If you're craving pizza and pasta, why choose? This Baked Pizza Pasta with Turkey Sausage and Pepperoni combines the best of both worlds in one hearty, family-friendly casserole. It’s packed with lean protein, melty cheese, and bold Italian flavor—but made lighter with turkey sausage, fat-free cheese, and a heart-healthy sauce.

If you like more WW recipes like this try Slow Cooker Crack Chicken, Big Mac in a Bowl, Slow Cooker Low Sodium Taco Soup, or WW BLT Pasta Salad.
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💛 Why You Will Love This Recipe
As someone who loves all things pizza like these recipes for Pizza Pull-Apart Bread, Pizza Quesadillas, or Air Fryer Frozen Pizza Single Serving but also tries to keep meals on the lighter side, this pasta bake is a total win. You get the comfort of cheesy baked pasta, the zip of pepperoni, and the savory goodness of Italian turkey sausage—all with smart swaps that make it WW- and family-friendly.
It’s also super meal-prep friendly. Make a batch, pop it in the fridge or freezer, and enjoy leftovers that reheat beautifully.
Next up try this recipe for Quick and Easy Lasagna Pasta it is very similar to this pizza pasta casserole.
Ingredients Needed
- Mild Italian turkey sausage or lean ground beef - Is considered better than higher fat options for several reasons. First, it has less saturated fat, which can contribute to heart disease and other health issues. Additionally, it tends to have fewer calories per serving, making it a good option for those watching their weight. The 96% lean ground beef from Aldi is my favorite.
- Medium onion, chopped (optional)
- Clove garlic, minced - Chopped fresh garlic can take some time to chop so I often always use the freshly minced garlic that comes already made in a jar.
- Italian seasoning - Is a popular blend of herbs and spices that typically includes a mix of dried basil, oregano, rosemary, thyme, and sometimes garlic powder or dried red pepper flakes.
- Spaghetti sauce (I used Preggo Heart Smart) - Store bought jarred marinara sauce is convenient to have at home for a quick meal. My favorite marinara sauce is always Rao’s because it has all clean ingredients on the back of the ingredients list
- Rotini pasta, cooked and drained
- Fat-free mozzarella cheese - Reduced-Fat Cheese has a lower calorie count and less saturated fat than regular cheese, but it may also have a different taste and texture. It also helps with keeping the calorie count pretty low for this recipe.
- Turkey pepperoni - Is lower in calories than regular pepperoni.
- See the recipe card below for a full list of ingredients and measurements.
Substitution Tips
- Swap whole wheat pasta or chickpea pasta for added fiber and protein.
- Add veggies like mushrooms, spinach, or bell peppers for more volume.
- Use part-skim mozzarella if you prefer better melt and don’t mind a point increase.
- For a spicier pasta use hot Italian turkey sausage or add red pepper flakes to the sauce.
How to Make Pizza Pasta Casserole
Step 1: Preheat oven to 350°. In a large skillet, cook sausage, onion, and garlic over medium heat until meat is no longer pink; drain any access fat.

Step 2: Stir in spaghetti sauce and pasta.

Step 3: Transfer to 13x9-in. baking dish. Sprinkle with cheese and arrange pepperoni over the top.

Bake, uncovered, 25-30 minutes or until heated through.
Recipe FAQS
Cool unbaked casseroles; cover and freeze up to 3 months. To use, partially thaw in the refrigerator overnight. Remove from refrigerator 30 minutes before baking. Preheat oven to 350°F. Bake as directed, increasing time to 35-40 minutes or until heated through and a thermometer inserted in the center reads 165°.
Yes! Assemble the pasta bake, cover tightly, and refrigerate for up to 24 hours before baking. Add 5–10 extra minutes to bake time if it’s cold.
Penne, fusilli, or whole wheat elbows work just as well—just cook al dente to avoid mushy noodles.
If you tried this Pizza Pasta Casserole or any other recipe on my website, please please leave a 🌟 star rating and let me know how you go in the 📝 comments below. I love hearing from you! Follow along on Tiktok @jennarecipediaries
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Pizza Pasta Casserole
- Prep Time: 10 min
- Cook Time: 25 to 30 min
- Total Time: 40 min
- Yield: 8 1x
- Category: Easy
- Method: Stovetop
- Cuisine: Italian
Description
It's pizza and pasta combined into one easy dish. Rotini pasta, pasta sauce, italian turkey sausage, low fat cheese, and turkey pepperoni.
Ingredients
1 lb mild Italian turkey sausage
1 medium onion, chopped (optional)
1 clove garlic, minced
1 teaspoon Italian seasoning
1 (26 ounce) jar spaghetti sauce (I used Preggo Heart Smart)
8 ounces rotini pasta, cooked and drained
1 cup shredded fat-free mozzarella cheese
15 slices of turkey pepperoni
Instructions
- Preheat oven to 350°. In a large skillet, cook sausage, onion, and garlic over medium heat until meat is no longer pink; drain any access fat. Stir in spaghetti sauce and pasta.
- Transfer to 13x9-in. baking dish. Sprinkle with cheese and arrange pepperoni over the top.
- Bake, uncovered, 25-30 minutes or until heated through.
Freeze option: Cool unbaked casseroles; cover and freeze up to 3 months. To use, partially thaw in refrigerator overnight. Remove from refrigerator 30 minutes before baking. Preheat oven to 350°. Bake as directed, increasing time to 35-40 minutes or until heated through and a thermometer inserted in center reads 165°. - Slice the casserole into 8 equal portions, serving size: 1 piece or slice of casserole.
Notes
WW points: 11 Click here to see in recipe builder (will have to log in)
Nutrition
- Serving Size: ⅛th of the casserole
- Calories: 195
- Sugar: 6g
- Fat: 8g
- Saturated Fat: 2g
- Carbohydrates: 16g
- Fiber: 2g
- Protein: 17g
Mexican Casserole 6.5 Points Plus
Alli says
This was quite good! My 5 year old loved it and has actually requested it for dinner again! Making it this week! I used our homemade Italian sausage which added another layer of flavor. Also I used with left over macaroni and ditalini noodles. Worked just as well!
Nikki says
This recipe looks delicious! I just printed it out so we can try it in the near future. Thanks!
Jenna says
Thanks for letting me know Linda, I updated the recipe!
Linda says
I made the recipe tonight but I found it very confusing as written. It calls for lean turkey sausage but on the bottoom instructions it says to brown ground beef and nothing about the turkey. Also I didn't want to make 2 - 9x 13 casserols or 4 - square ones so I cut all of the ingredients in half and used 1 - 9" square and put the recipe in the Weight Watcher Recipe Builder and it's 8 Points Plus Value for 4 servings.
Jenna says
Divide the whole entire pan into 8 equal servings.
Fanny says
Hi, how much is one serving?
Tianda says
okay great! thank you 🙂
jgisvold says
Yes!
Tianda says
hi I was just wondering if I can use lean ground chicken instead of turkey sausage?