, and cheese. Perfect for low-carb dinners or meal prep.
- Author: jessica
- Prep Time: 15 minutes
- Cook Time: 35 minutes
- Total Time: 50 minutes
- Yield: 8 slices 1x
- Category: Dinner, Breakfast, Brunch
- Method: Baked
- Cuisine: American / Italian-Inspired
- Diet: Gluten Free
- 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)
- Preheat oven to 375°F. Grease a 9-inch pie dish or 8×8 baking dish.
- Cook Italian sausage in a skillet until browned. Drain excess grease.
- Spread marinara on the bottom of the baking dish. Top with cooked sausage.
- Whisk eggs, heavy cream, Italian seasoning, garlic powder, salt, and pepper in a bowl.
- Stir in 1 1/2 cups mozzarella, Parmesan, bell pepper/onion (if using), and pepperoni.
- Pour mixture into the dish. Top with remaining 1/2 cup mozzarella and extra pepperoni.
- Bake 30–35 minutes, until the center is set and the top is golden.
- 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
- Serving Size: 1 slice
- Calories: 390
- Sugar: 3g
- Sodium: 800mg
- Fat: 30g
- Saturated Fat: 12g
- Unsaturated Fat: 15g
- Trans Fat: 0g
- Carbohydrates: 5g
- Fiber: 1g
- Protein: 23g
- Cholesterol: 220mg
Keywords: Keto pizza casserole, Pepperoni pizza egg bake, Crustless pizza casserole, Cheesy keto dinner, Keto meal prep casserole