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Low Carb Spaghetti Squash Pizza Casserole (Paleo, Whole30, AIP, Keto)

Print Recipe
Course casserole
Cuisine Italian
Keyword casserole, paleo pizza, pizza
Prep Time 5 minutes
Cook Time 45 minutes
Servings 5 servings
Calories 196
Author Michelle

Ingredients

  • 1 cooked spaghetti squash using the oven or instant pot
  • 1 lb ground beef or Italian sausage if tolerated
  • ½ white onion diced
  • 2 cloves garlic minced
  • 1 cup mushrooms sliced
  • 1 tsp sea salt
  • ½ tsp black pepper omit for AIP
  • Optional- 2 eggs omit for AIP
  • 1 cup sugar-free "tomato" sauce use this for AIP, or a sugar-free sauce if you tolerate nightshades

For toppings

  • ¼ cup black olives sliced
  • ¼ cup red onion diced
  • 1 tbsp fresh basil chopped
  • 2 tsp fresh parsley chopped

Instructions

  • Preheat the oven to 400 F and prepare an 8x8" baking dish
  • Using a large skillet on medium heat, brown the ground beef (or sausage) and lightly salt. Set aside, reserving some of the fat in the pan.
  • Saute the white onion and garlic in the pan until lightly translucent. Add in the mushrooms and cook for 3-4 minutes or until soft.  Set aside.
  • Take the cooked spaghetti squash and remove the strands with a fork and place in a large mixing bowl. Use a paper towel or clean cloth to pat down some (but not all) of the excess liquid.
  • If using eggs, whisk the eggs together in a separate bowl, and mix with the squash, salt, and pepper.
  • Mix the ground beef, cooked vegetables (reserving about 8-10 mushroom slices), and 3/4 cup of the sauce with the spaghetti squash. Pour into the casserole dish and evenly distribute.
  • Top the casserole with the remainder of the sauce and mushrooms.
  • Bake in the preheated oven for 30 minutes.
  • Remove from the oven and top with extra toppings. Use a spatula to remove slices and enjoy!

Notes

All nutritional information are estimations and will vary. Nutritional information does not include optional ingredients.

Nutrition

Serving: 1serving | Calories: 196kcal | Carbohydrates: 18.2g | Protein: 22.5g | Fat: 4.4g | Fiber: 4g