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    Home / Recipes / Dinner / Keto Fathead Pepperoni Pizza

    Keto Fathead Pepperoni Pizza

    March 7, 2025 by Keto Cooking Christian 31 Comments

    This post may contain affiliate links. As an Amazon Associate I earn from qualifying purchases, see Disclosure.
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    This Keto Fathead Pepperoni Pizza is the ultimate low-carb pizza with a perfectly chewy crust and melty cheese. Ready in just 20 minutes, it's an easy, gluten-free and family-friendly dinner that satisfies every pizza craving.

    overhead view of Keto Fathead Pizza sliced on wooden round board
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    Jump to:
    • ❤️ Why You'll Love this Keto Fathead Pizza
    • 🛒 What's in the Best Keto Pizza with Fathead Dough
    • How to Make Almond Flour Pizza Crust
    • ☑️ Storage Instructions
    • 🍴 What to Serve with Fathead Pizza
    • 💡 Tips for the Best Gluten-Free Pizza Dough
    • 🔄 Substitutions and Additions
    • Best Keto Friendly Pizza Toppings
    • Can I Eat Pizza on Keto?
    • What is Fathead Dough?
    • Is Fathead Dough Easy to Make?
    • What Low Carb Pizza Sauce Can I Use?
    • Equipment Needed for Keto Pizza Dough
    • How Many Carbs in Fathead Pizza?
    • 🍽️ More Keto Pizza Recipes

    ❤️ Why You'll Love this Keto Fathead Pizza

    • Satisfies your cravings for pizza, without all the carbs
    • Only takes 20 minutes to make
    • Add whatever toppings you like
    • Gluten-free and family friendly
    holding up slice of pepperoni pizza with pie server over pizza

    This Keto Fathead Pepperoni Pizza is a great recipe everyone loves to make because it’s crazy easy and actually tastes like real pizza. The fathead dough gives it the perfect chewy crust, and the gooey mozzarella and crispy pepperoni seal the deal. When I want a quick, homemade, gluten-free pizza without having to spend all night in the kitchen this is my go-to.

    What makes this even better is how customizable it is. Keep it simple with pepperoni, or load it up with your favorite keto-friendly toppings. Either way, you’ll end up with a pizza that’s low-carb, loaded with flavor, and totally satisfies any pizza craving.

    closeup of slice of Keto Fathead Pizza with pepperoni

    If you prefer your pizza without crust, be sure to check out my Crustless Pizza and my easy Pizza Bowls.

    🛒 What's in the Best Keto Pizza with Fathead Dough

    • Super Fine Almond flour
    • Shredded mozzarella cheese
    • Cream cheese
    • Parmesan cheese
    • Egg
    • Tomato paste
    • Garlic salt
    • Fresh basil
    • Fresh garlic
    • Dried oregano
    • Uncured pepperoni

    *Exact measurements are listed in the recipe card below.

    🥣 Recommended Tools

    • Pizza pan or baking sheet
    • Parchment paper
    • Mixing bowl
    • Pizza cutter

    How to Make Almond Flour Pizza Crust

    Preheat your oven to 425°F.  Then add 1 ¼ cups of the mozzarella and the cream cheese to a microwave safe bowl and microwave for 35 seconds, until melted.

    shredded mozzarella cheese and scoop of cream cheese in glass bowl

    Then, mix in the egg, then the almond flour.  You'll want to knead the dough till it's well combined.  You don't want streaks running through it so if you need to, you can microwave it for another 10-20 seconds .  

    Keto Fathead Pizza dough in glass bowl

    Tip: This will make the dough more pliable and easier to work with.  Keep mixing until it looks like this photo.

    Keto Fathead Pizza dough in glass bowl

    Ok, here's the messy (but fun) part!  Put some oil on your hands, this will make spreading out this sticky dough MUCH easier!  If you make fathead bagels, you will want to do the same thing.  

    Keto Fathead Pizza unbaked on parchment paper

    Then, spread the dough out onto a parchment paper lined sheet pan or pizza pan and bake in the oven for 8 minutes.  

    keto pizza sauce in glass bowl with spoon

    Mix all the pizza sauce ingredients together and have it ready to spread on the pizza crust, once you remove it from the oven.

    Keto Fathead Pizza dough with pizza sauce on parchment lined baking sheet

    Remove the dough from the oven and add the sauce, or this homemade low carb marinara sauce. Then the best part, decorate this baby with the toppings of your choice!  

    Keto Fathead Pizza with pepperoni unbaked

    Put it back in the oven for another 6-7 minutes. Once it has that beautiful golden color from the melted mozzarella you're good to go!

    Keto Fathead Pizza on parchment lined baking sheet

    Wait a few minutes before cutting into it. I know this is the hard part, but it is SO worth the wait! Store leftovers in the fridge or freeze.

    overhead view of Keto Fathead Pizza sliced on wooden round board

    ☑️ Storage Instructions

    Fridge: Store leftovers in an airtight container for up to 3 days. Reheat in the oven at 350°F for the best texture.

    Freezer: Freeze baked pizza slices in a single layer, then store in a freezer bag for up to 2 months. Reheat straight from frozen at 375°F.

    🍴 What to Serve with Fathead Pizza

    This pizza is filling, so all you need is a simple side salad and you're all set. Here are some of my favorite salad options:

    • Classic Wedge
    • Overnight 7 Layer Salad
    • Strawberry Spinach Salad
    • Garden Salad with Creamy Italian, Ranch or Caesar Dressing
    overhead view of Keto Fathead Pizza sliced on wooden round board

    💡 Tips for the Best Gluten-Free Pizza Dough

    • Be sure to use the prepackaged, preferably part skim, shredded mozzarella cheese in this recipe. Fresh mozzarella contains too much water and your pizza won't turn out as it should.
    • Super Fine Almond flour works best for fathead dough, because it will blend much easier.  If you only have regular almond flour, you can certainly use it instead and it will still be a great gluten free crust.
    • If you have someone that is allergic to nuts, you can use this Nut-Free Keto Pizza Crust instead!
    holding up slice of Keto Fathead Pizza over pizza on wooden cutting board

    🔄 Substitutions and Additions

    • Sauce: You can skip the traditional tomato based pizza sauce and instead us an Alfredo Sauce or olive oil, spinach, ricotta, parmesan and mozzarella cheeses for a classic white.
    • Different crust shape: Make breadsticks, calzones, or even a keto pizza pocket.
    • Experiment with herbs: Mix dried oregano, basil, or garlic powder into the dough for extra flavor.

    Best Keto Friendly Pizza Toppings

    You can use any variety of meats and low carb veggies. Here are some of my favorite pizza topping ideas:

    • sausage
    • ham
    • ground beef
    • bacon
    • spinach
    • mushrooms
    • anchovies
    • black olives
    • onions
    • peppers
    • artichoke hearts
    closeup of Keto Fathead Pizza sliced with pepperoni

    Can I Eat Pizza on Keto?

    The answer is absolutely! You just need to make a few adjustments to the ingredients. The toppings for the most part, can be the same.

    This low carb pizza is the next best thing to the traditional version. Fathead dough is really easy to work with and has a great chewy texture to it. You can even use it to make bagels, they are super easy and make a great low carb replacement!

    What is Fathead Dough?

    A traditional fathead dough is made of mozzarella cheese, cream cheese, egg and typically almond flour. Interestingly enough, the name fathead comes from a documentary "Fat Head" directed by Tom Naughton, that explores the benefits of a low carb, high fat diet.

    Is Fathead Dough Easy to Make?

    It's unbelievably easy!  You are essentially mixing in a handful of ingredients, baking the crust, adding the sauce, cheese and toppings and bake a little more.  

    Easy peasy and takes about 20 minutes from start to finish!  This makes for a great low carb weeknight dinner, when you're pressed for time!

    What Low Carb Pizza Sauce Can I Use?

    To make this sauce, you can use tomato paste, thinned out with a little water.  If you make it on the thicker side, you will get that sweet concentrated tomato flavor that is just perfect on pizza.  If you don't have tomato paste, you can use any low carb tomato sauce and add in the garlic and herbs per the instructions.

    There's no need to cook this sauce, it will cook as the pizza bakes.  If you prefer a prepared sauce, try to find one that is very low in sugar and carbs. Or you can make your own Keto Pizza Sauce!

    Equipment Needed for Keto Pizza Dough

    You only need a few things to make this pizza.  Any large sheet pan will work, or you can use a round pizza pan, if you have one.  Be sure to line it with parchment paper.  This is an important step that you cannot skip.  

    Otherwise the dough will probably stick the pan and you will have wasted your time and ingredients.  So please trust me on this!  If you don't have parchment paper, you can use a Silpat (silicone baking mat) instead. 

    When you're ready to serve it, you can use a pizza cutter to slice it up.  If you don't have a pizza cutter, any sharp knife will do just fine!

    How Many Carbs in Fathead Pizza?

    If you split this entire pizza into 4 servings, each serving has 5 net carbs, which is really not bad and a LOT less than traditional pizza!

    overhead view of Keto Fathead Pizza on round wodden board

    🍽️ More Keto Pizza Recipes

    • Pizza Stuffed Peppers
    • Portobello Mini Pizza
    • Cauliflower Pizza Crust
    • Pepperoni Pizza Bagels
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    overhead view of Keto Fathead Pizza sliced on wooden round board

    Keto Fathead Pepperoni Pizza

    This Keto Fathead Pepperoni Pizza is the ultimate low-carb pizza with a perfectly chewy crust and melty cheese.
    4.91 from 10 votes
    Author: Julianne
    Servings 4
    Print Pin
    Save RecipeSaved!
    PREP 5 minutes mins
    COOK 15 minutes mins
    TOTAL 20 minutes mins

    RECIPE VIDEO

    Ingredients
     

    For the Crust

    • 1 ¼ cups shredded mozzarella cheese
    • 2 tablespoons cream cheese
    • 1 whole egg
    • ¾ cup almond flour
    • 2 tablespoons parmesan cheese, grated

    For the Sauce

    • 2 ounces tomato paste (mixed with water to thin out)
    • ½ tablespoon garlic salt
    • 2 tablespoons fresh basil
    • 1 teaspoon fresh garlic, minced
    • ½ teaspoon dried oregano

    For the Toppings

    • 2 tablespoons parmesan cheese
    • ½ cup shredded mozzarella cheese
    • 20 slices uncured pepperoni

    Instructions
     

    • Preheat oven to 425°F
    • Microwave shredded mozzarella cheese and cream cheese for 35 seconds, until melted. Mix in the egg, then almond flour.  Knead the dough till it is well mixed.  You may need to microwave it for another 10-20 seconds to be able to blend it thoroughly.
    • Using your (oiled) hands, spread the dough out onto a parchment paper lined pizza pan and bake for 8 minutes.
    • Mix all the sauce ingredients together while the pizza crust is baking. Pull out the pizza dough, add the sauce and your desired toppings. Bake for an additional 6-7 minutes. Allow to cool slightly, cut and serve. Enjoy!

    Recipe Notes

    I recently updated the pictures, but in the original video, it shows me adding Kalamata olives as part of the toppings.  The recipe is the same, you can choose to use whichever toppings you like!
    Be sure to use the prepackaged, preferably part skim, shredded mozzarella cheese in this recipe.  Fresh mozzarella contains too much water and your pizza won't turn out as it should.

    *Make sure to scroll up and read the post for substitutions, additions and helpful tips for making this recipe.

    Course Main Course
    Cuisine Italian
    Calories 538kcal
    Nutrition Facts
    Keto Fathead Pepperoni Pizza
    Amount per Serving
    Calories
    538
    % Daily Value*
    Fat
     
    43
    g
    66
    %
    Saturated Fat
     
    18
    g
    113
    %
    Carbohydrates
     
    9
    g
    3
    %
    Fiber
     
    4
    g
    17
    %
    Sugar
     
    3
    g
    3
    %
    Protein
     
    32
    g
    64
    %
    * Percent Daily Values are based on a 2000 calorie diet.

    *Nutritional data is provided as a courtesy and is accurate to the best of my knowledge. You can verify it using the nutrition calculator of your choice. All data is based on net carbs, without sugar alcohol: Swerve, Erythritol, Monk Fruit or Allulose.

    © Copyright for Keto Cooking Christian LLC. Please use the share buttons to share on social media, but please do not copy/paste the recipe.

    Rate this Recipe

    *Originally published on April 8, 2018, updated on March 7, 2024 with improvements to the recipe, new photos, new recipe information and helpful tips.

    12425 shares
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    Filed Under: 30 Minutes or Less, Dinner, Italian, Posts, Recipes Tagged With: best keto recipes, best low carb recipes, bet fathead pizza, easy keto recipes, easy low carb recipes, gluten free pizza, gluten free recipes, keto, keto diet, keto pizza, keto recipes, ketogenic diet, low carb pizza, low carb recipes

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    Reader Interactions

    Comments

      4.91 from 10 votes (1 rating without comment)

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      Recipe Rating




    1. Cindy k

      September 03, 2021 at 2:49 pm

      5 stars
      Can I make this a few hours ahead of time to bring camping? Ever tried cooking it on the grill?

      Reply
      • Keto Cooking Christian

        September 06, 2021 at 10:04 am

        You could make the pizza a head of time, but not the pizza dough. The reason why is because the cheese being melted is what gives it the looseness to form into a crust. I have not tried cooking it on a grill, but I am sure you could grill it on a grill mat.

        Reply
    2. Christina

      June 23, 2020 at 6:49 pm

      Hey! Pizza is in the oven and I am so excited to try it! Just wondering, under for the crust it lists Parmesan cheese but it doesn’t say when to incorporate it in the directions. Just wondering if I am supposed to melt it along with the mozzarella.

      Reply
    3. Laura

      March 21, 2020 at 7:23 pm

      Hi! This was the best pizza I ever made. I have tried so many and nothing as good as this one. Thank you so much . So easy to make too. Can't wait to try your other recipes.

      Reply
      • Keto Cooking Christian

        March 21, 2020 at 9:14 pm

        Aww, that's wonderful! So glad you enjoyed it and I hope you like the other recipes as well 🙂

        Reply
    4. Liz V

      January 15, 2020 at 4:28 pm

      Can you double this recipe, specifically the crust, to make a larger pizza for more people?

      Reply
      • Keto Cooking Christian

        January 18, 2020 at 9:10 am

        Yes, you sure can!

        Reply
    5. Tammy

      January 05, 2020 at 4:22 pm

      I don’t care for sauce so is that where most carbs come from?

      Reply
      • Keto Cooking Christian

        January 05, 2020 at 4:48 pm

        The sauce, but also the almond flour. You can use a white sauce instead, if you'd like.

        Reply
    6. Tracy

      December 19, 2019 at 6:25 pm

      Delicious!!!

      Reply
    7. Nicole

      November 15, 2019 at 7:00 pm

      I made a beautiful looking pizza but when I tried to cut it, it was completely stuck to the parchment paper 😩. I’m so sad! I guess I need to spray the parchment paper next time.

      Reply
      • Keto Cooking Christian

        November 15, 2019 at 7:01 pm

        Oh wow, sorry to hear that! I've never had it stick to the parchment paper before. Maybe brush it with olive oil next time?

        Reply
      • Alicia

        January 24, 2020 at 5:25 pm

        Are you sure you use parchment and not wax paper. It will stick if wax paper is used.

        Reply
    8. Jodi

      October 20, 2019 at 5:04 pm

      5 stars
      Love this!!!! Game changer, but I noticed in directions the Parmesan cheese is left out of crust & I missed that. I’m sure it would be a better consistency with it.

      Reply
      • Keto Cooking Christian

        October 20, 2019 at 9:45 pm

        Glad you enjoyed the pizza, it's one of my favorites! The parmesan cheese is one of the toppings and is listed under the toppings on the recipe card. It also shows in the video, but sorry if that was confusing.

        Reply
        • Pamela Giroux

          November 10, 2020 at 6:32 pm

          5 stars
          Actually the Parm is listed in your recipe twice..once under crust and again for toppings...I do both anyways cause was not sure first time so did it and just continued doing so...still comes out great and adds extra flavor..tonight I'm trying pulled pork pizza..with caramelized onions, bbq sauce, pulled pork, banana peppers and pickled onions..parm, mozzarella and mexican blend cheeses..sounds so good..😋

    9. Laura

      September 21, 2019 at 12:45 pm

      Hi! Is the nutrition label above for the entire pizza? I have made this before and it is amazing!!

      Reply
      • Keto Cooking Christian

        September 21, 2019 at 1:01 pm

        Hi Laura,
        No, it's for one serving or 1/4th of the entire pizza. So it comes out to 5 net carbs each serving. Glad you like the recipe 🙂

        Reply
    10. Ashley King

      September 16, 2019 at 4:47 pm

      5 stars
      This is my fav pizza recipe. I warmed it up the next day in my Nu Wave oven and it was still very delicious and fresh tasting. I put a teaspoon of baking powder and psyllium husk to my dough mixture with Italian season and onion powder for flavor. I topped it with Turkey pepperoni, mushrooms and peppers

      Reply
      • Keto Cooking Christian

        September 16, 2019 at 4:54 pm

        Sounds awesome and glad to hear you love it!

        Reply
    11. Cookie Monster

      September 15, 2019 at 10:28 pm

      5 stars
      This pizza is delicious! It tastes as good as New York style pizza, but is much healthier. Thanks for the recipe.

      Reply
      • Keto Cooking Christian

        September 15, 2019 at 10:30 pm

        It really is much healthier and I'm glad you enjoyed it!

        Reply
    12. Selina

      September 05, 2019 at 9:27 pm

      5 stars
      My husband and I loved it. It's a keeper!

      Reply
      • Keto Cooking Christian

        September 05, 2019 at 9:45 pm

        Yay, happy to hear he loved it!

        Reply
    13. Joy

      August 25, 2019 at 6:10 pm

      5 stars
      This was my first time trying Keto pizza and this recipe was delicious!! We honestly couldn't tell the difference between my regular homemade pizza!! This will be a regular in our home. Thanks!!

      Reply
      • Keto Cooking Christian

        August 25, 2019 at 6:12 pm

        Fantastic, glad you liked it!!

        Reply
    14. Chris

      August 09, 2019 at 6:44 pm

      4 stars
      I just tried this tonight. It's my 1st official gluten free keto meal made from scratch...and loved it! Thank you for sharing!!

      Reply
    15. Sydney

      July 12, 2019 at 8:55 pm

      Could you freeze this dough?

      Reply
      • Keto Cooking Christian

        July 12, 2019 at 11:07 pm

        I've not tried freezing it before, so I can't say for sure how it would hold up.

        Reply
    16. Megan Williams

      June 04, 2019 at 10:10 pm

      5 stars
      Delicious and the first keto recipe my husband actually liked

      Reply
      • Keto Cooking Christian

        June 04, 2019 at 10:13 pm

        That's awesome, so nice to hear!

        Reply

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    Julianne Walser KCC

    I'm Julianne, welcome! I offer tasty and indulgent Keto and Low Carb recipes that will never leave you feeling deprived!

    More about me →

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