When you cannot decide between meatloaf and a casserole, do not choose, make both at once. Keto meatloaf casserole layers a beefy, Southern-inspired filling under a garlicky, creamy cauliflower topping.

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This is a genuine complete meal in one dish, and it comes together without much fuss.
Use fresh cauliflower for the topping, not frozen. Frozen cauliflower ends up far too runny once mashed.
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Chef Jenn’s Take on Keto Meatloaf Casserole
Let the pulsed cauliflower mixture cool before adding the egg yolks, adding them while still hot would scramble them right in the food processor.
Boil or steam the cauliflower until very soft, drain well, then pulse with the butter, garlic, and cream until very smooth. Let that cool, then add the egg yolks, chives, and salt, and pulse again until well combined. Sautee the onion, bell pepper, and celery first until the onion is translucent, then brown the beef and drain off excess fat before adding the tomato and Worcestershire sauce. Layer the beef in the casserole dish first, then spread the cauliflower topping over it without pressing down too hard. Bake uncovered so the topping gets a bit of golden brown color.
If making this in individual ramekins instead of one big dish, they bake faster, about 15 minutes instead of 25. One reader roasted the cauliflower instead of boiling it, and said it worked out beautifully. A half cup of Parmesan stirred into the mash is another easy way to build on the base recipe.

What You’ll Love About Keto Meatloaf Casserole
- Works as individual ramekins for easy, personal-size reheating.
- A genuine complete meal, meatloaf and casserole in one dish.
- Comes together without much fuss, using ingredients you likely have.
Ingredients

For the cauliflower topping:
- Cauliflower – Fresh, not frozen. One whole head.
- Heavy whipping cream – Full fat.
- Butter – Salted.
- Egg yolks – Added only once the cauliflower mixture has cooled.
- Garlic – Fresh.
- Dried chives – Fresh works too, in a slightly larger amount.
For the beefy layer:
- Lean ground beef – Grass-fed if you can. A mix of pork, chicken, or turkey also works.
- Onion, bell pepper, and celery – Diced.
- Crushed tomato – Canned.
- Worcestershire sauce – Regular.
- Parsley – Fresh, optional, for garnish.
How to Make Keto Meatloaf Casserole
Scroll down for the full recipe card with exact measurements and printable instructions.
Boil or steam the cauliflower until very soft. Drain well. Put the cauliflower, butter, garlic, and cream into a food processor. Pulse until very smooth. Let cool.

Sautee the onion, bell pepper, and celery in the oil until the onion is translucent, about 4 to 5 minutes. Once cool, add the egg yolks, chives, and salt. Pulse until well mixed. Set aside.

Add the beef and brown, draining off any excess fat. Add the crushed tomatoes and Worcestershire sauce. Mix well, and season with salt and pepper.

Add the beefy layer to the bottom of a 9×9-inch casserole dish, pressing it down lightly.

Spread the cauliflower topping over the beef, without pressing it down too hard.

Bake in a preheated 375°F oven for 25 minutes, or until hot and bubbly. Garnish with parsley if desired.
Make It A Meal
This is hearty enough to stand on its own, but Asparagus & Green Beans with Lemon & Pecans or Cucumber, Tomato & Avocado Salad both round out the meal nicely.
For more casseroles, King Ranch Casserole and Philly Cheesesteak Casserole are both worth adding.

Storage
This freezes well. Cool it thoroughly, then package in a freezer-friendly container and freeze for up to 3 months. Thaw and reheat in the microwave, or in the oven covered with foil.
Frequently Asked Questions
This recipe runs about 9 net carbs per serving. The number in the recipe card below will recalculate once this post is republished, so use it as an estimate until then.
They sure can be! This Meatloaf Casserole, for example, is totally keto. Skip the carbs and keep your net carbs low for it to be keto.
There are XX net carbs per serving in this hearty Keto Meatloaf Casserole.
With this meatloaf casserole, covering isn’t necessary. Plus, the mashed topping will get lightly golden brown if you leave it uncovered. Yummy!
Keto Meatloaf Casserole
Ingredients
For the cauliflower topping:
- 1 head cauliflower
- 1/4 cup heavy whipping cream
- 4 tablespoons butter
- 2 egg yolks
- 1/2 teaspoon salt
- 1 clove garlic
- 1 tablespoon dried chives
For the beefy layer:
- 2 pounds lean ground beef
- 1 cup onion diced
- 1/2 cup green bell pepper diced small
- 1/2 cup celery diced
- 1 cup crushed tomato
- 2 tablespoons Worcestershire sauce
- 1/2 teaspoon salt
- 1/4 teaspoon pepper
- 2 tablespoons fresh parsley optional
Instructions
To make the mashed cauliflower topping:
- Boil or steam the cauliflower until it is very soft. Drain well.
- Put the cauliflower, butter, garlic, and cream into a food processor or blender. Pulse until very smooth. Let cool.
- Once cool, add the egg yolks, chives and salt. Pulse until well mixed. Set aside.
To make the beefy layer:
- Sautee the veggies in a skillet over medium-high heat in 1 tbsp of avocado oil until the onion is translucent, about 4-5 minutes.
- Add the beef and brown. Drain off any excess fat/liquid.
- Add the crushed tomatoes and Worcestershire sauce to the beef. Mix well. Season with 1/2 tsp of salt and 1/4 tsp pepper.
To assemble:
- Add the beefy layer to the bottom of a 9×9-inch square or 8 or 9-inch round casserole dish. Press it down lightly. Please see below if you use individual size ramekins or baking dishes.
- Add the mashed cauliflower topping and spread it around evenly without pressing it down too hard.
- Bake in a preheated 375-F oven for 25 minutes or until hot and bubbly. Garnish with chopped parsley (optional) and serve!
Notes
Recipe Card Tips
- If you choose to use smaller individual-size ramekins or baking dishes, you won’t need to cook these quite as long!
- Put the layered and filled ramekins on a sheet pan as in the regular recipe, but adjust your cooking time to about 15 minutes or until the mixture is hot and bubbly.
Nutrition
A Note on Nutritional Information
Nutritional information for this recipe is provided as a courtesy and is calculated based on available online ingredient information. It is only an approximate value. The accuracy of the nutritional information for any recipe on this site cannot be guaranteed. Erythritol carbs (sugar substitutes) are not included in the carbohydrate counts as they have been shown not to impact blood sugar, and they have zero calories and zero carbs. Net carbs are the total carbs minus fiber.
If you love recipes and cooking for your keto lifestyle, be sure to check out breakfast favorites like these tasty egg bites, or whip out your Instant Pot for this set-it-and-forget-it sauerkraut and sausage dish. Other tasty picks include this delish soup, or this meaty sausage dish.










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Served this for dinner last night and it was a hit all around the table! Easily, a new favorite casserole; so delicious and easy too!
So delicious and easy to make. I love making as small individual servings in ramekins so everyone in the fam can heat up on their own.
This looks so good! I love one pan dishes, will be definitely trying this.
it looks like you made them in individual ramekins but the recipe mentions a casserole dish – is the cooking time any different? looks delish!
Good point! I’ll update the recipes to include the cooking time if you use an individual dish. Thanks for catching that!
I love the idea of mashed cauliflower on top! Definitely reminiscent of a great cozy comfort meal!
I roasted the cauliflower in the oven using this recipe, https://natashaskitchen.com/roasted-cauliflower/
Very delicious. I then followed the recipe as directed. My Husband said to add it to our top 10 “make it list!”
What a great idea to roast it first! I’m so glad you liked this recipe – and your husband, too! Thanks for coming by to comment! ~Jenn
Amazing recipe! My husband and I loved it. I will definitely be making this again.
I’m so glad you both loved it, and thanks for coming back to comment! ~Jenn