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Keto Pepperoni Pizza Cauliflower Casserole

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4.8 from 17 reviews

  • Author: Mellissa Sevigny
  • Total Time: 46 minutes
  • Yield: 4 servings 1x
  • Diet: Diabetic


This keto pepperoni pizza cauliflower casserole is easy and economical to make, and it tastes so good that even picky kids and husbands will be won over!  Low carb, gluten free, nut free, egg free.


Units Scale

For the Puree

  • 4 cups cauliflower florets
  • 2 tablespoons Heavy Cream
  • 1 tablespoon Butter
  • 8 slices pepperoni
  • 1/4 cup shredded mozzarella cheese
  • salt and pepper to taste

For the Casserole

  • 12 slices pepperoni
  • 1/2 cup shredded mozzarella cheese


For the Puree

  1. Clean and trim the cauliflower, breaking it into medium sized pieces.
  2. Place in a microwave safe bowl with cream and butter.
  3. Microwave, uncovered, on high for 10 minutes.
  4. Stir to coat cauliflower with cream/butter mixture.
  5. Microwave for another six minutes on high (or until tender.)
  6. Remove from the microwave and put into a high speed blender or food processor along with the 8 slices of pepperoni and 1/4 cup mozzarella cheese.
  7. Puree until smooth.
  8. Season with salt and pepper to taste.
  9. You can adjust the cream and butter to your preference for consistency.

For the Casserole

  1. Spread the cauliflower puree into an 8 x 8 oven proof casserole dish.
  2. Cover with 1/2 cup shredded mozzarella cheese, and layer with pepperoni.
  3. Bake at 375 degrees (F) for about 20 minutes.
  4. Alternatively you could microwave this for 5 minutes.
  5. Serve hot.
  • Prep Time: 10 minutes
  • Cook Time: 36 minutes
  • Category: keto main dish
  • Method: microwave
  • Cuisine: italian


  • Serving Size: 3/4 cup
  • Calories: 207
  • Fat: 15g
  • Carbohydrates: 5g net
  • Protein: 10g

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