Swap guide
Keto pizza: crusts that work
Pizza toppings are naturally keto — it's the crust that isn't. These crusts bring back pizza night for a few grams of carbs per slice.
Net carbs compared
Pizza (1 slice) 29 g Fathead crust (serving) 3.6 g Pepperoni fathead pizza (serving) 5.8 g Cauliflower crust (serving) 4.3 g 
Portobello pizzas (1 cap) 2.2 g Pepperoni chips (serving) 0.3 g The best swaps
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Fathead crust
Mozzarella, cream cheese, almond flour and egg make a chewy, foldable crust — the keto favorite.
Best for: Classic pizza, calzones
3.6 g net / serving · 87% fewer Recipe: Fathead Pizza Dough - 2
Pepperoni fathead pizza
A complete pizza-night recipe with dough, sauce and toppings.
Best for: Friday night
5.8 g net / serving · 80% fewer Recipe: Pepperoni Fathead Pizza - 3
Cauliflower crust
Lighter and veggie-forward. Squeeze the cauliflower very dry for a crisp base.
Best for: Thin-crust pizza
4.3 g net / serving · 85% fewer Recipe: Cauliflower Pizza Crust - 4
Portobello pizzas
Fill roasted caps with sauce, cheese and pepperoni for individual pizzas.
Best for: Quick weeknight dinners
2.2 g net / 1 cap · 92% fewer Nutrition - 5
Pepperoni chips
When you just want the pepperoni-and-cheese flavor, bake crispy pepperoni chips.
Best for: Snacking
0.3 g net / serving · 99% fewer Recipe: Crispy Pepperoni Chips
Tips for better pizza swaps
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Use a no-sugar-added sauce — some pizza sauces have more sugar than ketchup. - Pre-bake keto crusts before adding toppings so the center sets.
- Ordering out? Many pizzerias will serve toppings in a bowl, or try "crustless" pizza bowls.
More recipes that replace pizza
Foods this guide replaces
Frequently asked questions
What is the best keto substitute for pizza?
Fathead crust is our top pick: Mozzarella, cream cheese, almond flour and egg make a chewy, foldable crust — the keto favorite. Other good options: pepperoni fathead pizza, cauliflower crust, portobello pizzas.
Is pizza keto?
No. 1 slice of pizza has about 29 g net carbs. See full nutrition.