Name: Keto Sausage Pepperoni Sheet Pan Pizza Recipe
Prep time: 15 min
Cook time: 40 min
Total time: 55 min
Cuisine: American
Ingredients: 2 cups Shredded Mozzarella Cheese; 3 ounces Cream Cheese; 1 1/4 cups Almond Flour; 1 large Egg; 1/4 tsp Xanthan Gum; 1/2 tsp Baking Powder; 1/2 tsp Garlic Powder; 1/4 tsp Italian Seasoning; 1/2 cup Low-Carb Marinara Sauce; 15 slices Pepperoni; 4 ounces Sausage Pieces; 1/4 Red Onion, sliced thinly; 1/2 Green Bell Pepper, sliced thinly; 1 1/2 cups Mozzarella Cheese, shredded; 1/4 cup Parmesan Cheese, grated; 1/4 tsp Italian Seasoning

Jump to Recipe·Leave a Review

I am absolutely thrilled to share with you my favorite comfort food that never disappoints: this Keto Sausage Pepperoni Sheet Pan Pizza Recipe. It’s the perfect blend of hearty sausage, spicy pepperoni, melty cheese, and crisp green peppers all on a crispy low-carb crust. Whenever I make this, it’s an instant hit with family and friends alike, and it’s so simple to prepare that I find myself turning to it week after week. This recipe brings together all the indulgent flavors of a classic pizza but keeps it keto-friendly, making it a guilt-free pleasure I adore.

Why You'll Love This Keto Sausage Pepperoni Sheet Pan Pizza Recipe

What makes this Keto Sausage Pepperoni Sheet Pan Pizza Recipe truly stand out to me is the incredible depth of flavor packed into every bite. The combination of savory sausage and zesty pepperoni paired with a perfect blend of mozzarella and Parmesan creates a taste explosion that feels indulgent but still fits right into my low-carb lifestyle. The fresh green bell peppers and thinly sliced red onions add a welcome crunch and a subtle sweetness, balancing the richness perfectly. Every time I dig in, I’m reminded why this is a recipe I go back to again and again.

Another thing I love about this recipe is how straightforward it is to prepare. The crust comes together easily with almond flour and melted cheeses, and using a sheet pan means minimal mess and fuss. It’s incredibly forgiving, too, so even if you haven’t made a keto crust before, you’ll find this approachable and reliable. Plus, it’s a crowd-pleaser for any occasion, from casual weeknight dinners to game day gatherings or even small parties. I honestly believe this recipe is one of those rare gems that are as convenient as they are delicious.

Ingredients You'll Need

The image shows a white marbled surface with several small white and clear bowls neatly arranged, each containing different pizza ingredients. In the back, two large clear bowls hold shredded mozzarella cheese and shredded mozzarella with cheddar cheese mixed. In the front row from left to right, there is a light blue measuring cup with red pizza sauce, a clear bowl with thin slices of pepperoni, a clear bowl with sliced red onions, a white bowl filled with light brown breadcrumbs, a clear bowl with cream cheese, a light blue bowl with small cooked sausage pieces, and a clear bowl with sliced green bell peppers. There is also a whole white egg, three small light blue measuring spoons with various spices, and a small light blue measuring cup filled with grated Parmesan cheese. The light blue measuring cups and spoons have a modern, clean design. The setup is bright and organized, with a white cloth partially visible in the top left corner. Photo taken with an iphone --ar 4:5 --v 7

The ingredients for this Keto Sausage Pepperoni Sheet Pan Pizza Recipe are simple but bring so much personality to the dish. Each one plays a crucial role in creating just the right texture, flavor, and color—from the creamy cheeses that help form the crust to the aromatic spices and fresh vegetables that boost every bite.

Tip!

You’ll find all ingredient quantities in the recipe card below.

Mozzarella Cheese: Using shredded mozzarella twice—once in the crust and again as a topping—ensures that gooey, melty texture that makes every pizza feel indulgent.
Cream Cheese: This adds creaminess and helps bind the crust while maintaining its keto-friendly profile.
Almond Flour: The star of our low-carb crust; it creates a tender, flavorful base without the carbs of traditional flour.
Egg: Acts as a natural binder to keep the dough together and help it bake up perfectly.
Xanthan Gum: Just a pinch helps improve the dough’s elasticity and structure so it doesn’t crumble.
Spices (Garlic Powder, Italian Seasoning): These infuse the crust and toppings with traditional pizza flavors that make every bite comforting and familiar.
Low-Carb Marinara Sauce: Key to delivering all the rich, tangy tomato flavor without hidden sugars.
Pepperoni and Sausage: The meaty stars of the show, providing bold, savory flavor and satisfying protein.
Red Onion and Green Bell Pepper: Thin slices add crunch, a pop of color, and just the right touch of sweetness.
Parmesan Cheese: Sprinkled on top for extra savory sharpness and a beautiful golden finish.

Directions

Step 1: I start by preheating the oven to 425 degrees Fahrenheit and lining my baking sheet with parchment paper to ensure the crust doesn’t stick and cleanup is a breeze.

Step 2: Next, I place the cream cheese and 2 cups of shredded mozzarella into a microwave-safe bowl. I heat the cheese in 30-second bursts, stirring between each, until it’s completely melted and smooth—this forms the base of the dough so it’s key to get it just right.

Step 3: Once the cheeses are melted, I combine them with the almond flour, egg, xanthan gum, baking powder, garlic powder, and Italian seasoning in a mixing bowl. I mix everything thoroughly until I have a dough I can shape.

Step 4: With slightly wet hands, I gently press the dough into a rectangular shape right on my prepared sheet pan, shaping the thickness to my preference—usually about a quarter-inch thick works perfectly.

Step 5: I bake the crust for 10 minutes. This helps it set up so it doesn’t get soggy when I add the toppings later.

Step 6: After removing the crust from the oven, I evenly spread the low-carb marinara sauce over it, making sure to cover every corner but not overload it.

Step 7: Then I sprinkle 1 ½ cups of shredded mozzarella over the sauce. This layer will melt into a gorgeous golden blanket over the pizza.

Step 8: I scatter the pepperoni slices and sausage pieces on top, layering in that rich, hearty flavor this pizza is famous for.

Step 9: I add the thinly sliced red onion and green bell pepper on top; these veggies bring freshness and texture that I adore.

Step 10: A final sprinkle of Italian seasoning and grated Parmesan cheese makes the pizza smell amazing and adds a savory, slightly nutty finish to the flavor profile.

Step 11: I bake the pizza again for 15 minutes until the cheese is bubbling and golden and the edges of the crust are crisp and inviting.

Step 12: Once out of the oven, I let the pizza cool just a few minutes before slicing and serving. This helps everything settle and makes it easier to eat.

Servings and Timing

This Keto Sausage Pepperoni Sheet Pan Pizza Recipe yields about 8 satisfying servings, perfect for sharing with family or friends. Prep time is roughly 15 minutes, with an additional 25 minutes of active baking time, totaling about 40 minutes from start to finish. I usually leave it to rest for about 5 minutes before slicing, which means you can enjoy a delicious, homemade keto-friendly pizza in under an hour.

How to Serve This Keto Sausage Pepperoni Sheet Pan Pizza Recipe

A pale yellow bowl holds several dry and wet ingredients layered together before mixing. On the left bottom sits a bright yellow egg yolk with clear egg white around it, next to a light beige grainy mixture covering most of the bowl's bottom and far sides. In the center, a small mound of white flour is topped with some brownish herbs and light brown spice powder. To the right, a slightly shiny, pale beige moist mixture blends softly into the dry ingredients. The bowl sits on a white marbled surface. Photo taken with an iphone --ar 4:5 --v 7

When I serve this pizza, I love pairing it with a simple side salad full of fresh greens and a light vinaigrette to balance the richness of the pizza. Roasted vegetables or a bowl of marinated olives also make fabulous complements, adding variety to the plate without overwhelming the bold pizza flavors.

For presentation, I often garnish the pizza with a few fresh basil leaves or a sprinkle of crushed red pepper flakes right before serving—it gives an inviting pop of color and a touch of heat that guests always appreciate. I slice it into generous portions so everyone feels satisfied, and I usually serve it warm to enjoy that beautiful melty cheese texture at its best.

As for beverages, I find a chilled glass of sparkling water with a squeeze of lemon is incredibly refreshing, but if I’m indulging a bit, a dry red wine like a Chianti or a light, hoppy craft beer complements the sausages and pepperoni really well. This pizza is such a versatile crowd-pleaser that it’s perfect for casual family dinners, weekend game day parties, or even a cozy night in. Trust me, everyone leaves happy.

Variations

One of the most fun things about this Keto Sausage Pepperoni Sheet Pan Pizza Recipe is how adaptable it is. If you want to switch things up, try swapping the sausage for spicy chorizo or ground turkey for a leaner option. For the pepperoni lovers, adding extra slices or even a few jalapeño slices can bring an exciting kick.

If you’re following a gluten-free diet, this pizza is already a winner since it uses almond flour for the crust. For those who want a dairy-free version, you can experiment with plant-based cream cheese and mozzarella alternatives, though I recommend keeping the pepperoni and sausage if your diet allows, as they add so much flavor and protein.

For a different cooking method, I’ve sometimes prepared this pizza under the broiler for a few minutes at the end instead of baking, which crisps the top cheese beautifully. You can also make personal-sized versions by halving the dough and using smaller pans or even baking directly on a pizza stone for extra crust crispiness.

Storage and Reheating

Storing Leftovers

When I have leftovers of this Keto Sausage Pepperoni Sheet Pan Pizza Recipe, I store them in an airtight container in the refrigerator. I find that cutting the pizza into individual slices before storing helps with easy reheating later. The pizza keeps wonderfully for up to 3-4 days, though I recommend enjoying it sooner for the best texture and flavor.

Freezing

This pizza freezes quite well if you want to save some for later. I let it cool completely, then slice and wrap each piece tightly in plastic wrap followed by foil or place the slices in a freezer-safe container. It stays delicious for up to 2 months in the freezer. When you’re ready, thaw the slices overnight in the fridge before reheating.

Reheating

To reheat, I prefer using a skillet over medium heat or an oven set to 375 degrees Fahrenheit. This helps restore the crust’s crispiness while melting the cheese nicely. Microwaving works in a pinch, but it can make the crust soggy and less enjoyable. Avoid overheating to preserve the fresh flavors and textures that make this pizza so irresistible.

FAQs

Can I make the crust ahead of time?

Absolutely! You can prepare the crust dough and refrigerate it wrapped tightly for up to 24 hours. Just press it into the pan and bake when you’re ready, which is a great time saver.

Is it possible to use pre-cooked sausage or pepperoni?

Yes, using pre-cooked sausage and pepperoni works perfectly and can save you prep time. Just make sure the sausage pieces are bite-sized and evenly distributed for the best results.

Can I add other vegetables?

Definitely! Mushrooms, olives, spinach, or even zucchini all work wonderfully if you want to bulk up the veggie content or switch up the flavors.

Is this recipe suitable for beginners?

Yes, I find this Keto Sausage Pepperoni Sheet Pan Pizza Recipe very beginner-friendly thanks to its straightforward steps and forgiving dough. It’s a fantastic way to dive into keto baking and pizza making.

How do I know when the crust is done baking the first time?

The crust should look set and beginning to turn light golden around the edges after the first bake. It won’t be fully browned yet since it finishes baking with the toppings, but it should feel firm and not doughy to the touch.

Conclusion

I can’t recommend this Keto Sausage Pepperoni Sheet Pan Pizza Recipe enough. It’s my go-to when I want a delicious, satisfying meal that feels indulgent but stays low carb—and the best part is how easy it is to prepare! Whether you’re feeding a crowd or just craving some comfort food, I promise this pizza will quickly become one of your favorite recipes, too. So, grab your ingredients and give it a try; I’m confident you’ll love every bite as much as I do.