• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
My Montana Kitchen
  • Recipe Index
    • Recipes
    • Dessert
    • Snacks
    • Breakfast
    • Main Dishes
    • Candy
    • Drinks
    • Side Dishes
    • Make It Yourself
  • Shop
  • Members
    • Join now
    • Account
  • No-Cheat Bootcamp
go to homepage
Homepage link
  • About Me
  • Recipe Index
    • Recipes
    • Dessert
    • Snacks
    • Breakfast
    • Main Dishes
    • Candy
    • Drinks
    • Side Dishes
    • Make It Yourself
  • Privacy Policy
  • Contact
  • Members
    • Sign Up
  • Shop
×

Low Carb Pizza Casserole

November 14, 2017 By Sarah Hardy 9 Comments

Save for Later!

5.1K shares
  • Facebook676

We may earn money from the products/companies mentioned in this post. As an Amazon Associate I earn from qualifying purchases.

Jump to Recipe - Print Recipe

Low Carb Pizza Casserole

Low Carb Pizza Casserole #trimhealthymama #thm #thms #pizza #meatballs #casserole #mymontanakitchen

(This post contains affiliate links, which provide me with a small compensation when you purchase your products through my links. Thank you for your support!)

SAVE THE RECIPE form

 🎉 SAVE THIS POST 🎉

 Just enter your email below and I'll send the   recipe! Plus, you'll get tons of other great   recipes delivered straight to your inbox! 🎉

This low carb pizza casserole is easy, savory, cheesy, and sure to be a family favorite! The meatballs can be made ahead of time and frozen, so this pizza casserole can be super quick as well. This recipe is low carb, gluten free, and a Trim Healthy Mama S Fuel.

See just how easy this casserole is by watching the video below!

My family is like most other American families - and we love pizza. My husband loves mushrooms, sausage, and onions. The kids and I are happy with plain pepperoni and cheese. Fortunately, low carb pizza is very easy to make, and the internet abounds with delicious recipes! (See all my pizza recipes here!)

This pizza casserole was a sure hit with my kids because of the pepperoni and cheese. (And my husband and I enjoyed it as well.)

Low Carb Pizza Meatball Casserole #trimhealthymama #thm #thms #pizza #meatballs #casserole #mymontanakitchen

The meatballs are easy to make, and can even be made ahead of time if you want to prep a bit. You can make the meatballs and freeze them (without cooking), then pull them out to thaw the day before you want to make the casserole. Or, you could go ahead and cook the meatballs, then bake them with the sauce and cheese (no need to thaw).

I think this would work great as a freezer meal as well. You could assemble the pizza casserole, and freeze the entire thing. I would thaw it first before baking, but you could probably bake it from frozen, it would just take longer.

Add a side salad and some oven fried green beans, and you have a delicious, healthy, and hearty meal that your entire family will love!

If you love all the sauce, but not the pepperoni, you should check out this awesome Meatball Casserole with Parmesan. 

And if you want a quick pizza fix, you'll enjoy this Pizza in a Bowl Recipe!

The leftovers (if there are any) are great as well!

So what do you need for this Low Carb Pizza Casserole?

For the Meatballs: (See Full Recipe Here)

1.5 Pounds Ground Venison (or lean ground beef)

¼  Cup Finely Chopped Onion

3 Tablespoons Nutritional Yeast

2 Eggs

¼ Teaspoon Thyme

1 Teaspoon Garlic Powder

1 Tablespoon Parsley

¼ Cup Golden Flaxmeal

3 Tablespoons Heavy Cream (or Unsweetened Almond Milk)

1 Teaspoon Salt

¼ Teaspoon Black Pepper

For the Pizza Sauce: (Or you can use your favorite pre-made pizza sauce - you need 2 cups)

1 6 ounce can Tomato Paste

1 Teaspoon Garlic Powder

½ Teaspoon Garlic Salt

2 Teaspoons Oregano

1 Teaspoon Basil

1 Teaspoon Olive Oil

1 “doonk” Pure Stevia (1/32 of a teaspoon)

1 ¼ Cup Water

For the Toppings:

32 Pieces Pepperoni

1 Cup Shredded Mozzarella Cheese

Be sure to sign up with your email address so you can receive all my new recipes delivered right to your inbox! (Look for the sign-up box at the top of this post.) Also, be sure to follow me on Facebook, Pinterest, Instagram, and Twitter!

Low Carb Pizza Meatball Casserole #trimhealthymama #thm #thms #pizza #meatballs #casserole #mymontanakitchen

This low-carb pizza casserole is easy, savory, cheesy, and sure to be a family favorite! The meatballs can be made ahead of time and frozen, so this pizza casserole can be super quick as well. #casserole #pizza #meatballs #lowcarb #keto #trimhealthymama

Low Carb Pizza Meatball Casserole

This cheesy low carb meatball casserole will quickly become a family favorite!
Print Pin Rate
Course: Main Course
Cuisine: American
Prep Time: 15 minutes minutes
Cook Time: 35 minutes minutes
Total Time: 50 minutes minutes
Servings: 8 Servings
Calories: 328kcal
Prevent your screen from going dark

Ingredients

For the Meatballs:

  • 1.5 Pounds Ground Venison or lean ground beef
  • ¼   Cup Finely Chopped Onion
  • 3 Tablespoons Nutritional Yeast
  • 2 Eggs
  • ¼ Teaspoon Thyme
  • 1 Teaspoon Garlic Powder
  • 1 Tablespoon Parsley
  • ¼ Cup Golden Flaxmeal
  • 3 Tablespoons Heavy Cream or Unsweetened Almond Milk
  • 1 Teaspoon Salt
  • ¼ Teaspoon Black Pepper

For the Pizza Sauce: (Or you can use your favorite pre-made pizza sauce - you need 2 cups)

  • 1 6 ounce can Tomato Paste
  • 1 Teaspoon Garlic Powder
  • ½ Teaspoon Garlic Salt
  • 2 Teaspoons Oregano
  • 1 Teaspoon Basil
  • 1 Teaspoon Olive Oil
  • 1 “doonk” Pure Stevia 1/32 of a teaspoon
  • 1 ¼ Cup Water

For the Toppings:

  • 32 Pieces Pepperoni
  • 1 Cup Shredded Mozzarella Cheese
Get Recipe Ingredients

Instructions

  • Preheat oven to 350.

Make Meatballs

  • In a large bowl, mix all meatball ingredients well.
  • Using a cookie scoop (or your hands) form meat mixture into golf ball sized balls and place in a 9x13 casserole dish.
  • Place one piece of pepperoni on each meatball.

Make Pizza Sauce

  • Mix all pizza sauce ingredients together.
  • Pour sauce over meatballs.
  • Top with cheese.
  • Bake for 30-40 minutes, or until cheese is melty and meatballs are cooked through.

Nutrition

Serving: 4Meatballs | Calories: 328kcal | Carbohydrates: 8g | Protein: 32g | Fat: 19g | Saturated Fat: 8g | Cholesterol: 155mg | Fiber: 3g

Shop my Pampered Chef Store HERE!

pampered chef holiday sales
Tried this recipe?Mention @my_montana_kitchen_thm or tag #mymontanakitchen!
Nutrition Facts
Amount Per Serving
Calories 328
% Daily Value
Total Fat 19g
29%
Saturated Fat 8g
39%
Trans Fat 0g
Cholesterol 155mg
52%
Sodium 5399mg
225%
Total Carbohydrates 8g
3%
Dietary Fiber 3g
12%
Sugars 4g
Protein 32g
Vitamin A 11%
Vitamin C undefined%
Calcium 9%
Iron undefined%


More Recipes

  • Close-up of freshly baked sourdough blueberry muffins in a muffin tin, topped with golden, buttery crumb topping.
    Sourdough Blueberry Muffins
  • Bowl of cottage cheese mashed potatoes topped with a pat of butter and freshly ground pepper, on a yellow background.
    Cottage Cheese Mashed Potatoes
  • Soft Sourdough Sandwich Bread
  • Bowl of roasted spaghetti squash topped with a hearty Bolognese meat sauce, garnished with grated Parmesan and fresh parsley.
    Simple Spaghetti Squash Bolognese

Save for Later!

5.1K shares
  • Facebook676

Reader Interactions

Comments

    Leave a Reply Cancel reply

    Your email address will not be published. Required fields are marked *

    Recipe Rating




  1. Madeleine

    June 20, 2021 at 7:25 am

    If I have meatballs already made, how many should I use for this recipe? About 1 lb.? Have some frozen meatballs I want to use.

    Reply
    • Sarah Hardy

      June 22, 2021 at 10:03 am

      I'm not sure the exact amount - I would just place them in the pan and then add the other ingredients to the top.

      Reply

Trackbacks

  1. 25 Best Low Carb Pizza Recipes - The Fit Housewife says:
    March 5, 2018 at 3:09 am

    […] Low Carb Pizza Casserole – My Montana Kitchen […]

    Reply
  2. Audio Weight Loss says:
    April 10, 2018 at 12:59 pm

    […] Low Carb Pizza Casserole – My Montana Kitchen […]

    Reply
  3. Audio Weight Loss says:
    April 10, 2018 at 12:59 pm

    […] Low Carb Pizza Casserole – My Montana Kitchen […]

    Reply
  4. Recipes – Nancy Tessier says:
    May 17, 2018 at 5:07 am

    […] Low Carb Pizza Meatball Casserole | My Montana Kitchen […]

    Reply
  5. Cheesy Chicken and Broccoli Casserole {THM-S, Low Carb} | My Montana Kitchen says:
    May 24, 2018 at 11:55 pm

    […] Low Carb Pizza Casserole […]

    Reply
  6. 12 Easy Keto Casseroles You Need to Make Now! | My Montana Kitchen says:
    April 13, 2019 at 9:35 am

    […] Low-Carb Pizza Meatball Casserole […]

    Reply
  7. Easy Low Carb Meatballs (Keto, Gluten Free) says:
    May 8, 2019 at 11:12 pm

    […] Everyone loves a good meatball recipe – am I right? Like these Sweet and sour meatballs or pizza meatball casserole ? […]

    Reply

Primary Sidebar

Talk With Us

Get a jump start with my FREE Trim Healthy Mama Recipe Starter Pack!

Copyright © 2025 My Montana Kitchen · Contact · About · Privacy Policy