Keto Fathead Pepperoni Pizza using Coconut Flour

Keto Fathead Pepperoni Pizza using Coconut Flour

Fathead dough pizza is the greatest discovery for us following the keto or any low carb diet. However the original recipe can easily climb up to over 1700 calories just for the pizza base alone. I don’t know about you, but whenever I make it, I am so tempted to finish it. Often times I do, especially if no one was around to share. I decided to experiment by creating a recipe that would minimize the calories and maintain the great taste to satisfy my pizza cravings and limiting my intake by creating a small rather than a large pizza. The outcome was this keto fathead pepperoni pizza using coconut flour.

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The original recipe for the pizza base requires 1 1/2 cups of mozzarella cheese, 3/4 cups almond flour, 2 ounces of cream cheese and one egg. The calories quickly add up with these ingredients. I decided to cut the recipe in half and use coconut flour over almond flour since you can use less as it is highly absorbent to reduce calories. I also used 1/2 tbsp of butter in place of 1 ounce of cream cheese that would be used in half of the original recipe to further save on calories. The other reason I cut the recipe in half was to be able to make it much more quickly so it would fit in the air fryer and cook in 12 minutes rather than 20-25 minutes.

For family pizza choices check out the keto chicken basil pesto pizza or the keto mutton kheema pizza.

This keto fathead pepperoni pizza using coconut flour tastes amazing and is so easy to make quickly.


  • Air fryer
  • Microwave
  • Silicone Spatula
  • Parchment Paper
  • Pizza Cutter
  • Silpat
Keto pepperoni pizza with fathead dough coconut flour

Fathead Pepperoni Pizza made with Coconut Flour

Fathead pizza crust made with Coconut Flour and topped with basil pesto sauce, pepperoni and mozzarella cheese
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Prep Time: 10 minutes
Cook Time: 12 minutes
Total Time: 22 minutes
Course: Main Course
Cuisine: American, Italian
Keyword: coconut flour, fathead, keto, pizza
Servings: 2
Calories: 385kcal
Net Carbs: 4g


Pizza Base

  • ½ tbsp butter - unsalted
  • ¾ cup mozzarella cheese - shredded
  • 2 tbsp coconut flour
  • 1 egg - large

Pizza Toppings

  • 2 tbsp basil pesto
  • 2 oz mozzarella cheese - shredded
  • 6 pepperoni - slices


Pizza Base

  • Preheat oven to 400° if using oven. If using Air Fryer, no need to preheat.
  • In a bowl heat 3/4 cups mozzarella cheese and 1/2 tbsp of butter in microwave for 30 seconds
    45 seconds
  • Mix well and heat another 45 seconds in the microwave
  • Add 2 tbsp coconut flour and 1 large egg to bowl
    almond flour and egg
  • Mix well with hands or silicone spatula until dough forms. If the dough gets stringy, heat in microwave for an additional 30 seconds
    smooth fathead dough
  • Form the dough into a ball and place in the middle of parchment paper. Flatten and spread the dough out with palm of hand until about 1/8 inch thick all around. Then poke holes with fork throughout the dough to prevent bubbling.
  • Place base into oven at 400° and bake for 12-13 minutes until base starts to turn light brown. Check on base halfway through and use fork to pop any bubbles that may be forming. If using an Air Fryer, set temperature to 400° and cook base for 6 minutes.
  • Once the base is done, take out of the oven/air fryer and get ready to add toppings

Pizza Toppings

  • Spread 2 tbsp of basil pesto sauce or any pizza sauce of choice
  • Spread 2 oz of mozzarella cheese on top of the sauce
  • Place 6 slices of pepperoni evenly on top of cheese
  • Place back in the oven or air fryer. If using oven bake at 400° for 10 minutes. If using Air Fryer, cook for 6 minutes at 400°
  • Take pizza out of oven or air fryer and use pizza cutter to slice into 4 slices
    Keto pepperoni pizza with fathead dough coconut flour


If you use 2x or 3x recipe to make a larger pizza, then use the oven over air fryer as it will not likely fit.  You can use the same cooking times for oven.
If cooking in oven you can use silpat instead of parchment paper
If you do not have a silicone spatula, you can use your hands to mix the dough for the pizza base.  Be careful as the mozzarella cheese and butter will be hot. To prevent dough from sticking to your hands, wet hands with water.
If you want to use a tomato based sauce, Rao’s brand sauces tend to have lower carbs.
Each serving of 2 slices has 4 net carbs (7 g carbs – 3 g fiber).


Calories: 385kcal | Carbohydrates: 7g | Protein: 21g | Fat: 30g | Saturated Fat: 15g | Cholesterol: 152mg | Sodium: 758mg | Potassium: 84mg | Fiber: 3g | Sugar: 2g | Vitamin A: 984IU | Calcium: 392mg | Iron: 1mg | Net Carbs: 4g
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Hope you enjoy this take on fathead dough pizza and let us know how it came out for you in the comments below.

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