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Keto Sausage Crusted Pizza with Ricotta and Basil

Low Carb, Keto Friendly Pizza where Sausage is used for the Crust.
Prep Time30 mins
Cook Time15 mins
Course: Pizza
Cuisine: Italian
Keyword: basil, Italian sausage, keto pizza, pizza sauce, sausage crust
Servings: 6 slices



  • 1 pound Italian sausage
  • 2 tablespoons olive oil
  • 1 cup tomato sauce
  • 1.5 cups grated mozzarella cheese
  • 1 cup ricotta cheese
  • 2 tablespoons Pecorino Romano Cheese
  • 1/4 teaspoon sea salt or more to taste
  • 1/4 teaspoon black pepper
  • 1 handful fresh basil

Pizza Sauce

  • 1 tablespoon olive oil
  • 1 clove garlic
  • 1 can San Marzano Tomatoes
  • 2 tablespoons fresh oregano or basil or dried Italian seasoning
  • 1/2 teaspoon sea salt or more to taste
  • 1/2 teaspoon black pepper or more to taste


Make Sausage Crust

  • Preheat oven to 400 degrees F.
  • Use loose sausage. If you have sausage links, remove from casing. spread out with fingers onto griddle or pizza pan. Use parchment paper or plastic wrap and rolling pin to roll out as thin as you can without forming holes. Place parchment on top of sausage and roll. You will not need any binders.
  • Sausage will shrink about an inch all around. Form a sausage crust with your fingers the way you would a dough crust.
  • Bake for 15 to 20 minutes until sausage is browned.

Make Pizza

  • Once sausage is cooked, sop up any grease with paper towels.
  • Add about 1/2 cup tomato sauce to pizza crust.
  • Add mozzarella cheese.
  • Add RIcotta Cheese in dollops of one or tablespoons around the pizza.
  • Bake for 10 minutes or until cheese is melted.
  • Sprinkle grated pecorino romano cheese.
  • Fresh basil leaves.
  • Put fresh basil on pizza.
  • Serve immediately, cutting into six pieces.