Loaded Supreme Pizza Paleo Casserole (Makes great leftovers!)

By Jess

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Pizza and casserole are two foods that I never thought would go together so well until I tried it myself for the first time. As soon as I took that first bite of a pizza casserole, I knew I was on to something. Today I’ll be sharing the exact recipe I followed that turned me into such a fan: this loaded paleo pizza casserole. The recipe is super easy to follow and it makes a terrific family dinner option that’s even better when served as leftovers. A few clever ingredient choices like using cauliflower for rice and making sure to use homemade pizza sauce and paleo-friendly pepperoni slices help to make sure this is one pizza casserole dish that you can indulge in 100% guilt-free as well.

Loaded Supreme Pizza Paleo Casserole

Loaded Supreme Pizza Paleo Casserole

Loaded Supreme Pizza Paleo Casserole

Loaded Supreme Pizza Paleo Casserole

Loaded Supreme Pizza Paleo Casserole

Loaded Supreme Pizza Paleo Casserole

View More Paleo Pizza Recipes:

How to Make the Best New York Style Paleo Pizza (yum!)
Easy Paleo Pizza Crust to Satisfy Your Pizza Cravings
Easy Make-Ahead 7-Ingredient Paleo Pizza Sauce
Chewy Coconut Flour Pizza Crust (My Go-To for Pizza Crust)
Pepperoni Cauliflower Pizza Bites with Homemade Crust


    • 3 cups cauliflower rice
    • 1 tbsp olive oil
    • 1 medium onion, diced
    • 1 pound Italian sausage, casing removed
    • 1 cup homemade pizza sauce
    • 1 tsp dried basil
    • 3 eggs, whisked
    • 2 tbsp sliced black olives
    • 12 slices Paleo friendly pepperoni
    • salt and pepper, to taste


  1. Preheat oven to 350°F.
  2. Place the cauliflower rice in a microwave safe bowl and microwave for 5 minutes.
  3. Using a clean dish towel or cheese cloth, drain cauliflower completely, removing as much water as possible.
  4. Set aside.
  5. In a large skillet heat the olive oil over medium heat.
  6. Add the onion and cook for 5 minutes.
  7. Add the Italian sausage and cook until no longer pink.
  8. Add the dried basil and pizza sauce.
  9. Cook until the liquid is completely absorbed.
  10. Remove from the heat.
  11. Season to taste with salt and black pepper.
  12. Add the cauliflower and whisked eggs.
  13. Stir to combine.
  14. Transfer in a baking dish.
  15. Top with pepperoni and black olives.
  16. Bake in preheated oven for 40-50 minutes or until the top is browned and the center springs back when touched.
  17. Let rest for 5 minutes before serving.


Serving Size





Total Time

1 hour 5 minutes

Prep Time

15 minutes

Cook Time

50 minutes

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