Slice of low carb cauliflower casserole on a white plate

Cauliflower Casserole - Low Carb Beef and Cheese Cauliflower Casserole

This loaded cauliflower casserole is a healthier baked casserole meatloaf style dish. It's a low carb cauliflower casserole so it's great for keto diets and anyone looking for healthy options. Easy to make ahead of time and even freeze for a future dinner.
Course Main Course
Cuisine American
Prep Time 20 minutes
Cook Time 40 minutes
Total Time 1 hour
Servings 8 servings
Calories 497kcal
Author 730 Sage Street


  • 1 1/2 cups water
  • 1/2 cup heavy cream
  • 1 large head of cauliflower or 2 cups mashed cauliflower
  • 1 lb ground beef
  • 1 small onion diced
  • 1 Tablespoon Worcestershire sauce
  • 6 oz tomato paste
  • 1 cup crushed pork rinds
  • 1 egg
  • 1 1/2 cups grated cheddar cheese
  • 1/4 cup cooked chopped bacon (about 4-5 small pieces)
  • 1/2 tsp salt
  • 1/2 tsp black pepper


  • Preheat oven to 400 degrees F.
  • Chop cauliflower into pieces and boil in water for 10 minutes, drain and puree in a food processor with heavy cream.
  • Stir in salt and pepper to mashed cauliflower.
  • In a mixing bowl, combine the ground beef, onions, tomato paste and Worcestershire sauce.
  • Add pork rinds and egg to the meat mixture and mix completely.
  • Press the meatloaf mixture evenly into a loaf pan.
  • Spread the mashed cauliflower over the meatloaf and smooth down.
  • Sprinkle the grated cheese evenly on top and then add the chopped bacon.
  • Cover with foil and cook for 30 minutes, then remove the foil and continue to cook for 10 more minutes or until the internal temperature reaches at lease 165 degrees F.


Note: nutrition information is estimated and for information only.


Calories: 497kcal | Carbohydrates: 12g | Protein: 42g | Fat: 32g | Fiber: 4g | Sugar: 6g
Nutrition information shown is an estimate and is not to be assumed to be accurate. If accurate information is required for your diet or lifestyle, please calculate the nutrition yourself using a tool you trust.