Go Back
+ servings
A white baking dish filled with spaghetti squash pizza casserole topped with olives, mushrooms, and onions.

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