Low-Carb Supreme Pizza Casserole

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This Low-Carb Supreme Pizza Casserole combines your favorite pizza toppings without the crust.


Prep Time: 15 mins
Cook Time: 25 mins
Total Time: 40 mins

Servings: 4 servings
Calories: 310kcal


  • 1/2 pound pork sausage
  • 10 slices pepperoni halved
  • 6 large mushrooms sliced
  • 1 green bell pepper chopped in bite-sized pieces
  • ½ onion chopped in bite-sized pieces
  • 1 cup chopped tomatoes canned
  • 1 tablespoon tomato paste
  • 2 teaspoons Italian seasoning divided
  • Salt and pepper to taste
  • 1 cup mozzarella cheese grated


  1. Browning the sausage meat in a large skillet over medium-high heat, about 8 minutes, breaking it up into small pieces. Add half the Italian seasoning, salt and pepper.
  2. While the meat is cooking, add the chopped tomatoes and tomato paste to a small saucepan over medium heat. Add the remaining Italian seasoning, plus salt and pepper. Simmer for about 10 minutes, or until slightly reduced.
  3. Add the remaining ingredients (mushroom, onion, bell pepper, pepperoni, and half the cheese) to a casserole dish. When the sausage is done, add it to the mix. Then add the tomato sauce over the top and stir it all up. Sprinkle the remaining mozzarella cheese over the top.
  4. Bake for 25 minutes on 350 degrees F.


Calories: 310kcal | Carbohydrates: 7g | Protein: 18g | Fat: 24g | Saturated Fat: 9g | Cholesterol: 68mg | Sodium: 698mg | Potassium: 451mg | Fiber: 2g | Sugar: 3g | Vitamin A: 400IU | Vitamin C: 31mg | Calcium: 176mg | Iron: 2mg
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