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High-Protein Supreme Pizza Casserole

High-Protein Supreme Pizza Casserole

All the classic supreme pizza flavors in a high-protein, low-carb casserole — ready in 35 minutes

This is supreme pizza turned into a hearty high-protein casserole. A base of seasoned ground beef and cauliflower (or low-carb alternative) is layered with pizza sauce, pepperoni, mushrooms, peppers, and plenty of melted mozzarella. Every serving delivers 32 g of protein and only 6 g net carbs.

One dish, completely sugar-free, and perfect for a satisfying pizza-night dinner that still fits your macros.

Prep10 min
Cook25 min
Servings6
Protein32g
Net Carbs6g
Calories420

Why you’ll love this casserole

  • 32g protein per serving — pizza night without the carb crash
  • Only 6g net carbs and fully sugar-free
  • Classic supreme pizza toppings in every bite
  • Ready in about 35 minutes
  • One baking dish, minimal cleanup
  • Excellent for meal prep and leftovers

Health notes

  • High protein: Ground beef and mozzarella keep the protein high and the dish filling.
  • Low carb: Cauliflower base and sugar-free pizza sauce keep net carbs controlled.
  • Sugar-free: No added sugar in the sauce or toppings.
  • Satisfying: Pepperoni, mushrooms, and peppers deliver classic pizza flavor.

Key element — well-drained cauliflower

If using riced cauliflower, squeeze out as much moisture as possible after cooking. Excess water makes the casserole watery instead of firm and sliceable.

Ingredients

Base & protein

  • 1.5 lb (680g) lean ground beef (or a mix of beef and Italian sausage)
  • 4 cups riced cauliflower (fresh or frozen, thawed and well-drained)
  • 1 small onion, diced
  • 2–3 garlic cloves, minced
  • 1 tsp Italian seasoning
  • ½ tsp garlic powder
  • Salt and black pepper to taste

Sauce & toppings

  • 1–1½ cups sugar-free pizza sauce or low-carb marinara
  • 2 cups shredded mozzarella cheese
  • 20–25 slices turkey or regular pepperoni
  • 1 cup sliced mushrooms
  • ½ green bell pepper, diced
  • Optional: black olives, red onion, or banana peppers

To finish

  • Extra Italian seasoning or red pepper flakes
  • Fresh basil or parsley for garnish

Swaps

  • Turkey or chicken: Use lean ground turkey or chicken for a lighter version.
  • No cauliflower: Use cooked spaghetti squash or zucchini noodles (well-drained).
  • Extra cheesy: Add a layer of ricotta or cream cheese mixed with an egg for a ricotta-style base.
  • Spicier: Use hot Italian sausage and extra red pepper flakes.

Instructions

Pro tips

  • Squeeze the cauliflower thoroughly — excess moisture is the main cause of a watery casserole.
  • Use a good melting mozzarella for the best stretch and golden top.
  • For extra browning, broil the last 1–2 minutes while watching closely.
  • Let the casserole rest a few minutes after baking so it sets and slices cleanly.
  • This reheats beautifully and makes excellent leftovers for lunch.

Nutrition

NutrientPer serving (1/6)
Calories420
Protein32g
Net carbohydrates6g
Total carbohydrates9g
Fiber3g
Total fat28g
Sodium780mg

Estimates based on lean ground beef, mozzarella, and sugar-free pizza sauce. Exact numbers vary with cheese amount and sauce brand.

Variations

Meat-lover’s

Add cooked crumbled Italian sausage or chopped cooked bacon along with the pepperoni.

Veggie supreme

Load up with extra mushrooms, peppers, olives, and red onion; reduce the meat slightly if desired.

Spicy version

Use hot Italian sausage, extra red pepper flakes, and spicy pepperoni.

White pizza style

Skip the red sauce and use a garlic-cream or ricotta base with mozzarella and toppings.

Storage

MethodTimeNotes
RefrigeratorUp to 4 daysCovered; reheat in oven or microwave
FreezerUp to 2 monthsFreeze in portions; thaw overnight in the fridge
Meal prepUp to 4 daysPerfect for grab-and-go lunches

FAQ

Yes. At 6g net carbs per serving it fits most keto plans when using sugar-free pizza sauce and well-drained cauliflower.
Yes. Thaw it completely and squeeze out as much moisture as possible before adding it to the skillet.
The cauliflower still had too much moisture. Squeeze it thoroughly after cooking or thawing, and cook it a few extra minutes in the skillet to drive off liquid.
Yes. Assemble the casserole up to a day ahead, cover, and refrigerate. Add a few extra minutes to the bake time if going into the oven cold.
A simple green salad or roasted broccoli pairs well and keeps the meal low-carb.
Yes. Freeze individual portions for up to 2 months. Thaw in the refrigerator and reheat in the oven or microwave.

Test your knowledge

5 quick questions about this supreme pizza casserole

1. Protein per serving?

2. Net carbs per serving?

3. What prevents a watery casserole?

4. About how long does this take?

5. Best way to serve it?

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