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a hand holding up the corner of a piece of low fodmap pizza with a meat crust

Low FODMAP Keto "Meatza" (Pizza with a Meat Crust)

  • Author: Gail Gromaski
  • Total Time: 40 minutes
  • Yield: 6 servings 1x
  • Diet: Gluten Free


Super delicious and filling, this Low FODMAP Keto Pizza with a Meat Crust, a.k.a. "Meatza," is like eating pizza toppings on a meatball! Low FODMAP, Keto, low carb, grain-free, and gluten-free. Can be made lactose-free by using a lactose-free pizza mozzarella. 


Units Scale

Low FODMAP "Meatza" Crust:

Low FODMAP Pizza Toppings:

  • 1/2 cup low FODMAP Pizza Sauce
  • 2 cups pizza (low moisture) mozzarella (lactose-free if needed), coarsely shredded and divided
  • 1/4 cup sliced low FODMAP pepperoni
  • 4 ounce can sliced mushrooms (canned in brine), rinsed, drained, and patted dry
  • 1/2 cup green bell pepper, diced


  1. Prepare sauce. If making homemade low FODMAP pizza sauce, prepare and set aside to cool.
  2. Preheat oven. Preheat oven to 400°F. Line a sided baking sheet (mine is 16 x 12 x 1 inches) with parchment paper (NOT a silicone mat – see note).
  3. Prepare the meat crust. Add crust ingredients to a large bowl and mix using your hands until combined. Place meat “dough” onto a baking sheet and spread as evenly as possible with your hands until it reaches the sides of the sheet. 
  4. Bake crust. Bake crust in a preheated oven for 15 minutes or until the temperature reaches 160°F on an instant read thermometer. The crust will shrink in size, and that is normal (see note).
  5. Drain grease. Using a fork to gently hold the crust on the baking sheet, carefully drain the grease from the baking sheet. Using as many folded over paper towels as needed, gently pat crust until mostly dry.
  6. Add toppings and bake. Top crust with 1/2 cup of the prepared pizza sauce (saving the rest for your next Meatza or other recipes), 1 ½ cups of the mozzarella, pepperoni, mushrooms, and diced green bell pepper. Cover toppings with remaining ½ cup of mozzarella. Bake an additional 10-12 minutes until toppings are cooked. 
  7. Slice and serve. Slice into 12 pieces with a pizza cutter or knife and serve 2 slices per serving.


  • High fat warning: while low in FODMAPs, this pizza recipe is high in fat, which can be an additional symptom trigger for some people with IBS. See post above for additional FODMAP information on each ingredient. 
  • The information in the nutrition card below reflects that before the grease is drained from the crust. The finished product that is eaten is likely to contain fewer calories, fat, and cholesterol due to draining much of the grease produced by the crust.
  • I don’t recommend using a silicone mat as the crust is likely to slip off the baking sheet while draining the grease (speaking from experience).
  • The crust will shrink about 1 inch on each side when baked. That is the nature (and drawback) of making a meat crust. 
  • Servings: 12 slices total - 2 slices per serving.
  • Inspired by Keto Karma
  • Prep Time: 15 minutes
  • Cook Time: 25 minutes
  • Category: Dinner
  • Method: Oven
  • Cuisine: Italian / American

Keywords: low fodmap keto recipes, low fodmap low carb recipes, low fodmap meatza, low fodmap pizza, low fodmap pizza crust