Pepperoni Pizza Cauliflower Casserole

I love love love pizza, so I am always trying to find healthier ways to prepare it.  This is a delicious low carb pizza casserole. You can really add anything to it that you would normally put on your pizza. I love recipes that you can customize to your liking!


For the Puree:

  • 1 medium head cauliflower
  • 2 tbsp heavy cream( I didn’t have heavy cream so I just used milk and that worked just fine)
  • 1 tbsp butter
  • 8 slices pepperoni
  • 1/4 cup mozzarella cheese

For the Casserole:

  • 12 slices pepperoni
  • 1/2 cup mozzarella cheese
  • Clean and trim cauliflower, breaking into medium sized pieces.


  • Place in microwave bowl with 2 tbsp cream & 1 tbsp butter.
  • Microwave uncovered on high 10min. Stir to coat cauliflower with cream and butter. Microwave another 6min.
  • Remove and put in a food processor with 8 slices of pepperoni and 1/4 cup mozzarella cheese.
  • Puree until smooth.


  • Spread cauliflower puree into an 8×8 casserole dish. Cover with 1/2 mozzarella cheese and layer with pepperoni. ( I threw in some green peppers as well)


  • Bake at 375 degrees for 20min.

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