Super Easy Keto Pizza Rolls

These easy Keto Pizza Rolls are loaded with Italian sausage and pepperoni! The perfect low carb, keto appetizer or easy dinner!

These rolls are made from a “fat head” dough which is normally melted mozzarella and cream cheese mixed with almond flour. I actually add a bit of flax meal as well because I think it gives the dough a nicer texture and makes it less sticky to work with. Once the cheeses are melted we just add the almond and flax meal and stir well. Once it is well incorporated I like to knead it a bit to really work in all of the flour well. Then it is time to roll. I find it easiest to roll this dough between silicone baking mats, but parchment or wax paper would also work.

Then we just add our filling. I used Italian sausage and pepperoni and a bit of parmesan. I do not load these up with cheese since there is cheese in the dough. Then start from one end and roll it as tightly as you can into a log. Slice your log into the width you prefer, I think thinner is a little better here since there is so much filling, if you cut them too thick your dough will have a hard time getting cooked all the way through. I cut this just shy of the width of two of my fingers ( roughly an inch) Pop on the oven and bake until they are nice and golden brown! I like to serve these with a low carb marinara like Rao’s.


For the Rolls

  • 2 cups shredded mozzarealla cheese
  • 2 ounces cream cheese
  • 3/4 cup almond flour (have found that Pillsbury Almond Flour is the lowest in carbs)
  • 2 tablespoons ground flax meal

For the Filling:

  • 1/2 pound cooked Italian Sausage, drained and cooled
  • 1/2 cup pepperoni, sliced or chopped


  1. Preheat oven to 400

For the Rolls:

  1. In a microwave proof mixing bowl combine the shredded mozzarella cheese and cream cheese. Heat in 30 second increments, stirring in between until completely melted. Add the almond flour and ground flax meal.
  2. Mix the dough well until you have a soft ball
  3. Between two silicone baking mats or parchment paper roll the dough into a rectangle roughly 12x9.

For the filling:

  1. Spread the cooked Italian sausage and the pepperoni evenly on the dough.
  2. Starting at one end roll the dough as tightly as you can into a log.
  3. Slice into rolls about the width of two fingers, be careful not to slice them too thick because it will be difficult for the dough in the center to cook through.
  4. Place the rolls on a greased baking sheet.
  5. Bake 15-18 minutes until golden brown.