This is the casserole I make when I want cheeseburger flavor and an actual vegetable in the same dish, not a side salad I forget about. A creamy mashed cauliflower base sits under a cheesy ground beef topping, and it’s ready in 40 minutes.

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I like that this gets vegetables into a beef dinner without anyone noticing they’re eating cauliflower. Use fresh cauliflower here, not frozen, since frozen cauliflower turns the base watery and soupy instead of properly creamy.
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Chef Jenn’s Take on Keto Cheeseburger Casserole
The most common mistake with this recipe is reaching for frozen cauliflower to save a step. I’ve had readers ask about it, and the answer is no, don’t do it. Frozen and thawed cauliflower turns mushy and releases so much extra water that the base goes soupy instead of holding together as a proper layer under the beef. Fresh cauliflower, microwaved just until tender, is what actually gives you a base that purées smooth and holds its shape.
The other detail that matters is draining the beef fat before you add the cream cheese. Skip that step and the beef layer turns greasy instead of creamy, and cream cheese needs a relatively dry base to melt into something smooth rather than separating. Don’t skip the garnishes either. Pickles, diced tomato, and red onion on top do more for this dish than people expect, since they cut through the richness of two layers of cheese and beef.

What You’ll Love About Keto Cheeseburger Casserole
- It gets an actual vegetable into a beef dinner without anyone at the table treating it like a compromise.
- The garnishes on top, pickles, tomato, and onion, cut the richness enough that this doesn’t feel heavy by the last bite.
- It reheats well, so this holds up as a genuine second-night dinner instead of tasting worse the next day.
Ingredients
For the creamy cauliflower base:

- Cauliflower – One medium-sized head will work. Fresh cauliflower is best with this recipe.
- Heavy whipping cream – To make the cauliflower mash silky smooth.
- White cheddar – You can use yellow cheddar, but then your mash will be yellowish.
- Egg – Just 1 egg to help bind the mash.
For the beefy layer:

- Ground beef – I use lean ground beef in this recipe, so I don’t have to drain off fat.
- Onion powder – I save a few carbs by using onion powder.
- Garlic powder – Gotta have some garlic flavor!
- Salt and pepper – To season the beef.
- Cream cheese – This will make the beefy layer creamy.
- Worchestershire sauce – Adds more flavor to the cheeseburger layer.
- Ketchup – Use your favorite sugar-free brand.
- Cheddar cheese – Shred it yourself to avoid the starchy anti-clumping agents added to pre-shredded cheese.
For the topping:
- Yellow mustard – Regular hot dog mustard is fine.
- Sour cream – Full fat, please.
- Pickles, red onions, and diced tomatoes – All optional, but they add flavor, texture, and color.
How to Make Keto Cheeseburger Casserole
Scroll down for the full recipe card with exact measurements and printable instructions.
Cut the cauliflower into florets, put it in a bowl with 1/4 cup of water, and cover it with plastic wrap. Microwave on high to steam it until tender.

Drain the cauliflower and puree it with cream, egg, and white cheddar cheese until smooth. Set aside.

Brown the beef along with the onion and garlic powder, salt and pepper. Drain off any excess fat and discard the fat.

Turn the heat down to low and add the cream cheese, stirring until it is melted. Add the Worcestershire sauce and sugar-free ketchup. Adjust the seasoning with salt and pepper.

Add the mashed cauliflower in a layer on the bottom of a 9×9 (or similar) casserole dish. Add the ground beef mixture to the top and sprinkle with cheddar cheese.

Bake covered with foil at 375-F for about 15-20 minutes or until heated through and bubbly. Top with diced pickle, tomatoes, and onions – all your favorite cheeseburger flavors – and dig in!
Make It A Meal
This is a full one-dish dinner on its own, but I sometimes add Green Beans Almondine with Bacon alongside it for a second vegetable on the table.
Since the net carbs stay low here, there’s room for Keto Blueberry Chia Pudding afterward if you want something sweet to close out the meal.

Storage
Store in an airtight container in the fridge for up to 4 days. Reheat in the oven or microwave until hot throughout. This freezes reasonably well, though the cauliflower base can soften slightly on thawing, so texture is best within the first couple of months.
Frequently Asked Questions
There are just 6 net carbs in this meaty and cheesy keto Cheeseburger Casserole recipe.
I use white and yellow cheddar in this recipe, plus cream cheese. Can you have cheese on a keto diet? Yes, you sure can! Stick to full-fat cheese and enjoy all your favorites.
No, frozen and thawed cauliflower gets mushy and releases too much water, which makes the base soupy instead of holding together as a proper layer. Fresh cauliflower is worth the extra step here.
Keto Cheeseburger Casserole
Ingredients
- 1 head cauliflower
- 1/4 cup heavy whipping cream
- 1 egg
- 1/2 cup white cheddar
- 2 pounds lean ground beef
- 1 teaspooon onion powder
- 1 teaspooon garlic powder q
- salt and pepper
- 4 ounces cream cheese
- 2 tabelspoons worcestershire sauce
- 1/4 cup keto ketchup
- 1 cup cheddar cheese
Optional garnishes
- 1/4 cup sour cream
- 1/4 cup dill pickles
- 1/4 cup red onion
Instructions
- Cut the cauliflower into florets and put it in a bowl with 1/4 cup of water and cover with plastic wrap. Microwave on high to steam it until tender, about 10 minutes.
- Drain the cauliflower and puree it with the cream, egg, and white cheddar cheese until smooth. Set aside.
- Brown the beef along with the onion and garlic powder, salt and pepper. Drain off any excess fat and discard the fat.
- Turn the heat down to low and add the cream cheese, stirring until it is melted.
- Add the Worcestershire sauce and sugar-free ketchup. Adjust the seasoning with salt and pepper.
- Add the mashed cauliflower in a layer on the bottom of a 9×9 (or similar) casserole dish.
- Add the ground beef mixture to the top and sprinkle with cheddar cheese.
- Bake covered with foil at 375-F for about 15-20 minutes or until heated through and bubbly.
- Top with diced pickle, tomatoes, and onions – all your favorite cheeseburger flavors. A bit of sour cream is perfect on the top, too!
Video
Notes
Recipe Card Tips
- Drain the beef fat completely before adding the cream cheese. Skipping this step is the most common reason the beef layer turns greasy instead of creamy.
- Don’t skip the garnishes. Pickles, tomato, and red onion on top cut through the richness of two layers of cheese and make a real difference in the finished dish.
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.
WANT EVEN MORE EASY KETO DIET RECIPES?
I’m always in the kitchen creating new recipes, and while some of them are big hits, I get some misses, too. But these are some of my favorite all-time recipes:
- Thick and luscious Salmon Chowder
- Grilled veggies – I love how versatile this recipe is!
- This amazing cauliflower dish
- Meaty sausage Parmigiana










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This casserole was so good! My family loved it to–so cheesy and flavorful!
Oh my goodness – a cheeseburger casserole AND it’s keto? You made me very happy – it was awesome!
My family didn’t leave a morsel of this casserole in the baking dish. lol Was definitely the hit at our recent family dinner. The grandkids even had seconds!
Thank you so much for sharing this amazing recipe! Will surely have this again! It’s really easy to make and it tasted so delicious! Highly recommended!
So glad you loved it – thanks for coming back to comment! ~Jenn
This casserole got so famous last night! My kids loved it! This not going to be the last time I made it! 🙂
This is the most delicious casserole I’ve ever eaten! And I’ve made a lot of low-carb casseroles over the years.
It’s even better than the KETO CHICKEN ZUCCHINI CASSEROLE and the King Ranch Casserole and the Taco Casserole from this wonderful website.
I was disappointed that it it listed sour cream as an ingredient but never said what to do with it. I assume you’re supposed to add it into the cooked cauliflower mixture for pureeing. It also didn’t mention that the dill pickles and mustard were garnish ingredients. But the recipe was so delicious that I didn’t even care all that once I tasted the amazingly delicious finished dish.
I’m obv a better cook than an editor! First, I’m delighted you loved the recipe and thanks for coming back to share your thoughts! Second, I’ll fix up those booboos right now! ~Jenn
i am so happy that i finally got some keto meals. im on the carnivore diet plan and im so glad you’re posting keto friendly recipes! thank you!
Will it still work if all I have is frozen cauliflower?
No, frozen and thawed cauliflower will just get mushy, and it’s so watery your casserole will be soupy. Sorry! ~Jenn
Can you roast the cauliflower instead of steaming it? I am allergic to fish, what can I use instead of the worcestershire?
Sure, roasting would add even more terrific flavor. If you’re going to roast the cauliflower, I think you can safely skip the Worcestershire without needing to replace it with something. You may want to look at Maggi Seasoning. I use this a LOT. Yes, it’s got wheat in it, but I don’t believe there’s fish, but check the label first. It adds even more umami than Worcestershire and you can use about half as much. Happy eating! ~Jenn