Real Healthy Pizza Casserole

Healthy casserole recipe tastes like pizza from

All your protein, fiber and veggies in one scoop!

Casseroles like this are a dream-come-true for busy weekday dinners. To mix everything into one pan saves precious time, not to mention fewer dishes.

I’ve found that my kids naturally enjoy eating casseroles, so I’m able to sneak more veggies into their dinner without the fight.

This recipe for Real Healthy Pizza Casserole is soooo yummy! The main ingredients are spaghetti squash, ground beef, eggs, marinara sauce and roasted onion and bell peppers — all healthy ingredients that you can feel good about feeding to your family. Play around with the pizza toppings to customize it to what your family loves.

The kids both asked for seconds, and so did B and I! It’s great to have a dinner recipe that’s quick and tastes good, all while providing loads of fiber and protein without gluten, grain or dairy.

If you don’t have spaghetti squash, don’t sweat it. Instead take 7 zucchini and use a vegetable peeler to create long noodle-like strands. Just be sure to stop peeling when you reach the seeds. Then skip the first step of cooking the squash and simply mix the uncooked zucchini noodles in step 3.

Real Healthy Pizza Casserole
A Recipe by Diana Keuilian
Prep time
Cook time
Total time
Serves 8

  • ½ of a spaghetti squash (or 7 zucchini, turned into zucchini noodles with a vegetable peeler. If using zucchini, skip step 1.)
  • 1 pound organic, grass-fed ground beef
  • 2 cloves garlic, minced
  • 1 teaspoon fennel seed
  • 2 teaspoons smoked paprika
  • ½ a yellow onion, minced
  • 1½ cups organic marinara sauce
  • 4 eggs
  • 1 (14oz) bag frozen roasted onions and bell peppers (Trader Joe’s has a good one)
  • 1 teaspoon dried oregano
  • 1 teaspoon dried basil
  • Dash of salt and pepper
  • 20 Nitrate free salami slices
  • ¼ cup Greek olives, sliced
  • ¼ cup fresh pineapple pieces
  • ¼ cup fresh bell pepper, chopped

  1. Preheat the oven to 375 degrees F. Place the spaghetti squash half in an oven safe pan in 2 inches of water, cut side down. Bake for 45-60 minutes, until the squash is tender. Remove from oven and set aside to cool. Increase the oven temperature to 400 degrees F.
  2. In a large skillet brown the beef along with the garlic, fennel, paprika and onion. Once browned, remove from heat.
  3. Remove the seeds from the spaghetti squash. Scrape the squash strands into a large mixing bowl. Add the marinara, eggs, frozen veggies, oregano, basil, salt, pepper, and browned beef. Mix well.
  4. Lightly grease a 9×13 casserole pan with olive oil. Spread the mixture evenly into the pan, smoothing out the top. Bake for 35 minutes.
  5. Top the casserole with the salami, olives, pineapple and bell pepper pieces (or choose your own favorite pizza toppings and use those!) Return to the oven for 10 minutes. Finish with a couple minutes on broil to brown the top.

Calories: 251     Fat: 13 g     Carbohydrates: 9 g     Sodium: 460 mg     Fiber: 2 g     Protein: 20 g    


Healthy pizza dinner recipe from


  • Giving Up Grains | H April 12, 2013 at 9:07 pm

    […] –       Make noodles with a vegetable peeler and a zucchini, or use spaghetti squash. […]

  • Mary Blinkhorn September 17, 2015 at 8:46 pm

    Can you make this with butternut squash?

    • Diana September 21, 2015 at 9:25 pm

      Hi Mary- Yes, if you run the butternut squash through a spiral slicer to create long strands. Happy Cooking!

  • Peggy J Miller April 7, 2016 at 4:14 pm

    Diana,Thank you so much for sharing hour meal plan,recipes&info!!!! Am so excited to get going with it all. I got it all printed off last night!!! Is kroger Simple Truth coconut sugar acceptable? Simple Truth unsweet almond milk? To drink a glass of milkI mean.. Thanks so much for sharing all your hard work I was telling somebody a church last night how excited I am re this and told her you had done all the work everything except coming into my kitchen to actually make the foods.I appreciate all your organizatikn and planning. I am nit good st tjose things. Thank you so much for all your hard work plus your sharing it!!! Sincerely,Peggy Miller (

    • Diana April 19, 2016 at 4:08 pm

      Hi Peggy,
      I’m happy to hear you’re excited to start the program and enjoy the recipes! Yes, those Kroger products sound good. Enjoy!

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