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This Keto Chicken Alfredo Casserole is what happens when comfort food meets a low-carb makeover. Creamy Alfredo sauce, juicy chicken, crispy bacon, and loads of melty cheese—all baked together for a dish that’s just as cozy as the original, minus the carbs. It’s rich, satisfying, and seriously hard to resist.

Overhead photo of keto chicken alfredo casserole with a serving spoon.

I love recipes that let me enjoy my favorite flavors without the heavy, sluggish feeling afterward. This keto chicken alfredo bake is packed with protein from the chicken, healthy fats from the cheese and cream, and fiber-rich zucchini instead of pasta. It keeps me full, fuels my workouts, and doesn’t leave me crashing an hour later. A win all around!

โค๏ธ Why you will love this recipe

  • All the flavor, none of the carbs: Creamy, cheesy, and loaded with garlic goodness, but without the pasta.
  • Super easy to make: Simple ingredients, minimal prep, and the oven does most of the work.
  • Great for meal prep: Tastes even better the next day, making it perfect for leftovers.
  • High in protein: Chicken and cheese make this a filling, muscle-fueling meal.
  • Veggie-packed: Zucchini noodles and broccoli add fiber, vitamins, and extra texture.

๐Ÿ—๏ธ Key ingredients & substitutions

  • Chicken breasts or thighs: Cooked and shredded or diced. Rotisserie chicken works great for a shortcut, but my go-to is always Instant Pot Shredded Chicken.
  • Zucchini noodles: A light, low-carb alternative to pasta. You can also use spaghetti squash or even broccoli florets.
  • Alfredo sauce: A rich and creamy base for the casserole. I use my popular 5-minute homemade keto alfredo sauce, but a store-bought keto-friendly version would work too.
  • Mozzarella cheese: Melts beautifully for that gooey, cheesy texture. Feel free to swap in provolone or gouda.
  • Bacon: Adds a crispy, smoky crunch. Turkey bacon works too, but the flavor won’t be as rich.
  • Heavy cream & cream cheese: Give the Alfredo sauce its creamy, silky texture. No substitutions here—they’re essential!
  • Olive oil: Used for cooking the chicken and adding a bit of richness. Butter works just as well.
  • Garlic & onion powder: Essential for flavor! Fresh garlic works too, but powders blend more evenly in the sauce.

๐Ÿฅฃ How to make keto chicken alfredo casserole

  1. Prepare the zucchini: Spiralize the zucchini into noodles, then cut them into smaller pieces with kitchen scissors. Microwave for one minute, then press out excess liquid using paper towels. This keeps the casserole from getting watery!
Spiralized zucchini noodles in a bowl, then in a microwave. A baking dish with paper towels, then the zucchini being pressed between paper towels.
  1. Cook the bacon: In a skillet over medium heat, cook the diced bacon until crispy, about 10 minutes. Set aside.
  2. Cook the chicken (if needed): If your chicken isn’t already cooked, dice and sauté it in the bacon grease for extra flavor. You can also use an Instant Pot to make shredded chicken.
  3. Layer the casserole: Spread ½ cup of Alfredo sauce on the bottom of a large baking dish. Add half the zucchini, followed by half the chicken, bacon, and mozzarella.
  1. Add more sauce: Pour 1 cup of Alfredo sauce over the layers. Then, repeat the layering with the remaining zucchini, chicken, bacon, and mozzarella. Finish with the last cup of Alfredo sauce and a final sprinkle of cheese.
  2. Bake to perfection: Bake at 375°F (190°C) for 15 minutes, then increase to 480°F (250°C) for 10 minutes until golden and bubbly.
  3. Rest before serving: Let the casserole sit for 10 minutes before digging in—this helps it set and makes serving easier!
Serving spoon lifting keto chicken alfredo casserole from the dish.

๐Ÿช„ Recipe notes & tips

  • Dry the zucchini thoroughly: Nobody likes a watery casserole! Microwaving and patting the zucchini dry with paper towels is a must.
  • Use pre-cooked chicken for convenience: Rotisserie chicken or leftover grilled chicken saves time and effort.
  • Go for freshly shredded cheese: Pre-shredded cheese contains anti-caking agents that can make the sauce grainy and add to the carb count.
  • Let it rest before serving: This helps everything set up so you get clean, cheesy slices instead of a messy pile.
  • Adjust the baking time if needed: Ovens vary, so keep an eye on the top—it should be golden brown and bubbling.
  • Make it extra creamy: Stir in an extra spoonful of cream cheese to the Alfredo sauce for a thicker, richer texture.
  • Make-ahead: Assemble it up to a day in advance, cover, and refrigerate. When ready to bake, add 5-10 extra minutes to the cooking time.

๐Ÿซ™ Storage instructions

  • Refrigerate: Store leftovers in an airtight container in the fridge for up to 4 days.
  • Reheat: Warm up portions in the oven at 350°F (175°C) for the best texture, or microwave in short bursts to avoid overcooking.
  • Freeze: Let the casserole cool completely, then wrap tightly and freeze for up to 3 months. Thaw overnight in the fridge before reheating.

โœจ Variations

  • Swap the protein: Try shredded turkey, cooked shrimp, or even ground beef for a different take.
  • Use a different veggie base: Instead of zucchini noodles, go for spaghetti squash, cauliflower rice, or chopped broccoli.
  • Make it spicy: Add a dash of hot sauce to the Alfredo sauce, and I personally can’t resist a pinch of red pepper flakes to garnish at the end.
  • Try a different cheese: Parmesan, gouda, or provolone all work beautifully in place of mozzarella.
  • Add more veggies: Mushrooms, spinach, or bell peppers blend right in and boost the nutrients.
  • Go extra garlicky: Stir roasted garlic into the sauce for a deeper, richer flavor.
Abowl of keto chicken alfredo casserole with a fork.

๐Ÿฝ๏ธ What to serve with this recipe

  • Low-Carb Sides: Garlic butter green beans, Caesar salad, roasted Brussels sprouts.
  • Protein Boosters: Grilled salmon, stuffed mushrooms filled with cheese and bacon.
  • Classic Comfort Pairings: Keto garlic bread, creamy mashed cauliflower, crispy zucchini fries.

โ“ Frequently Asked Questions

Is this casserole suitable for a gluten-free diet? 

Absolutely! This recipe is naturally gluten-free, making it a great option for those with gluten sensitivities.

Is there a dairy-free alternative for the Alfredo sauce?

Yes, you can make a dairy-free Alfredo sauce using my vegan cream cheese recipe and adding a little extra almond milk to thin it out, and some fresh garlic and ground black pepper for an extra pop of flavor.

Overhead photo of keto chicken alfredo casserole.

๐Ÿ˜‹ More Keto Casseroles You Will Love

Have you made this recipe? I’d love to know <3 Tag me (@makehealthyrecipes) on Facebook and InstagramPin it on Pinterest, and please give it 5 stars with a review below! Don’t forget to subscribe to the email list (top right of this page) for sparkly new recipes in your inbox.

๐Ÿ“– Recipe

Overhead photo of keto chicken alfredo casserole with a serving spoon.

Keto Chicken Alfredo Casserole

Bethany Galloway
This Keto Chicken Alfredo Casserole is what happens when comfort food meets a low-carb makeover. Creamy Alfredo sauce, juicy chicken, crispy bacon, and loads of melty cheese—all baked together for a dish that’s just as cozy as the original, minus the carbs. It’s rich, satisfying, and seriously hard to resist.
5 from 1 vote
Prep Time 15 minutes
Cook Time 25 minutes
Total Time 40 minutes
Course Main Course
Cuisine American
Servings 6 Servings
Calories 562 kcal

Ingredients
 
 

  • 3 Cups Alfredo sauce
  • 2 lbs chicken breasts cooked and diced or shredded (Instant Pot Shredded Chicken is my go-to, dice it or shred it)
  • 3 zucchinis spiralized or very thinly sliced (like noodles)
  • 2 cups Shredded Mozzarella
  • 6 bacon strips diced

Instructions
 

Prepare the zucchini:

  • Begin by spiralizing the zucchini into noodles. Use a pair of kitchen scissors to cut the zucchini into smaller pieces.
    3 zucchinis
  • Place the zucchini in a microwave-safe dish like a large bowl, and microwave it for one minute.
  • Lay paper towels in a large baking dish (ideally the one you’ll bake in later), and place the zucchini on top of it. Use another paper towel to gently press the extra liquid out. Return the zucchini to the bowl and discard the paper towels.

Prepare the meat:

  • Cook the diced bacon in a medium skillet over low-medium heat until crispy, about 10 minutes.
    6 bacon strips
  • (Optional) If your chicken isn't pre-cooked, dice raw chicken breast and cook it in the bacon grease. You can also cook chicken in the instant pot.
    2 lbs chicken breasts

Assemble:

  • Begin by spreading 1/2 cup of Keto Alfredo sauce over the bottom of a large baking dish.
    3 Cups Alfredo sauce
  • Top it with half of the zucchini, followed by half of the chicken, bacon, and 1 cup of mozzarella.
    2 cups Shredded Mozzarella
  • Pour 1 cup of Alfredo sauce over the ingredients followed by the remaining zucchini, chicken, and bacon.
  • Pour the remaining Alfredo sauce evenly over the ingredient, and evenly sprinkle over the remaining cup of mozzarella.

Bake:

  • Bake the Keto Chicken Alfredo Casserole at 375°F (190°C) for 15 minutes, followed by 480°F (250°C) for 10 minutes. It will be golden-brown on top when it’s ready.
  • Allow the casserole to rest for 10 minutes before digging in and serving!

Notes

  • Dry the zucchini thoroughly: Nobody likes a watery casserole! Microwaving and patting the zucchini dry with paper towels is a must.
  • Use pre-cooked chicken for convenience: Rotisserie chicken or leftover grilled chicken saves time and effort.
  • Go for freshly shredded cheese: Pre-shredded cheese contains anti-caking agents that can make the sauce grainy and add to the carb count.
  • Let it rest before serving: This helps everything set up so you get clean, cheesy slices instead of a messy pile.
  • Adjust the baking time if needed: Ovens vary, so keep an eye on the top—it should be golden brown and bubbling.
  • Make it extra creamy: Stir in an extra spoonful of cream cheese to the Alfredo sauce for a thicker, richer texture.
  • Make-ahead: Assemble it up to a day in advance, cover, and refrigerate. When ready to bake, add 5-10 extra minutes to the cooking time.

Storage instructions

  • Refrigerate: Store leftovers in an airtight container in the fridge for up to 4 days.
  • Reheat: Warm up portions in the oven at 350°F (175°C) for the best texture, or microwave in short bursts to avoid overcooking.
  • Freeze: Let the casserole cool completely, then wrap tightly and freeze for up to 3 months. Thaw overnight in the fridge before reheating.

Nutrition

Calories: 562kcalCarbohydrates: 8gProtein: 48gFat: 36gSaturated Fat: 17gPolyunsaturated Fat: 7gMonounsaturated Fat: 10gTrans Fat: 0.03gCholesterol: 216mgSodium: 1385mgPotassium: 884mgFiber: 1gSugar: 5gVitamin A: 497IUVitamin C: 19mgCalcium: 213mgIron: 1mg
Keyword keto chicken alfredo casserole
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5 from 1 vote (1 rating without comment)

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