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Easy Low Carb Pizza with Sausage Crust

Keto Pizza With Sausage Crust

This low-carb cast iron pizza with sausage crust is like eating your favorite pizza minus the crust and with more delicious toppings. Likewise, this keto pizza recipe with meat crust is the cure to your pizza cravings!

Disclosure:  This pizza does require a fork, but the flavor will make up for that fact.

Cast Iron Skillet Pizza

Bake this crustless pizza in a well seasoned cast-iron skillet.  In the past, I have doubled the recipe and baked the keto pizza in a cake pan, and it still turned out great.   

The picture below shows Easy Low Carb Pizza with Sausage Crust scaled 1.5x and baked in a cake pan.

Best Low Carb Pizza Crust

Whatever you end up baking this pizza with sausage crust, make sure it’s oven save to 425.

The sausage pizza crust gets a delicious crispy burn to it in the cast iron skillet, so if you have a cast-iron skillet, use it.

Low Carb Pizza With Sausage Crust Ingredients

Here’s what you’ll need to make this sausage crust pizza.  Feel free to customize the pizza to your liking.  In the past, I’ve made low-carb linguica and bacon pizza by adding browned linguica pieces and cooked chopped bacon

I made the pizza in these pictures on a work night (I have a two-hour round trip daily commute), so I kept it simple.

  • Ground sausage
  • Low carb pizza sauce – this one is only three carbs!
  • Mozzarella cheese – grated
  • Mushrooms – sliced
  • Canned Olives – sliced

Optional Pizza Meats – All Meats MUST be Pre Cooked

We don’t have time for food poisoning, so precook all meats.

  • Linguica
  • Pepperoni slices
  • Salami slices
  • Ham – chopped
  • Bacon – chopped and cooked
  • Anchovies
  • Canadian bacon
  • Leftover BBQ’d chicken
  • Cooked shrimp

More Optional Low Carb Pizza Toppings

  • Green onions
  • Bell pepper – chopped
  • Tomatoes
  • Fresh garlic
  • Jalapeno rings
  • Fresh basil
  • Fresh mozzarella cheese slices
  • Caramelized onions
  • Chopped cooked zucchini

How to Make Low Carb Pizza with Sausage Crust

Preheat oven to 425.

This recipe calls for two pounds of bulk sausage.

Keto Sausage No Crust Pizza

In a large cast-iron skillet.  Brown two pounds of sausage.

Keto Cast Iron Skillet Pizza

If the browned sausage has a lot of fat, drain it.

I put the skillet on a folded-up potholder to pool the sausage fat on one side of the skillet.keto meat crust pizza fat

See how the fat pools in the low spot of the skillet?

pizza with meat crust

Take a paper towel and absorb all the fat.

low carb no crust pizza

Smooth the browned sausage into a flat layer that covers the bottom of the skillet.

Low Carb Pizza With Sausage Crust

Add a generous layer of pizza sauce.

crustless keto pizza sausage crust

Add a thick layer of mozzarella cheese. Unfortunately, I forgot to take a pic of this.

Then top with sliced mushrooms.

best keto crust pizza

Add the rest of the red onions and sliced olives.  Top pizza with a thin layer of mozzarella cheese – this cheese is what locks everything in place.

cast iron pizza no crust

Bake pizza in a preheated oven for about 20-25 minutes.  The cheese will be nice and browned.

keto pizza with sausage crust 1

Let the pizza cool for 10 minutes before slicing.  This gives the sausage crust pizza a chance for the cheese to harden a bit and for the pizza to stay together when you serve it.

Crustless Low Carb Pizza

This low-carb cast iron pizza with sausage crust is like eating your favorite pizza minus the crust and with WAY more toppings.Click To Tweet

Keto Pizza with Sausage Crust

Easy Low Carb Pizza with Sausage Crust

Yield: 6 servings
Prep Time: 10 minutes
Cook Time: 35 minutes
Additional Time: 10 minutes
Total Time: 55 minutes

This low-carb cast iron pizza with sausage crust is like eating your favorite pizza minus the crust and with WAY more toppings.


  • 2 pounds ground sausage
  • 1 jar low carb pizza sauce
  • 2 cups mozzarella cheese
  • 1/2 red onion - Chopped
  • 1 16 oz can olives - Sliced
  • 1 pound fresh mushrooms - sliced


  1. Pre heat oven to 425.
  2. Brown sausage in a large cast-iron skillet.
  3. While sausage browns, prepare toppings. Slice mushrooms, chop onions, and slice olives.
  4. Remove rendered fat from the sausage.
  5. In the cast-iron skillet, spread the sausage out in an even layer.
  6. Top with a generous layer of low-carb pizza sauce.
  7. Add 1.5 cups shredded mozzarella cheese.
  8. Add the rest of the toppings.
  9. Top with remaining 1/2 cup of mozzarella cheese.
  10. Bake the pizza for 20-25 minutes or until the pizza cheese is browned.
  11. Remove pizza from the oven and let sit on the countertop for 10 minutes before serving.


    If you are doubling this recipe, it can be baked in a cake pan but the sausage crust won't get as browned. It will still be delicious.

    Check Out These Delicious Low Carb Pizza Recipes

    Here are More Great Low Carb Recipes

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