Lean and Green Pizza Casserole

Yield: 4 Servings

Lean and Green Pizza Casserole

Lean and Green Pizza Casserole

Lean and Green Pizza Caserole

Delight in this low-carb lean and green pizza casserole, a dream come true for pizza enthusiasts! Conveniently prepared in a slow cooker, this dish is a simple yet impressive addition to any gathering, from spirited tailgates to relaxed family dinners.

Dive into layers of melted cheese and spicy pepperoni to discover a hidden treasure of veggies. Cauliflower, with its subtle taste, is the star, sneakily boosting nutrition. Want to customize? Feel free to swap in your favorite vegetables like bell peppers, mushrooms, or tomatoes. If you forgo cauliflower, remember to add an extra Green to keep your Lean and Green meal on track. With each bite, you'll be amazed at how this dish marries indulgence with health, providing a comforting yet nutritious meal that's sure to satisfy any craving.

So gather your ingredients, set your slow cooker, and prepare for a deliciously wholesome twist on classic pizza flavors. It's time to enjoy a meal that's as good for your body as it is for your soul. Get ready to relish in the flavors and share the joy of healthy eating without sacrificing taste!

Could you enjoy healthy Italian food every night? Prepare this healthy Lean and Green Pizza Casserole recipe and you'll have an Italian entree that is absolutely amazing, keeps you on any healthy meal plan and satisfies your cravings!

Share this Lean and Green Pizza Casserole dish with all your family and friends!


  • 1 lb uncooked 95 to 97% lean ground beef ~ 12 oz cooked (2 Leans)
  • 1 tsp garlic powder (2 Condiments)
  • 3/4 tsp salt (3 Condiments)
  • 1/4 tsp black pepper (1/2 Condiment)
  • 1 tsp dried oregano leaves (1 Condiment)
  • 1 tsp dried basil leaves (1/2 Condiment)
  • 2 cups roughly chopped fresh cauliflower (4 Greens)
  • 1/4 cup fresh grated parmesan cheese (4 Condiments)
  • * 4 cups Great Value Italian diced tomatoes, blended into a sauce or 2 cups approved marinara sauce (8 Greens)
  • 1 and 1/2 cups reduced fat shredded mozzarella cheese with
  • 2 oz turkey pepperoni slices, divided (2 Leans)


To make Lean and Green Pizza Casserole - Over medium high heat, cook ground beef in a large skillet. Add garlic powder, salt, and pepper. Drain grease. Remove from heat.

Add dried oregano, dried basil, cauliflower, parmesan cheese, marinara sauce and 1 oz of turkey pepperoni that has been cut into fourths to the ground beef until combined. Pour into a slow cooker that has been sprayed lightly with cooking spray.

Cook on LOW for 4 to 6 hours.

Top with mozzarella cheese and additional 1 ounce of turkey pepperoni. Cook for an additional 30 min on HIGH or until cheese has melted.


4 Servings with

1 Lean, 3 Greens, and 3 Condiments per serving

* Most marinara sauces are no longer approved on the 5 and 1 plan, but canned Italian diced tomatoes is approved. Look for a brand that is less than 5 g of carbs. I like to use Great Value brand. Just be mindful that canned veggies are higher in sodium.

Guidelines for choosing a tomato sauce:
Tomato Sauce (per 1/4 cup serving)less than 50 calories less than 5 g carbohydrates less than 200 mg sodium less than 3 g of fat

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Nutrition Information



Serving Size

1/4 Cup

Amount Per Serving Calories Less than 50 Total Fat Less than 3 gSodium 200mgCarbohydrates 5g

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Andrea Argy

Hello, I'm Andrea!

Andrea is a Michigan State University graduate with over 20 years of experience in corporate America. Today, she is a Manifestation, Mentor, and Weight Loss Coach, breaking conventional norms by leaving her office life behind to travel full-time across the United States in an RV. Her mission is to help others achieve mental and physical wellness, empowering them to manifest their dreams and create healthier lives.

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