Why settle for ordinary keto stuffed peppers when you can enjoy Keto Pepperoni Pizza Stuffed Peppers? This easy low-carb dinner brings together savory Italian sausage, pizza sauce, melted mozzarella, and pepperoni in a tender bell pepper shell.

If you are looking for an easy keto dinner recipe the whole family can enjoy, these Pepperoni Pizza Keto Stuffed Peppers are a delicious choice. They have the comforting flavor of pizza without the traditional crust, making them a simple low-carb option for busy weeknights, meal prep, or a satisfying lunch.
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Keto Stuffed Peppers
These keto stuffed peppers are simple, flavorful, and filling. Instead of using rice or a high-carb filling, this recipe keeps things low carb with Italian sausage, pizza sauce, cheese, and pepperoni. The result is a pepperoni pizza-inspired meal that is hearty enough for dinner but easy enough to prepare on a weeknight.
- They require only seven main ingredients, so the recipe stays simple and approachable.
- They are ready in about 40 minutes, including prep and cook time.
- They make an easy, family-friendly keto dinner with familiar pizza flavors.
- Each serving is satisfying without being heavy, making this a great option for low-carb eating.
Ingredients Needed to Make This Keto Stuffed Bell Peppers Recipe
Exact ingredient amounts are listed in the recipe card at the end of the post.
- Ground mild Italian sausage
- Rao’s pizza sauce, or another low-carb pizza sauce
- Garlic powder
- Italian seasoning
- Medium green bell peppers
- Shredded Mozzarella cheese
- Pepperoni slices
Green bell peppers work well in this recipe because they hold their shape during baking and balance the rich sausage and cheese filling. If you prefer a sweeter flavor, you can use another color of bell pepper, but keep in mind that nutrition may vary slightly.
Tools Needed for This Recipe
You do not need any complicated equipment to make these low carb stuffed peppers.
- A large skillet or Dutch oven for cooking the sausage
- An 8-inch baking dish
- A spoon for filling the peppers
- A sharp knife and cutting board for preparing the bell peppers
How to Make Stuffed Keto Peppers: Pepperoni Pizza
This is a quick overview of how to make these low carb pepperoni pizza stuffed peppers. For the full recipe, see the recipe card below.
Start by preheating the oven. While it heats, cook the ground mild Italian sausage in a large skillet over medium-high heat. Break it into smaller pieces as it cooks so the filling has an even texture. Once the sausage is fully cooked, stir in the pizza sauce, garlic powder, and Italian seasoning. Let the mixture come to a gentle simmer, then remove it from the heat.

Next, prepare the bell peppers by cutting them in half lengthwise and removing the seeds and stems. Place the pepper halves in an 8-inch baking dish. Spoon the sausage and pizza sauce mixture evenly into each pepper half, making sure every pepper gets a generous amount of filling.

Bake the filled peppers until they begin to soften. Then remove the dish from the oven and top each stuffed pepper with shredded Mozzarella cheese and pepperoni slices. Return the dish to the oven and bake until the cheese is melted and the pepperoni is warmed through.

Serve the peppers warm. Each serving is one stuffed bell pepper half.

More Keto Ground Beef Recipes
If you enjoy low-carb, gluten-free, and sugar-free dinner ideas, ground beef recipes are a great place to start. They are usually filling, easy to customize, and practical for weeknight cooking. Try options such as keto hamburger casserole, keto meatball casserole, no-bean low carb chili, low carb tacos, keto cheeseburger soup, or a low carb cheeseburger casserole.



What Brand of Mild Italian Sausage Should I Use in My Low Carb Stuffed Peppers?
For a budget-friendly option, Johnsonville Mild All Natural Italian Ground Sausage is a commonly used choice. According to the original recipe notes, it is gluten-free, dairy-free, MSG-free, and contains no artificial colors, artificial flavors, nitrates, or nitrites. It does contain a very small amount of sugar, but the recipe notes state that it is not enough to significantly raise the carb content.
If you prefer an entirely sugar-free sausage option, Pederson’s No Sugar Ground Italian Sausage is another option mentioned for this recipe.
What Brand of Sugar-Free Pizza Sauce Should I Use?
Rao’s Pizza Sauce works well in this keto stuffed pepper recipe if you can find it. If it is not available, use another sugar-free or low-carb pizza sauce. Always check the nutrition label and choose the lowest-carb option that fits your needs. As a comparison, the original recipe notes that Rao’s contains 3g net carbs per 1/4 cup.
What Keto Sides Go With Stuffed Peppers?
These keto pepperoni pizza stuffed peppers can be served on their own, but they also pair well with simple low-carb side dishes. Good options include creamy mashed cauliflower, roasted vegetables, keto garlic bread, cauliflower mac and cheese, keto antipasto salad, or an easy cauliflower cheese casserole.



Nutrition Facts for Keto Stuffed Bell Peppers
Each serving is one stuffed pepper half. Based on four servings, each serving contains:
- 303 calories
- 25g fat
- 12g protein
- 5g net carbs

More Keto Dinners
If you like pizza-inspired keto recipes, you may also enjoy keto pizza casserole, chicken crust pizza, and other low-carb casseroles. For Italian-style meals, keto chicken Alfredo, keto meatball casserole, and keto antipasto salad are also great dinner ideas. If you prefer comforting casseroles, recipes like keto chicken and broccoli casserole, keto King Ranch casserole, and keto jalapeno popper chicken casserole can fit well into a low-carb meal plan.



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I hope you enjoy this easy keto stuffed pepper recipe. If you like pepperoni pizza flavors and want a simple low-carb dinner, this recipe is a great one to save and make again.

Keto Stuffed Peppers: Pepperoni Pizza
Ingredients
- 1/2 pound ground mild Italian sausage
- 1 cup Rao’s pizza sauce or another low-carb pizza sauce
- 1 teaspoon garlic powder
- 1 teaspoon Italian seasoning
- 2 medium green bell peppers cut in half lengthwise, seeds and stems removed
- 1/4 cup shredded Mozzarella cheese
- 12 pepperoni slices
Instructions
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Preheat oven to 400 F.
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Cook Italian sausage in a large skillet over medium-high heat until fully cooked, stirring occasionally and breaking it into smaller pieces. Add pizza sauce, garlic powder, and Italian seasoning. Bring to a simmer, then remove from heat.
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Place bell pepper halves in an 8-inch baking dish. Spoon the sausage mixture evenly into the pepper halves. Bake at 400 F for 15 minutes.
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Remove the dish from the oven. Top each pepper evenly with Mozzarella cheese and pepperoni slices. Return to the oven and bake for another 8 to 10 minutes, or until the cheese is melted.
Notes
- Look for a pizza sauce with 3g net carbs per 1/4 cup or less.
- Each serving is one stuffed pepper half.
Nutrition Disclaimer
Nutrition facts are included as a courtesy only. They are accurate to the best of our knowledge based on the ingredients and brands used, but their accuracy is not guaranteed. If applicable, sugar alcohols have already been removed from the total carb count.