Pizza Casserole Perfection

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Yes, #keto pizza is actually a thing. In this video, you’ll see how you can still have pizza while eating #lowcarb. It’s absolutely delicious, and all you need is a casserole dish.

I use this casserole dish all the time (and love it):

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âś…Pizza Casserole Perfection
Serves: 4
Total Carbs/Serving: 5.5g
Net Carbs/Serving: 4.8g
Nutrition Breakdown: 604 Calories/38g Protein/47g Fat/5.5g Carbs/0.8g Fiber

1 tbsp. Ghee or other fat
1½ lbs. Ground pork sausage, casing removed
2 C Sliced mushrooms
1 tbsp. Olive oil
Pinch of sea salt
1 C Pizza sauce (in the video, I use Rao’s, a very low carb sauce)
2 Plum tomatoes, diced
2 tbsp. Basil leaves, sliced
1 C Mozzarella Cheese, shredded
2 oz. Pepperoni slices

1. Preheat oven to 400 degrees; grease an 8 x 8 casserole dish with ghee; set aside.
2. Over medium heat, cook sausage in a large skillet, making sure to break sausage into small pieces.
3. While sausage is cooking, in a small saucepan over medium low heat, combine pizza sauce, diced tomatoes and basil. Cook until sauce is heated.
4. Once sausage is cooked, place meat on a layer of paper towels to drain. Wipe skillet clean and heat olive oil over medium heat. Once oil is hot add in mushrooms and sprinkle with a pinch of salt. Sauté until browned, softened and excess water removed.
5. Place the sausage in the casserole dish, making sure it is spread evenly. Next top sausage with mushrooms. Add sauce, spreading evenly on top. Sprinkle cheese on top of sauce and then layer on the pepperoni.
6. Bake for 20-25 minutes, until cheese is melted. Serve immediately.

If you are not a sausage fan, you can use ground beef or lamb instead. Also feel free to switch out the pizza toppings for ingredients like green peppers, onions, black olives, or spinach. Just remember you’ll still want to sauté vegetables before adding them to the casserole (to remove excess liquid and soften before putting the casserole in the oven). But the nutritional value, especially the carb count, will change.

I did have a lot of liquid in my casserole this time and I suspect that came from the raw tomatoes. But it was easy to drain off any excess liquid with a ladle. You can also just eliminate the tomatoes reducing the total and net carbs to 4.3g and 4g, respectively.