Paleo Pepperoni Pizza Casserole

Prep Time 20 minutes
Cook Time 30 minutes
Total Time 50 minutes
Servings 6
Calories 477 kcal
Author Tessa the Domestic Diva



  1. Preheat oven to 400 degrees.
  2. In a large skillet over medium heat, saute the ground beef, 1/2 of the pepperoni, onion, and garlic.
  3. As the ground meat cooks, sprinkle in the seasonings. Taste (when cooked!) and add more to your liking if necessary.
  4. In a large bowl, mix the warm beef mixture, spaghetti sauce, squash threads, eggs, and cheese of choice.
  5. Place into a greased casserole dish ( I used a 9 X 9).
  6. Top with the remaining pepperoni and a sprinkling of cheese.
  7. Bake for 30 minutes, or until golden and bubbly.
Nutrition Facts
Paleo Pepperoni Pizza Casserole
Amount Per Serving
Calories 477 Calories from Fat 315
% Daily Value*
Fat 35g54%
Saturated Fat 13g81%
Cholesterol 156mg52%
Sodium 1661mg72%
Potassium 693mg20%
Carbohydrates 10g3%
Fiber 2g8%
Sugar 5g6%
Protein 27g54%
Vitamin A 525IU11%
Vitamin C 9mg11%
Calcium 154mg15%
Iron 3.6mg20%
* Percent Daily Values are based on a 2000 calorie diet.