Jump to recipe

Stuffed peppers are a wonderful example of a perfect low carb ketogenic meal.  They are delicious, nutritious, filling, and certain to be a crowd pleaser in your home.  

This healthy recipe combines all of the classic flavors of Italy such as spicy sausage, tangy tomato, oregano, and sweet basil, but leaves out the heavy carb filled pasta that can kick someone out of ketosis.  

These spicy Italian stuffed peppers are so colorful and enticing, they will be hard to resist.

  • Spicy Italian sausage
  • Bell peppers
  • Cauliflower
  • Mushrooms

Traditional stuffed peppers are typically made with rice in the filling.  One of the reasons why this recipe can remain so low carb and ketogenic is because riced cauliflower is used as a replacement for the starch. You could also use any of the other keto-friendly rice substitutes. In addition to boosting the volume of this dish, cauliflower also has a wide array of health and nutritional benefits as well.

The Benefits of Cauliflower

  1. High in vitamins
  2. Contains phytochemicals and antioxidants
  3. Can aid in weight loss

#1: Vitamins

Cauliflower is rich in vitamins, but especially vitamin C.  

One serving contains over 75% of the daily recommended value.  Vitamin C is responsible for the growth, development, and repair or all tissues in the body.  It is also involved in a wide variety of functions such as production of collagen, boosting the immune system, wound healing, and the maintenance of bones, cartilage, and teeth.

#2: Phytochemicals

Cauliflower contains compounds like carotenoids and tocopherols which act as antioxidants.  These help reduce oxidative stress and free radicals caused by the environment, helps fight chronic diseases, and can also aid in balancing hormones.

#3: Weight Loss

Cauliflower is both low in calories and high in fiber.  This cruciferous vegetable helps to keep us feeling fuller longer which can reduce the amount of our overall food intake.  Cauliflower can also reduce constipation and improve digestive issues which can contribute to weight gain.

Whether or not you are on a ketogenic diet for weight loss, exercise performance, mental focus and clarity, or for health concerns recipes such as these spicy italian stuffed peppers will make you wonder how you ever ate any other way.  It’s an added bonus that this dish is also delicious and filled with amazing nutrients and health benefits.


Spicy Italian Keto Stuffed Peppers

keto stuffed peppers

These low carb keto stuffed peppers are loaded with classic Italian flavors and make for the best quick and easy weeknight meal.

  • Author: Corina Nielsen
  • Prep Time: 10 minutes
  • Cook Time: 25 minutes
  • Total Time: 35 minutes
  • Yield: 6 stuffed peppers
  • Category: Dinner
  • Cuisine: Italian


  • 1 tablespoon olive oil
  • 1 teaspoon Italian seasoning
  • 1 lb spicy Italian style ground sausage
  • 1 small onion (finely chopped)
  • 1 cup mushrooms (roughly chopped)
  • 1 cup riced cauliflower
  • 1 teaspoon salt
  • 1/2 teaspoon pepper
  • 2 tablespoons tomato paste
  • 1/2 cup chicken broth
  • 1/2 cup parmesan cheese
  • 1 cup mozzarella cheese
  • 3 large bell peppers (split in half)
  • 1/4 cup fresh basil


  • Preheat oven to 350.
  • Add olive oil to a large pan set to medium heat. Brown Italian sausage for 3-4 minutes.
  • Add onions, mushrooms, riced cauliflower, salt, pepper, and Italian seasoning until vegetables are mostly tender, about 5 minutes.
  • Add tomato paste and broth. Stir well to combined. Simmer filling for 8-10 minutes under low-medium heat.
  • Stir in parmesan cheese. Adjust seasoning if needed.
  • Slice peppers in half (lengthwise) and scoop in filling. Top with mozzarella cheese and bake for 20-25 minutes until tops are golden brown. Garnish with fresh basil.


  • Serving Size: 1 stuffed pepper
  • Calories: 298
  • Fat: 18g
  • Carbohydrates: Net Carbs: 8g
  • Protein: 27g

Keywords: italian keto stuffed peppers


Make Keto Easier

Lose weight and obtain optimal overall health — in an easy and natural way.


What to read next:

Responses (20)

  1. I made these tonight using home ground italian sausage and I used green peppers. It was delicious but the peppers weren’t quite done for me @ 350 degs for 25 mins. They probably could have used another 10 mins.

  2. Ok —I just came off the Scarsdale Diet & decided Keto is a great way to maintain w/ excercise.. Tonight-1st Keto dinner. Totally excited to cook when I got home …then I got home & discovered
    I’m missing 2 of the three bell peppers in the drawer & I forgot we ate the cauliflower on Sunday🙄
    My version of this for fam of 3:
    3 spicy Italian turkey sausage (case removed)
    Coarse chop cup of sliced baby bellas
    2 small broccoli crowns ( pulsed through food processor)
    1 orange bell pepper (sliced in half seeds removed)
    1 1/2 large cucumbers (scooped out)
    1 lrg garlic clove ( hand minced)
    Small yellow onion (fine chopped)
    Herbs for seasoning
    Mozzarella cheese
    Organic beef broth
    Absolutely delish!! 8yr daughter couldn’t get enough and hubby said I have succeeded 🤩
    I want to try again we the right ingredients though😊

  3. I will suggest boiling the bell peppers for around 10 to 15 minutes then complete the following steps!!

  4. Might want to check the nutrition label 300g definitely seems wrong. Otherwise going to make this tonight.

  5. Hi there,
    It looks like the recipe card is broken for you recipe so I wasn’t able to read the directions 🙁

  6. I’ve been waiting all day to make this recipe and now that I’m at the store the instructions are gone. Wtf?

  7. Hi, our developers are working on site updates and fixing recipe issues. The recipes should be back tomorrow! Check back in a bit. Thank you!

  8. This was so delicious and easy to make! My family and I absolutely loved it. Will be making these again…and again. Thank you!

  9. This was perfection– so good! The peppers were still pretty firm after 20 minutes, but I didn’t mind… maybe it was even better.

  10. This was delicious! I read how peppers were not done after 25 min, and stole this from another recipe….When putting the stuffed bell peppers into your baking dish just add a couple cups of water, chicken or beef broth to the pan. Then be sure to wrap it tightly with foil to keep the steam in. This keeps the bell peppers and the filling from drying out while they’re cooked…..worked like a charm

  11. Delish! I parboiled the peppers first so that they would be soft enough to cut in the chicken broth so I wouldn’t lose any of the vitamins in the peppers; worked like a charm.

  12. LOVE! Based on other reviewers I halved my peppers, cleaned them and microwaved 4 minutes. I followed the directions as written except I added 1/2 tsp red pepper flakes to the meat mixture. This is a really simple, yet flavorful recipe. I will try again with zucchini!

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.