
This post has been recently updated to include the new myWW points for each plan. I also updated the recipe before because when I originally made this back in 2011, I had halved the recipe and never updated instructions for what pan to use. Whoops!
It's pizza and pasta combined into one easy dish. Rotini pasta, pasta sauce, italian turkey sausage, low fat cheese, and turkey pepperoni. The original recipe for this had 2 tablespoons of olive oil, and by reducing the amount to 2 teaspoons, that reduced the fat greatly. I don't get why people think they have to use a ton amount of olive oil when sauteing vegetables or browning a big hunk of meat? I successfully browned chicken breast thighs with only 2 teaspoons of olive oil.
If you like pizza and pasta then you'll really like this dish, and it almost reminds me of hamburger helper. I'm going to come up with my own taco pasta casserole using this method. Just think of all the different combinations you can come up with.




Ingredients from food.com
Servings: 8
Calories 254.3 | Fat: 8.4 g | Carbs: 24.5g | Fiber 1.9 g | Protein 19.7g
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Weight Watcher Recipes - Pizza Pasta Casserole
- Prep Time: 10 min
- Cook Time: 25 to 30 min
- Total Time: 40 min
- Yield: 8 1x
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
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1 lb mild Italian turkey sausage
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1 medium onion, chopped (optional)
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1 clove garlic, minced
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1 teaspoon Italian seasoning
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1 (26 ounce) jar spaghetti sauce (I used Preggo Heart Smart)
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8 ounces rotini pasta, cooked and drained
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1 cup shredded fat-free mozzarella cheese
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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
MyWW points: Blue: 11; Green: 11; Purple: 11
My WW Personal Points: 11 Click here to see in recipe builder (will have to log in)
- Category: Easy
- Method: Stovetop
- Cuisine: Italian
Nutrition
- Serving Size: ⅛th of the casserole
Keywords: pizza pasta casserole
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?