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This Keto Sheet Pan pizza has a low-carb crust and lots of delicious toppings.

Keto Sheet Pan Pizza

Hi everyone – It’s Jack. For a while now, I’ve been testing out some different low-carb Keto Sheet Pan Pizza recipes.  A good friend of ours started eating a keto diet a couple of years ago to help with migraines, so we always try to serve foods that he can enjoy when he and his family come to visit us.

More recently, I’ve been eating lower-carb too, to help lower my blood sugar and the number on our scale. Last week, we shared this other keto recipe – and wow – a lot of you checked out that recipe! So I figured I’d share this Keto Sheet Pan Pizza with you too. (And please let us know…would you like to see some more keto recipes here on A Family Feast?)


Keto Sheet Pan Pizza

My goal here was to come up with an original, easy keto pizza dough that was high in fat, low in carbs, and moderate in protein which are the ideal nutritional macros for a keto recipe.

I read through dozens of keto pizza dough recipes, some using almond flour as the base (known as ‘fathead’ pizza), some using raw, ground chicken as the base, while others used cooked chicken as the base of the pizza crust. They all seemed good, but all suffered from a similar issue in that the amount of fat included was low and really didn’t fit the recommended keto recipe proportions.

I tested a few ideas, then created a Keto Sheet Pan Pizza recipe that uses sweet Italian sausage meat as the base, with almond and coconut flours to bind it together.

Not only is this Keto Sheet Pan Pizza really delicious, it checks all of the keto boxes along the way.


Keto Sheet Pan Pizza

How do you make Keto Sheet Pan Pizza?

To create the pizza crust, I combined uncooked sweet Italian sausage, cream cheese, almond and coconut flours, as well as shredded mozzarella and Parmesan cheese, and eggs. I pressed the crust mixture into the bottom of a 13×9-inch quarter sheet pan, creating a edge of crust around the sides of the pan. I baked the crust just long enough to firm it up.

While the crust baked, I sautéed sliced bell peppers and onions, baby spinach, and garlic.

Finally, I spread some of our homemade pizza sauce over the baked crust, topped that with the sautéed vegetables, and added lots of cheese on top.

After one more round in the oven, our Keto Sheet Pan Pizza came out hot and melty, and absolutely delicious!


Keto Sheet Pan Pizza

Even if you aren’t eating keto, or low-carb these days, you’ll love this Keto Sheet Pan Pizza!

Can I use ground beef or ground chicken for crust, instead of sausage?

We’ve been asked this question several times since we originally posted this recipe, and here’s our answer:

We haven’t tried doing so ourselves, but in theory it should work – although the texture won’t be the same.  The sausage has a lot more flavor and fat than either ground beef or chicken, so you should select a ground beef/chicken with a higher fat content if possible, and you should add more seasonings as well. If you’ve tried this swap, please let a comment and let us know how it came out!

You may enjoy these other keto recipes:

Keto Sheet Pan Pizza

Keto Sheet Pan Pizza

  • Author: A Family Feast
  • Prep Time: 30 minutes
  • Cook Time: 30 minutes
  • Total Time: 1 hour
  • Yield: 8 slices
  • Category: pizza
  • Method: baked
  • Cuisine: Italian


Nutritional Information for this recipe is provided at the bottom of this recipe card. Scroll down.



½ pound sweet Italian sausage, removed from casings

2 tablespoons cream cheese

1 cup almond flour

¼ cup coconut flour

1 ½ cups shredded mozzarella cheese

¼ cup freshly grated Parmesan cheese

2 whole large eggs


1 tablespoon olive oil

1 medium onion, sliced

1 medium Bell pepper sliced, (any bell pepper, green, red, yellow or orange)

8 ounces baby spinach

2 tablespoons fresh garlic passed through a garlic press

½ cup pizza sauce (leave out the sugar)

½ cup shredded sharp cheddar cheese

2 cups shredded mozzarella cheese


Preheat oven to 375 degrees F.

In a medium bowl mix uncooked sausage meat, cream cheese, almond flour, coconut flour, 1 ½ cups mozzarella cheese, Parmesan cheese and eggs.

Spray a quarter sheet pan (13×9-inch) with kitchen pan spray.

Press the mixture into the pan making an even edge all the way around.

NOTE>…If mixture is not cold, refrigerate the filled pan for 30 minutes to firm up the crust before baking.

Bake 12 minutes, turning pan half way through baking.

While crust is baking, in a medium skillet with the olive oil over medium heat, saute onions and peppers for ten minutes until slightly soft. Add spinach and cook one minute to wilt.

Add garlic and remove from heat.

When crust comes out of oven, spread pizza sauce on bottom, top with cooked vegetables from pan, sprinkle on cheddar and mozzarella and bake for about 25 minutes, or until browned and melty. Place under the broiler for a minute if you desire it to be more browned.

Cut into eight portions and serve.

Keywords: keto sheet pan pizza


Keto Sheet Pan Pizza - A Family Feast

This Keto Sheet Pan pizza has a low-carb crust and lots of delicious toppings.


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  • Laci G. wrote:

    AMAZING! Better than Chicago deep dish! 2nd time was even better than first time I made this. First time I didn’t use the coconut flour, 2nd time I did. It was PERFECTION! I added cooked Italian sausage green and yellow peppers. THANK YOU!!!

    • Martha wrote:

      You’re welcome Laci – glad you enjoyed the pizza!

  • Bailey wrote:

    This was delicious and satisfied all pizza cravings! I added a layer of turkey pepperoni on top of the sauce before putting the veggies on. Overall, it was an excellent dish, and I’ll be making it again!

    • Martha wrote:

      Thanks Bailey!

  • Renee wrote:

    OMG!! I made this pizza today and it was absolutely delicious!! I also followed the homemade pizza sauce recipe and substituted the regular sugar with 1 tbsp of monkfruit sweetener. This recipe definitely satisfied my pizza craving today! I will be making this again really soon!!

    • Martha wrote:

      Glad you enjoyed the pizza Renee!

  • Yvonne wrote:

    I have a question! I cooked this tonight but the sausage did not seem cooked enough. I had to drain sone grease too and stuck it back in the oven. It just seemed extremely think. Should I have used a larger pan or pushed the sausage mix even flatter? It had a good flavor once I kept sticking it back in the oven, but was just very thick to my liking.

    • Martha wrote:

      Hi Yvonne – If you want a thinner crust, sure, you can use a larger pan. You can also cook the crust for longer before adding the toppings if you prefer/need to.

  • Felicia wrote:

    Is the carbs for the whole pizza or per slice?

    • Martha wrote:

      Per slice

  • sue wrote:

    So good! Finally found a wonderful substitute for traditional pizza! You can make it your own! Good hot or cold. Thank you.

    • Martha wrote:

      You’re welcome Sue – glad you enjoyed the pizza!

  • Karen McDaniels wrote:

    This was really good! My husband said it was a keeper! Excellent! I did add mushrooms and pepperoni to the toppings.

    • Martha wrote:

      So glad you enjoyed the pizza Karen!

  • Pam wrote:

    This is one of the worst blogs I have seen for an extreme number of ads. It might have good recipes but it’s so unpleasant to fight through the ads, who could tell. It’s gotten where you can’t read a blog or even get through the recipes without a multitude of ads of which most have nothing to do with the blog. I believe Congress is going to need to step in because this situation has become ridiculous. And apparently authors are so desperate to make money, they don’t care that we can’t even read through their information without ads popping up constantly in the middle and more and more – right on top of what we are reading. And because they keep resetting, it causes the screen to keep jumping and resetting as they load throughout the page. They aren’t even cooking ads, or your own books etc and they are all over the page. Bloggers need to fight back and demand that this situation stops or shut down as a group. If you don’t, someone else is going to do it for you. I would have liked to follow your blog but it’s just too much of a jumbled mess and difficult to read. Another issue – why is this comment “center adjusted” – it should be left margin adjusted. If you will send me an actual email address, I will send you screenshots of what we are dealing with in just a minute or two of viewing this one recipe (keto pizza) in terms of excessive ads. Maybe you just don’t care, and money is more important. And it doesn’t do any good to close them, because another pops up just as fast. Absolutely horrible.

    • Martha wrote:

      Thanks for your feedback Pam – we do run ads to offset the costs of providing you with free recipes. Otherwise, our recipes would have to be provided behind a paywall and you would have to pay for any recipes you are interested in seeing. Having said that, I am on our site constantly and don’t experience the issues you are describing. And all of our ads can be closed if they are hampering your viewing. Would you let me know what kind of device/browser you are using to view our site so I can try to recreate the issue? Thank you,

  • Jocelyne wrote:

    This keto pizza looks amazing ! Having celiac disease, I’m okay with almond and coconut flour but a member of my family is allergic to almonds and coconut. Can you suggest other flours as a substitute ? Looking forward to your response ! Thank you.


    Going to try this soon! It would be great to see more Keto recipes! Just started the journey myself. Be well : ) freidia

  • Dorothy wrote:

    Just pulled it out of the oven. Smells heavenly. Ant wait to eat it

    • Martha wrote:

      Hope you love it Dorothy!

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