Guilt Free Pizza Casserole

Delicious & Easy Healthy Pizza Casserole: Your Guilt-Free Family Favorite (Weight Watchers Friendly!)

Craving the comforting flavors of pizza without the guilt? This **Healthy Pizza Casserole** recipe is your perfect solution! It’s a deliciously lighter version of a classic pizza casserole that’s also Weight Watchers (WW) friendly, packed with flavor, and so satisfying that you’ll completely forget it’s a healthier alternative. Imagine all your favorite pizza toppings baked into a hearty, cheesy, and convenient pasta dish – that’s what awaits you!

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

This versatile casserole is a fantastic choice for various occasions. While it’s a popular game day food, offering a creative and satisfying alternative to traditional chili, it also serves as an incredibly fun and easy dinner for busy weeknights, back-to-school evenings, family movie nights, or your regular pizza night. Its make-ahead potential and crowd-pleasing appeal make it ideal for bringing along to a potluck or any gathering. My entire family absolutely adores this savory casserole, and it pairs beautifully with light sides like a crisp green salad or some Baguette Garlic Bread (for those who want a little indulgence!).

Why Choose a Healthy Pizza Casserole?

We all love pizza, but often the traditional versions come loaded with calories and fat. This recipe offers a brilliant way to enjoy those beloved pizza flavors in a more balanced way. By thoughtfully selecting leaner ingredients and smart substitutions, we’ve created a dish that supports your health goals without compromising on taste or satisfaction. It’s perfect for anyone following a Weight Watchers plan, or simply looking to incorporate more wholesome meals into their diet. You don’t have to give up your favorite comfort foods to lose or maintain your weight!

Explore More Lighter Pizza Creations

My culinary journey has led me to discover numerous lighter and WW-friendly pizza recipes, proving that healthy eating can be incredibly exciting. If you enjoy this casserole, you’ll definitely want to try some of my other innovative pizza ideas. These include delightful Healthy Pizza Dippers, a classic Weight Watchers Pizza with 2-Ingredient Dough, fun-sized Pizza Cupcakes, a savory Healthy Breakfast Pizza Recipe (Egg White Pizza), and my incredibly easy Healthy Homemade Pita Pizza Pockets. Each recipe brings a unique twist to pizza while keeping nutrition in mind!

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🥘 Essential Ingredient Notes for Your Pizza Casserole

Crafting this delicious and nutritious pizza casserole requires a selection of simple, readily available ingredients. Here’s what you’ll need, along with some insights into why these choices make a difference:

pizza casserole ingredients in glass bowls, labelled
  • Egg Noodles (or “Smart Pasta”): We opt for no-yolk broad egg noodles to keep this dish lighter. These noodles provide the perfect base, holding up well to the rich sauce and toppings without becoming mushy. Alternatively, look for “smart pasta” varieties or whole wheat options for added fiber and nutritional value.
  • Red Pasta Sauce (Marinara Sauce): A good quality red pasta sauce is key to the authentic pizza flavor. I typically use any marinara sauce I have on hand. For a healthier twist, choose a low-sugar or low-sodium marinara sauce.
  • Cream of Chicken Soup (Low-Fat): This canned soup is a secret weapon, contributing a wonderfully rich and creamy taste and texture to the casserole. Using a low-fat version significantly reduces the overall fat content without sacrificing flavor.
  • Cheddar Cheese and Parmesan Cheese: What’s pizza without cheese? We use light versions of both cheddar and parmesan to keep the dish Weight Watchers friendly. These cheeses melt beautifully, creating that irresistible gooey texture and savory depth that makes pizza so enjoyable.
  • Extra Lean Ground Beef: For a meaty and satisfying casserole, extra lean ground beef is the ideal choice. It provides robust flavor and protein while keeping the fat content and WW points as low as possible. Be sure to drain any excess fat after browning.
  • Turkey Pepperoni: A lighter alternative to traditional pepperoni, turkey pepperoni delivers that distinct spicy, savory kick. I often use turkey pepperoni sticks, chopped, but sliced Butterball Turkey Pepperoni is also excellent if you can find it. It’s a game-changer for reducing fat while maintaining flavor.
  • Mushrooms, Onion, and Bell Pepper: These vegetables add essential nutrients, texture, and a burst of fresh flavor. The bell pepper (any color works, but orange adds a nice sweetness) and onion provide aromatic depth, while mushrooms lend an earthy richness.
  • Black Olives: Sliced black olives contribute a briny, savory element that truly elevates the pizza experience. They are a classic pizza topping for a reason!

📖 Creative Variations & Easy Substitutions

This healthy pizza casserole recipe is incredibly flexible, allowing you to tailor it to your dietary needs or personal preferences. Don’t hesitate to get creative with these delicious variations and substitutions:

  • Noodle Alternatives: While egg noodles provide a classic texture, feel free to experiment. You can use other pasta shapes like penne, rotini, or ziti. For an even lighter dish or to boost fiber, opt for “smart pasta” varieties, whole wheat pasta, or spiralized zucchini noodles. Zucchini noodles can replace half or all of the pasta for a low-carb option.
  • Ground Meat Options: We recommend extra lean ground beef for a lower fat profile. However, you can easily substitute it with ground turkey or ground chicken for an even leaner protein source. Crumbled plant-based meat alternatives are also a great option for a vegetarian version.
  • Pepperoni Choices: Turkey pepperoni sticks work wonderfully when chopped. If you prefer the classic coin shape, keep an eye out for sliced Butterball Turkey Pepperoni (I’ve recently found it at Walmart again!). If you’re not concerned about points, regular pepperoni can also be used in moderation.
  • Cheese Swaps: Part-skim mozzarella cheese is an excellent alternative to cheddar, offering that classic pizza stretch and mild flavor. You could also blend different low-fat cheeses like provolone or Monterey Jack.
  • Add More Veggies: Boost the nutritional content and flavor by adding more vegetables! Consider incorporating sliced red, orange, yellow, or green bell peppers, chopped spinach, kale, grated carrots, or even corn and peas. Sauté them with the onion and mushrooms for best results.
  • Favorite Pizza Toppings: Think beyond the basics! Incorporate your favorite pizza toppings like cooked Italian turkey sausage (or chicken sausage), Canadian bacon, finely chopped broccoli florets, or a sprinkle of Italian seasoning for an aromatic boost. Just remember to account for any added points if you’re tracking.
  • Homemade Cream of Chicken Soup: If you prefer to avoid canned soups, you can easily make your own “cream of anything” soup base. Check out my Kitchen Hacks post (#17) for a simple recipe to create a healthier, homemade version.
  • Turn up the Heat: For those who love a bit of spice, a pinch of chili pepper flakes or some thinly sliced jalapeños added to the casserole mix will provide a delightful kick.

🔪 How to Make This Delicious Healthy Pizza Casserole

Making this healthy pizza casserole is straightforward and fun! Follow these simple steps for a perfect, guilt-free meal:

Prep Ahead: Begin by preheating your oven to 350 degrees F (176 degrees C). Cook your egg noodles according to package directions, aiming to undercook them by 1-2 minutes slightly to ensure they don’t get too soft during baking. Drain the noodles, rinse them briefly, return them to the pot, and set them aside on a trivet.

Skillet with mushrooms, onions and peppers
STEP 1

Spray a large skillet with non-stick cooking spray to prevent sticking and minimize added fat. Add the sliced mushrooms, chopped onion, and bell pepper to the skillet. Cook these vegetables over medium heat for approximately 5 minutes, covered, until they soften and become fragrant.

ground beef added to vegetable mixture in skillet
STEP 2

Once the vegetables are softened, add the extra lean ground beef to the skillet with the vegetables. Break up the beef with a spoon as it cooks.

browned ground beef with vegetables in skillet
STEP 3

Continue to cook the ground beef and vegetable mixture until the beef is thoroughly browned and no pink remains. Drain any accumulated fat from the skillet to keep the casserole as lean as possible.

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

In the pot with the cooked pasta, add the browned ground beef and vegetable mixture. Stir in the red pasta sauce, low-fat cream of chicken soup, ¾ cup of the low-fat cheddar cheese, chopped turkey pepperoni, and most of the black olives. Be sure to reserve about 1-2 tablespoons of olives for garnishing later.

Mixture placed in casserole dish
STEP 5

Carefully spoon the entire pasta and meat mixture into your prepared casserole dish, spreading it evenly. Bake the casserole in the preheated oven until it is hot and bubbly throughout, which typically takes about 35 minutes.

Casserole with cheese melted on top
STEP 6

Remove the casserole from the oven. Evenly sprinkle the remaining low-fat cheddar cheese over the top. Return it to the oven for an additional 5 minutes, or until the cheese is beautifully melted and slightly golden. Garnish with a sprinkle of low-fat parmesan cheese and the reserved black olives. Serve hot and enjoy your homemade, healthy pizza casserole!

⭐ Expert Recipe Tips for the Best Healthy Pizza Casserole

To ensure your Healthy Pizza Casserole turns out perfectly every time, consider these expert tips:

  • Undercook the Pasta Slightly: This is a crucial step! Cook your egg noodles 1-2 minutes less than the package instructions suggest. This prevents them from becoming overly soft or mushy during the baking process, ensuring a pleasant al dente texture in your finished casserole.
  • Layer the Cheese Strategically: Instead of mixing all the cheese directly into the casserole mixture, try layering some between the ingredients. For example, sprinkle a portion of cheese halfway through assembling the casserole, then add the rest on top. This technique creates pockets of gooey, melty cheese throughout the dish, enhancing its richness and appeal.
  • Boost Fiber Content: Easily increase the fiber in your meal by swapping half of the egg noodles for spiralized zucchini or choosing a whole wheat pasta variety. This simple change adds valuable nutrients without significantly altering the taste.
  • Sneak in More Veggies: This casserole is an excellent vehicle for adding extra nutrients. Toss in a handful of fresh spinach or kale when you add the pasta sauce, or grate some carrots into the ground beef mixture. These additions will wilt down and blend seamlessly, providing more vitamins and minerals without drastically changing the flavor profile.
  • Control Sodium Levels: To manage your salt intake, opt for a low-sodium pasta sauce. Additionally, consider making your own homemade cream of chicken soup, which allows you full control over the sodium content, creating a healthier base for your casserole.
  • Choose Leaner Proteins: For an even lighter casserole, try using ground turkey or ground chicken instead of ground beef. If you’re looking for a vegetarian option, crumbled tofu or lentils can make excellent protein substitutes, absorbing the rich flavors beautifully.
  • Add Protein and Creaminess with Greek Yogurt: For an extra protein boost and a touch of tangy creaminess, replace half of the canned cream of chicken soup with plain Greek yogurt. This substitution also helps to reduce fat while adding a beneficial dose of probiotics.
  • Allow for Resting Time: Once baked, let your casserole rest for 5-10 minutes before slicing and serving. This brief resting period allows the flavors to meld and the casserole to set, making it easier to serve and preventing it from falling apart.
  • Achieve a Crispy Cheese Topping: If you love a golden, slightly crispy cheese topping, broil the casserole for the last 2-3 minutes of baking. Keep a close eye on it to prevent burning – ovens vary, and cheese can brown quickly under the broiler!

🥗 Perfect Pairings: What to Serve with Your Weight Watchers Pizza Casserole

Enhance your Healthy Pizza Casserole experience with these delightful side dishes that complement its flavors while keeping your meal balanced:

  • Fresh Green Salad: A vibrant, light salad is always a fantastic pairing. My Strawberry Spinach Pecan Salad (as shown in the image below) offers a wonderful contrast with its sweet and savory notes. A simple mixed greens salad with a light vinaigrette is also perfect.
  • Garlic Bread or Breadsticks: For a touch of traditional pizza night indulgence, pair your casserole with Bread Machine Italian Breadsticks or some light garlic bread. Just be mindful of portion sizes if you’re tracking points.
  • Cloud Bread: If you’re looking for an ultra-light, low-carb bread alternative, my Everything Bagel Cloud Bread Recipe is an excellent choice that won’t add many extra points.
  • Steamed Vegetables: Simple steamed broccoli, green beans, or asparagus can add an extra boost of nutrients and freshness.
honey lime cilantro dressing

👪 Serving Size & How to Adjust Your Recipe

This healthy pizza casserole recipe is designed to yield 8 generous servings, making it perfect for family dinners or meal prepping. Each serving is approximately 1 ¼ cups, offering a hearty and satisfying portion. If you need to cater to a larger crowd or prepare a smaller meal, you can easily adjust the recipe quantity. Simply click on the serving number in the recipe card below and select the desired number of servings. The ingredient quantities will automatically adjust to match your needs, making scaling this recipe incredibly convenient.

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

🔢 Weight Watchers (WW) Points Information

One of the best features of this recipe is its commitment to being Weight Watchers friendly! This original recipe has been carefully lightened to align with WW principles, calculating at just 5 points per serving when using fat-free parmesan cheese. With 8 servings in this Weight Watchers Pizza Casserole, each satisfying portion is about 1 ¼ cups.

For those looking to further reduce the points and increase the nutritional benefits, consider these simple modifications: swap the broad egg noodles for whole wheat noodles, or go even lighter by using zucchini noodles as a low-carb, vegetable-packed base. These small adjustments can make a big difference in the overall point value and help you stay on track with your health goals.

🌡️ Storage & Make-Ahead Tips

This Healthy Pizza Casserole is not only delicious but also incredibly convenient for meal prep and leftovers. Proper storage ensures you can enjoy its savory flavors for days to come:

  • Refrigeration: Store any leftover pizza casserole with pasta in an airtight container in the refrigerator for up to 4 days. This makes it a fantastic option for grab-and-go lunches or quick weeknight dinners.
  • Make-Ahead: You can prepare this casserole a couple of days in advance for busy weeknights. Assemble the entire casserole (without baking) and store it tightly covered in the fridge. When ready to bake, add an extra 10-15 minutes to the baking time to ensure it heats through evenly.
  • Freezing: This casserole freezes beautifully! Once completely cooled, transfer it to a freezer-safe, airtight container or wrap individual portions tightly in plastic wrap and then foil. It can be stored in the freezer for up to 3 months. Refer to our “Top Tip” below for the best way to reheat from frozen to maintain its delicious texture.
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: How to Reheat WW Pizza Casserole Perfectly

Reheating casseroles, especially those with pasta, can sometimes lead to dryness. This method ensures your Weight Watchers pizza casserole stays moist, flavorful, and perfectly enjoyable, whether from the fridge or freezer:

  1. Defrost (if frozen): If reheating from frozen, the best approach is to transfer the casserole from the freezer to the refrigerator the night before. Allow it to defrost completely. Ideally, let it sit at room temperature for about 30 minutes to an hour before placing it in the oven to ensure even heating.
  2. Oven Reheating Method: Preheat your oven to 350 degrees F (175 degrees C). If using a casserole dish, remove any plastic wrap but keep the lid on, or tightly seal the dish with aluminum foil (shiny side facing in). Place it in the preheated oven for 20-30 minutes, or until it is thoroughly warmed through. To prevent drying out, keep it covered for most of the reheating time.
  3. Achieve Crispy Topping (Optional): For the last 2 minutes of reheating, you can remove the foil or lid and switch your oven to broil. Keep a very close eye on it to get a slightly crispy, golden cheese topping without burning.
  4. Check for Doneness: To ensure your casserole is safely and perfectly reheated, use an instant-read thermometer (affiliate link). The internal temperature should reach 165 degrees F (75 degrees C).

❔ Recipe FAQs About Healthy Pizza Casserole

How does this compare to traditional pizza casserole?

This Healthy Pizza Casserole stands out from traditional versions due to its thoughtfully chosen ingredients. It’s crafted with lean meat (extra lean ground beef or turkey), light cheeses, plenty of fresh vegetables, “smart pasta” (like no-yolk egg noodles or whole wheat options), and a low-fat cream of chicken soup base. This combination results in a substantially lower calorie and fat content compared to a classic pizza casserole, making it a much healthier, yet equally delicious, choice.

Can I use different meats like ground turkey or chicken?

Absolutely! Ground chicken or ground turkey are excellent substitutions for ground beef in this recipe. They will seamlessly integrate into the dish and further reduce the overall calorie and fat content, making your casserole even lighter and more diet-friendly without sacrificing flavor.

Is this casserole suitable for meal prepping?

Yes, this Healthy Pizza Casserole is fantastic for meal prepping! It can be made a couple of days in advance and stored in the refrigerator, or even frozen for up to 3 months. Its flavors tend to meld and deepen over time, making it an excellent dish to prepare ahead for busy weeks.

Can I make this vegetarian?

Certainly! To make this casserole vegetarian, simply replace the extra lean ground beef with a plant-based ground “meat” alternative, crumbled tofu, or even lentils. Ensure your cream of chicken soup is a vegetarian-friendly cream of mushroom or a homemade vegetarian cream soup. You can also load it up with extra vegetables like spinach, bell peppers, and zucchini.

If you are actively seeking healthy meals that are both incredibly delicious and fun to eat, then this pizza pasta casserole recipe is an absolute must-try! The entire family will love it, proving that nutritious eating can be exciting and deeply satisfying.

🍲 Discover More Wholesome Casserole Recipes

Looking for more comforting and healthy casserole ideas? Expand your repertoire with these fantastic recipes that offer convenience and flavor without the guilt:

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

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

This Healthy Pizza Casserole recipe is a lighter version of a pizza casserole that’s also WW friendly. Made with wholesome egg noodles, fresh vegetables, extra lean ground beef, and flavorful turkey pepperoni, it’s so good you’d never know it’s the healthier option! Perfect for a guilt-free family dinner or an easy potluck dish.

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Course: Dinner, Main Dish, Casserole
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
  • Dutch oven
  • trivets

Ingredients

  • 4 cups broad egg noodles * I use no yolk broad noodles, measured dry, for a lighter option.
  • 8 oz package of sliced mushrooms
  • 1 orange bell pepper, diced
  • 1 onion, chopped
  • 1 ¾ cups red pasta sauce (marinara), low-sodium preferred
  • 10 oz can of cream of chicken soup * I use low-fat for a healthier profile.
  • 1 lb extra lean ground beef
  • 1 ½ cups low-fat cheddar cheese, shredded
  • ¾ cup turkey pepperoni about 5 sticks, chopped, or sliced turkey pepperoni
  • ¾ cup pitted and sliced black olives
  • 2 tablespoons low-fat parmesan cheese, for garnish
US Customary – Metric

Instructions

  • Preheat oven to 350 degrees F (176 degrees C).
  • Cook egg noodles as directed on the package, slightly undercooking them (by 1-2 minutes). Rinse and drain well, then set aside.
  • Spray a large skillet with non-stick cooking spray. Add mushrooms, chopped onion, and bell pepper. Cook over medium heat, covered, for 5 minutes until softened.
  • Add the extra lean ground beef to the skillet with the vegetables.
  • Cook until the ground beef is thoroughly browned. Drain any excess fat.
  • Combine the cooked pasta, browned beef mixture, pasta sauce, low-fat cream of chicken soup, ¾ cup of the shredded cheddar cheese, chopped turkey pepperoni, and most of the black olives (reserving a few for garnishing) in a large bowl. Mix until well combined.
  • Spoon the mixture evenly into a baking dish. Bake in the preheated oven for about 35 minutes, or until hot and bubbly.
  • Remove the casserole from the oven and sprinkle the remaining cheddar cheese over the top. Return to the oven and bake for an additional 5 minutes, or until the cheese is melted and bubbly.

Garnish & Serve

  • Garnish with a sprinkle of low-fat parmesan cheese and the reserved black olives. Serve hot and enjoy!

Notes

*NOTE: This recipe is an adaptation from a WW magazine, page 74, January/February 2008 issue.

Variations & Substitutions

  • Noodles – Any type of pasta can be used, such as penne or rotini. For a lighter touch, opt for “smart pasta” or whole wheat pasta. Zucchini noodles are also a great low-carb alternative.
  • Ground Meat – Substitute extra lean ground beef with ground turkey or ground chicken for an even leaner option. Vegetarian options like crumbled tofu or plant-based mince also work well.
  • Pepperoni- I use turkey pepperoni sticks, chopped, but sliced Butterball Turkey Pepperoni is also a great choice if available.
  • Cheese – Part-skim mozzarella cheese can be used instead of cheddar for a different flavor and texture. Feel free to mix and match low-fat cheese varieties.
  • Peppers – You can use red, orange, yellow, or green bell peppers, or a mix of colors for visual appeal and varied flavor.
  • Additional Toppings – Incorporate other favorite pizza toppings like cooked Italian turkey or chicken sausage, Canadian bacon, or a pinch of Italian seasoning.
  • Cream of Chicken Soup – To control sodium, consider making your own homemade “cream of anything” soup. Refer to my Kitchen Hacks post (#17) for instructions.
  • Spicy Kick – For those who enjoy heat, add chili pepper flakes or sliced jalapeños to the mixture.

🔢 WW Points

This recipe is designed to be Weight Watchers friendly, coming in at 5 points per serving when using fat-free parmesan. This calculation is based on 8 servings, with each serving being approximately 1 ¼ cups.

You can further reduce points by using broad whole wheat noodles or zucchini noodles.

🌡️ Storage & Reheating

Store leftover pizza casserole in an airtight container in the refrigerator for up to 4 days. This dish is also excellent for meal prepping and can be prepared a couple of days in advance.

For longer storage, freeze the casserole in a sealed container for up to 3 months. See our “Top Tip” section above for detailed reheating instructions to ensure it stays moist and delicious.

Expert Recipe Tips:

  • Undercook the Pasta Slightly: Cook the egg noodles 1-2 minutes less than package instructions to prevent them from becoming too soft during baking.
  • Layer the Cheese: Instead of mixing all the cheese in, layer some between ingredients for a gooey, melty texture throughout.
  • Increase Fiber: Substitute half the noodles with spiralized zucchini or whole wheat pasta for added nutrients.
  • Add More Veggies: Incorporate spinach, kale, or grated carrots for extra vitamins without altering the main flavor.
  • Reduce Sodium: Opt for low-sodium pasta sauce and use homemade cream of chicken soup to manage salt content.
  • Use Leaner Meat: Replace ground beef with ground turkey, ground chicken, or even crumbled tofu for a lighter protein option.
  • Opt for Greek Yogurt: Substitute half of the cream of chicken soup with plain Greek yogurt for added protein and creamy texture.
  • Let It Rest: Allow the casserole to sit for 5-10 minutes after baking. This helps it set and intensifies the flavors.
  • Crispy Cheese Topping: For a golden, crispy topping, broil the casserole for the final 2-3 minutes of baking, watching carefully to prevent burning.

Nutrition

Serving: 1.25cups | Calories: 314kcal (16%) | Carbohydrates: 24g (8%) | Protein: 30g (60%) | Fat: 11g (17%) | Saturated Fat: 4g (25%) | Polyunsaturated Fat: 2g | Monounsaturated Fat: 5g | Trans Fat: 0.2g | Cholesterol: 85mg (28%) | Sodium: 1219mg (53%) | Potassium: 822mg (23%) | Fiber: 3g (13%) | Sugar: 5g (6%) | Vitamin A: 943IU (19%) | Vitamin C: 24mg (29%) | Calcium: 139mg (14%) | Iron: 3mg (17%)
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