Low-Carb Pizza Casserole with Veggies and Mozzarella

This Healthy Pizza Casserole gives you all the flavors of pizza in a lighter, WW-friendly casserole. It’s a wholesome, lower-fat take on pizza casserole that still tastes indulgent enough to please the whole family.

healthy pizza casserole in a blue casserole dish with grey oven mitts in the background

This dish works great as game-day fare or an easy weeknight dinner for back-to-school, movie night, or pizza night. It’s also a crowd-pleasing choice for potlucks. My family loves it; serve with a simple salad or garlic bread for a complete meal.

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If you enjoy lighter pizza dishes, try other WW-friendly recipes like Healthy Pizza Dippers, Weight Watchers Pizza with 2-ingredient dough, Pizza Cupcakes, Egg White Breakfast Pizza, or Healthy Homemade Pita Pizza Pockets.

🥘 Ingredient Notes

Simple, everyday ingredients make this casserole easy to assemble:

pizza casserole ingredients in glass bowls, labelled
  • Egg noodles (smart pasta) – broad egg noodles work well; I use no-yolk broad noodles.
  • Red pasta sauce (marinara) – any jarred sauce you like.
  • Cream of chicken soup (low-fat) – the canned soup adds creaminess; low-fat keeps it lighter.
  • Cheddar and Parmesan – light versions help reduce calories and fat.
  • Extra-lean ground beef – gives the casserole a meaty texture while keeping it lean.
  • Turkey pepperoni – a lower-fat pepperoni option; use sliced or stick-style, chopped.

📖 Variations & Substitutions

  • Noodles – swap for penne, whole wheat pasta, smart pasta, or spiralized zucchini to cut carbs.
  • Meat – use lean ground turkey, ground chicken, or crumbled tofu instead of beef.
  • Pepperoni – use sliced turkey pepperoni or your preferred lean pepperoni.
  • Cheese – part-skim mozzarella is a good substitute for cheddar.
  • Peppers – any color bell pepper is fine: red, orange, yellow, or green.
  • Toppings – add Italian turkey or chicken sausage, Italian seasoning, or other favorite pizza toppings.
  • Cream soup – make a homemade “cream of” soup to control sodium and ingredients.
  • Spicy – add red pepper flakes or jalapeños for heat.

🔪 How to Make Healthy Pizza Casserole

Prep: Preheat oven to 350°F (176°C). Cook noodles according to package directions, drain, and set aside.

Skillet with mushrooms, onions and peppers
STEP 1

Spray a large skillet with non-stick spray. Cook mushrooms, onion, and bell pepper over medium heat, covered, for about 5 minutes until softened.

ground beef added to vegetable mixture in skillet
STEP 2

Add the extra-lean ground beef to the skillet and cook until browned.

browned ground beef with vegetables in skillet
STEP 3

Once the beef is browned, combine it with the cooked vegetables.

ground beef mixture in pot with other ingredients (cheese etc0
STEP 4

Stir in pasta sauce, cream of chicken soup, ¾ cup of cheddar cheese, chopped turkey pepperoni, and most of the sliced olives (reserve a few for garnish). Add the drained noodles and mix until well combined.

Mixture placed in casserole dish
STEP 5

Spoon the mixture into a prepared casserole dish and smooth the top. Bake until hot and bubbly, about 35 minutes.

Casserole with cheese melted on top
STEP 6

Remove from the oven, sprinkle the remaining cheddar over the top, and return to the oven for about 5 minutes until the cheese melts. Garnish with grated Parmesan and the reserved olives, then serve hot.

Expert Recipe Tips

  • Undercook the pasta slightly: Boil the noodles 1–2 minutes less than the package suggests so they hold up during baking.
  • Layer the cheese: Tuck some cheese between layers for a gooey interior rather than mixing it all in.
  • Increase fiber: Replace half the pasta with spiralized zucchini or use whole wheat noodles.
  • Add more veggies: Fold in spinach, kale, or grated carrots for extra nutrients.
  • Reduce sodium: Use low-sodium sauce and make homemade cream-of-chicken to control salt.
  • Use leaner meat: Ground turkey, chicken, or tofu are good lower-fat alternatives.
  • Greek yogurt swap: Substitute half the cream soup with plain Greek yogurt for added protein and creaminess.
  • Let it rest: Allow the casserole to sit 5–10 minutes after baking so it sets and slices more cleanly.
  • Crispy topping: Broil for 2–3 minutes at the end for a golden, crispy cheese crust.

🥗 What to Serve With This Casserole

A light green salad or breadsticks complement the casserole nicely. For a lighter side, try cloud bread or a fresh spinach salad.

honey lime cilantro dressing

👪 Serving Size

This recipe yields 8 servings (about 1 1/4 cups per serving). You can scale the recipe up or down to suit your needs.

spoonful of pizza casserole being held up on a dark wooden spoon over casserole dish

🔢 WW Points

This version was lightened to be Weight Watchers friendly, approximately 5 points per serving when using fat-free Parmesan, based on 8 servings per recipe. Swapping whole wheat or zucchini noodles will further reduce points and carbs.

🌡️ Storage

Store leftovers in an airtight container in the refrigerator for up to 4 days. The casserole also freezes well for up to 3 months—thaw in the fridge overnight before reheating.

single serving of healthy pizza casserole on a black plate with fork and dish of crushed red pepper flakes, with whole casserole in background

Top tip

Best way to reheat from frozen:

Defrost overnight in the refrigerator. Preheat oven to 350°F (175°C). Remove any plastic wrap, cover tightly with foil, and bake 20–30 minutes until heated through (internal temperature 165°F / 75°C). Remove foil and broil for a minute or two for a crisp top, if desired.

❔ Recipe FAQs

How does this compare to traditional pizza casserole?

This lighter casserole uses lean meat, light cheeses, extra vegetables, smart pasta, and low-fat soup, so it has fewer calories and less fat than a traditional version.

Can I use different meats like ground turkey or chicken?

Yes. Ground turkey or chicken are excellent substitutes that lower calories and fat even more.

If you want family-friendly, flavorful meals that are also lighter, this pizza pasta casserole is an easy go-to that everyone will enjoy.

🍲 More Healthy Casseroles

  • Healthy Million Dollar Spaghetti Casserole Recipe
  • Stuffed Green Pepper Casserole (WW friendly)
  • Easy Slow Cooker Cowboy Casserole
  • Turnip and Apple Casserole

Did your family ❤️ this recipe? Commenting and rating recipes is one of the best ways to support creators. If you loved this dish, please leave a review or share a photo with #foodmeanderings or tag @foodmeanderings.

healthy pizza casserole in a blue casserole dish with grey oven mitts in the background
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📋 Healthy Pizza Casserole Recipe

A lighter pizza casserole made with egg noodles, vegetables, extra-lean ground beef, and turkey pepperoni. Delicious and family-friendly.
5 from 1 vote

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Course: Dinner, Side Dish
Cuisine: American, Canadian
Servings: 8 servings
Calories: 314kcal
Author: Terri Gilson
Prep Time: 15 minutes
Cook Time: 40 minutes
Total Time: 55 minutes
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Equipment

  • cheese grater
  • Large skillet
  • Casserole dish

Ingredients

  • 4 cups broad egg noodles * measured dry
  • 8 oz sliced mushrooms
  • 1 orange bell pepper, chopped
  • 1 onion, chopped
  • 1 ¾ cups red pasta sauce
  • 10 oz can cream of chicken soup * low-fat
  • 1 lb extra-lean ground beef
  • 1 ½ cups low-fat cheddar cheese
  • ¾ cup turkey pepperoni, chopped about 5 sticks, chopped
  • ¾ cup pitted, sliced olives
  • 2 tablespoon low-fat Parmesan cheese

Instructions

  • Preheat oven to 350°F (176°C).
  • Cook noodles according to package directions; rinse and drain.
  • Spray a skillet with non-stick spray and cook mushrooms, onion, and pepper over medium heat, covered, about 5 minutes.
  • Add ground beef to the skillet and cook until browned.
  • Stir in pasta sauce, cream of chicken soup, ¾ cup cheddar, most of the olives, and the noodles; mix well.
  • Spoon mixture into a casserole dish and bake until hot, about 35 minutes.
  • Top with remaining cheddar and bake 5 minutes more until melted. Garnish with Parmesan and reserved olives; serve hot.

Notes

Adapted from a Weight Watchers recipe.

Variations & Substitutions

  • Noodles – use penne, whole wheat, smart pasta, or zucchini noodles.
  • Ground Beef – substitute with regular lean beef, turkey, or chicken.
  • Pepperoni – sliced or stick-style turkey pepperoni both work.
  • Cheese – part-skim mozzarella is a good swap.
  • Toppings – try Italian turkey sausage, Italian seasoning, or favorite pizza toppings.
  • Cream soup – make a homemade version to reduce sodium.
  • Spicy – add chili flakes or diced jalapeños for heat.

🔢 WW Points

Approximately 5 WW points per serving when made with fat-free Parmesan and light ingredients. There are 8 servings per recipe (about 1 1/4 cups each).

🌡️ Storage

Keep leftovers refrigerated up to 4 days or freeze up to 3 months. Thaw overnight in the fridge before reheating.

Expert Recipe Tips:

  • Undercook the pasta slightly – cook 1–2 minutes less than package instructions.
  • Layer the cheese – tuck cheese between layers for extra meltiness.
  • Increase fiber – swap half the noodles for zucchini or whole wheat pasta.
  • Add more veggies – spinach, kale, or grated carrots add nutrients.
  • Reduce sodium – choose low-sodium sauce and homemade soup.
  • Use leaner meat – try ground turkey, chicken, or tofu.
  • Opt for Greek yogurt – replace half the soup with plain Greek yogurt.
  • Let it rest – allow 5–10 minutes before serving so it sets.
  • Crispy cheese topping – broil for 2–3 minutes at the end for a golden finish.

Nutrition

Serving: 1.25cups | Calories: 314kcal | Carbohydrates: 24g | Protein: 30g
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