When you’re low carbing and all you can think about is pizza, you don’t have to miss out. This low carb pizza casserole is crustless but still packs a lot of flavor because it’s filled with your favorite toppings (and lots of cheese). You won’t even miss the pizza crust… Promise!
Low Carb Pizza Casserole in the Slow Cooker
I’ve hesitated sharing this post. Not because I don’t want you to have it… That’s not it. But it’s not the healthiest recipe on the block in terms of fat and calories. Now, on our low carb diet, we’re not too concerned with the fat content. But I get that some of you low carbers are, so if you’re one of them, try ground turkey and lower fat cheeses in your pizza casserole. You may even want to skip the pepperoni or try turkey pepperoni. It’ll be delicious any way you slice it.
You don’t have to make this in the crock pot. If you prefer the oven, do that. Or if you just want to add everything to a big skillet, you can do that, too. We just prefer the crock pot because I can toss the ingredients in mid-afternoon, and it’ll be hot and ready by dinner time.
And yes, the 2-hours on low is correct. I cook the ground beef and veggies before I put them in the crock pot. If you don’t (which I don’t recommend because it would be totally greasy), you’ll need to adjust your cooking time accordingly.
Low Carb Pizza Casserole Recipe

Low Carb Pizza Casserole in the Crock Pot
Ingredients
- pepperoni slices
- 1 lb. ground beef
- 1 14-oz jar pizza sauce
- 1 large green pepper
- 1 medium onion
- 1 8-oz package baby bella mushrooms
- 2 cups shredded mozzarella cheese
Instructions
- Dice green pepper, onion and mushrooms.
- Add veggies and ground beef to pan. Cook until ground beef is browned and veggies are tender. Drain.
- In crock pot, layer ground beef and veggie mixture, sauce, cheese and pepperoni. Repeat layers.
- Cook on low in crock pot for 2 hours, until cheese is melted and and casserole is heated through.
And there you have it! Now, if the casserole is still really hot when you try to serve it, it’s going to fall apart into a cheesy, tasty mess. To slice it like you see in the pictures, you need to allow it to cool. But it’s just as tasty when it’s messy, so I wouldn’t worry about that.
If you liked this low carb pizza casserole, you’ll also enjoy these easy low carb meals:
Erin
Friday 22nd of November 2019
I'm putting this on my meal rotation plan - thanks for the great tips and recipe!
Andrea
Thursday 21st of November 2019
Ooh, this looks so good! I love recipes I can prepare in the slow cooker, too, so dinner is ready when I get off of work.
Susan
Thursday 21st of November 2019
I'm always looking for new slow cooker recipes - can't wait to try your pizza casserole. I know my family will love it!
Marcia
Monday 18th of February 2019
Made this tonight in my cast iron skillet! No mushrooms...but it was SO good! Used turkey Italian sausage. Hubby loved it! Thanks so much!
susiecue
Wednesday 13th of June 2018
I made this last night, did it in the oven. We thought it was really tasty! Thanks for sharing!
Donella Crigger
Wednesday 13th of June 2018
Thanks for reporting back. So glad you liked it!