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  • Writer's pictureJenn Clayton

Pepperoni Pizza Casserole

Updated: Jan 16, 2023

This is pizza without the calories, points, fat and carbs! Absolutely delicious!

Low carb, healthy pizza alternative that is killer!! Full of SO much authentic pizza flavor!

Full recipe in video below


  • 1 pound 96% ground beef

  • 8 ounces turkey pepperoni

  • 1 onion diced small

  • 4 cloves garlic minced

  • 1 teaspoon sea salt or more to taste

  • 1 teaspoon oregano basil, and thyme

  • 4 cups spaghetti squash noodles

  • 2 cups favorite spaghetti sauce - 0 points

  • 2 eggs

  • 1/2 cup mozzarella cheese

    1. Preheat oven to 400 degrees.

    2. In a large skillet over medium heat, saute the ground beef, 1/2 of the pepperoni, onion, and garlic.

    3. As the ground meat cooks, sprinkle in the seasonings. Taste (when cooked!) and add more to your liking if necessary.

    4. In a large bowl, mix the warm beef mixture, spaghetti sauce, squash threads, eggs, and cheese of choice.

    5. Place into a greased casserole dish ( I used a 9 X 9).

    6. Top with the remaining pepperoni and a sprinkling of cheese.

    7. Bake for 30 minutes, or until golden and bubbly.

6 Servings:

297 Calories

16g Fat

8g Carbs

27g Protein

Recipe inspiration from

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