This Keto Low-Carb Chicken Alfredo Fathead Pizza is a quick and easy healthy recipe prepared with almond flour, mozzarella, bacon, and spinach. This post includes step by step instructions on how to make the best crust with little to no carbs!

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This post was originally published in 2018. It has since been updated.
FOR THE FULL LIST OF INGREDIENTS AND COMPREHENSIVE INSTRUCTIONS, PLEASE SEE THE RECIPE CARD AT THE END OF THIS POST. BEFORE YOU SCROLL, THERE’S IMPORTANT INFORMATION IN THIS BLOG POST.
I am super picky about pizza. I like for my pizza to be loaded with toppings and I usually go for things like chicken and bacon!
What is Fathead Dough?
The concept comes from a 2009 documentary called Fat Head. It is a direct response to the controversial Super Size Me documentary. He does a couple of experiments.
One experiment is to eat a lot of food from McDonald’s in order to disprove the result of the Super Size Me documentary. His second experiment centers around a lipid hypothesis. He goes on a low-sugar, low-starch diet for a month. At the end of the month, he has lowered his cholesterol.
The documentary mentions a pizza that is made using almond flour. This recipe was adapted from the film.
It’s perfect if you want a lazy night in!
How to Make Fathead Dough
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Preheat oven to 425 degrees.
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Add mozzarella and cream cheese to a large bowl and microwave
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Remove the mixture from the microwave. Add the Italian Seasoning and stir.
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Stir in almond flour.
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Remove from the microwave and stir. Add in the egg. Stir until the mixture forms crust.
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Place a sheet of parchment paper over the pizza pan.
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Spoon the dough onto the parchment paper. Roll out the dough.
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Using a fork, poke holes throughout the pizza dough. This will allow the crust to rise.
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Bake for 8 minutes.

How to Make Keto Fathead Pizza
- Spread the alfredo sauce over the pizza crust.
- Add fresh spinach.
- Toss cooked bacon and chicken throughout. Sprinkle the mozzarella and Parmesan Reggiano cheese on the top.
- Bake for an additional 8-10 minutes until the cheese has melted.
- Cool before serving.

Can You Substitute Coconut Flour For Almond Flour?
No, the two do not have a 1:1 substitution ratio. Coconut flour is much denser and drying.

Other Keto Pizza Toppings
- Pepperoni
- Ground Beef
- Ground Turkey
- Ground Chicken
- Sausage
- Onions
- Peppers


Recipe Tips
- The dough will be really sticky to roll out. Use parchment paper to bake.
- You can either use really clean hands or a second sheet of parchment paper to roll out the dough.
- If you roll the dough with your hands, wet them first. This will keep the dough from sticking to your hands and fingers as you roll it out.
- If the batter becomes too thick and hard to stir, microwave for another 15 seconds. This will allow the almond flour to moisten some with the cream cheese and mozzarella.
- Parmesan reggiano cheese costs a little more than most standard cheese. IT IS WORTH IT! I highly recommend you purchase the cheese for this recipe. It works wonders in the alfredo sauce.
- Applying melted butter to the pizza crust is awesome, and trust me it tastes amazing.
- For a thinner crust pizza use 3/4 cup almond flour, one egg, and 1 tablespoon of cream cheese as a modification.




More Keto Pizza Recipes
Keto Pizza Casserole
Keto Fathead Pepperoni Pizza
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Low-Carb Keto Avocado Chocolate Brownies
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Keto Chicken Parmesan
More Keto Alfredo Recipes
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Click here for a complete listing of Keto Low-Carb Recipes.
Keto Low-Carb Chicken Alfredo Fathead Pizza
Ingredients
Keto Low-Carb Fathead Pizza Crust
- 1 cup + 2 tablespoons almond flour
- 1 1/2 oz cream cheese
- 2 1/4 cups shredded mozzarella
- 1 egg
- 1-2 teaspoons Italian Seasoning I used 1 1/2 teaspoons
- 1 teaspoon butter melted (optional)
Pizza White Alfredo Sauce
- 3 oz cream cheese
- 1/3 cup heavy cream
- 2 tablespoons butter
- 1/2 cup Parmesan reggiano cheese, shredded
- 1/4 teaspoon crushed red pepper flakes optional
- salt and pepper to taste
Pizza Toppings
- 3 slices bacon cooked and crumbled
- 3/4 pound skinless chicken breasts cut into 1 inch cubes
- McCormick’s Grill Mates Chicken Seasoning, salt, and pepper to taste
- 1/4 cup fresh spinach
- 1/2 cup mozzarella cheese, shredded
- 1/3 cup Parmesan reggiano cheese, shredded
- parsley to garnish optional
Helpful tools
- parchment paper
- pizza pan
- pizza slicer
- cooking spray
Instructions
Fathead Pizza Crust
- Preheat oven to 425 degrees.
- Add the mozzarella and cream cheese to a large bowl. Place in the microwave for 60 seconds.
- Remove the mixture from the microwave. Add the Italian Seasoning and stir.
- Stir in the almond flour. The mixture may become really thick and difficult to stir. If so, place the bowl back in the microwave for another 30 seconds.
- Add in the egg. Stir until the mixture forms crust.
- Place a sheet of parchment paper over the pizza pan.
- Spoon the dough onto the parchment paper. Place another sheet of parchment paper over the dough to help roll out and flatten the dough.
- For extra flavor spread the melted butter over the crust using a cooking brush. (optional)
- Using a fork, poke holes throughout the pizza dough. This will allow the crust to rise.
- Bake for 8 minutes.
Pizza Toppings
- While the crust bakes, spray a skillet with cooking spray on medium-high heat. Add the chicken cubes to the skillet. Season with chicken seasoning. Cook for 3-4 minutes until the chicken is no longer pink on the inside.
- Remove the chicken from the skillet and set aside.
Pizza Alfredo Sauce
- Add the butter to the skillet on medium heat. Allow the butter to partially melt and then add the chunks of cream cheese, Parmesan reggiano, heavy cream, red pepper flakes, and salt and pepper to taste.
- Stir continuously until the cheese has melted. The cream cheese may take some time to dissolve.
Assemble the Pizza and Bake
- Spread the alfredo sauce over the pizza crust.
- Add the fresh spinach.
- Toss the cooked bacon and chicken throughout. Sprinkle the mozzarella and Parmesan Reggiano cheese on the top.
- Bake for an additional 8-10 minutes until the cheese has melted. Mine was ready at 8 minutes.
- Cool before serving.
Video
Notes
Fathead Pizza Recipe Tips
- The dough will be really sticky to roll out. Use parchment paper to bake.
- You can either use really clean hands or a second sheet of parchment paper to roll out the dough.
- If you roll the dough with your hands, wet them first. This will keep the dough from sticking to your hands and fingers as you roll it out.
- If the batter becomes too thick and hard to stir, microwave for another 15 seconds. This will allow the almond flour to moisten some with the cream cheese and mozzarella.
- Parmesan reggiano cheese costs a little more than most standard cheese. IT IS WORTH IT! I highly recommend you purchase the cheese for this recipe. It works wonders in the alfredo sauce.
- Applying melted butter to the pizza crust is awesome, and trust me it tastes amazing.
- For a thinner crust pizza use 3/4 cup almond flour, one egg, and 1 tablespoon of cream cheese as a modification.
Maren Snell
Tuesday 16th of February 2021
I made this last week for our weekly Keto pizza night with my good friend. Turned out PERFECTLY! We skipped the bacon on the chicken one, since we made the fat head crust with a meat lovers pizza. This recipe was super easy and the crust was better than the others I’ve found on YouTube or FB pages. I have to say, the pizzas were easy to make and made me not miss real pizza during this keto experience. I am glued to your page now, can’t wait to try more!
staysnatched
Thursday 18th of February 2021
I'm glad you enjoyed it!
Dava White
Saturday 13th of February 2021
When I saw the Instagram post for this pizza it reminded me of my favorite local pizza place’s “Paradise Pie.” I stay away from dairy most of the time, so I made my own version. Thanks for the inspiration! It was great!
staysnatched
Sunday 14th of February 2021
Wonderful! I'm glad you enjoyed it!
Diana Butler
Tuesday 10th of November 2020
Love the pizza, alfredo sauce and all your recipes! I’m not seeing the macros for just the sauce. Am I missing that somewhere? Thank you!
staysnatched
Thursday 12th of November 2020
It's included in the macro count. If you want it separately you can input the ingredients in a macro calculator of your choice.
Jennifer
Sunday 27th of September 2020
Best thing I have made! Amazing
staysnatched
Monday 28th of September 2020
Yay! I’m glad you enjoyed it!
Wanda
Saturday 26th of September 2020
Made this tonight with my 11 year old daughter. We both LOVED it!! Definitely going to make this again. Thanks for sharing this!
staysnatched
Thursday 1st of October 2020
You're welcome! I'm glad you enjoyed it!