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.

❤️ 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

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.

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 1/4 cups of the mozzarella and the cream cheese to a microwave safe bowl and microwave for 35 seconds, until melted.

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 .  

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

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.  

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

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

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!  

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!

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.

☑️ 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

💡 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!

🔄 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

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!

🍽️ More Keto Pizza Recipes

• Pizza Stuffed Peppers
• Portobello Mini Pizza
• Cauliflower Pizza Crust
• Pepperoni Pizza Bagels

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