Cozy up with these delicious, low-carb sausage stuffed peppers! This version swaps traditional rice for a savory, nutrient-packed blend of mushrooms and onions, bound together with a low-sugar marinara and savory hot Italian sausage. It’s a comforting, wholesome meal that makes low-carb living a breeze.
*This post was originally sponsored by Hatfield® and was posted on 9/12/19, but has since been updated.
Why We Love These Stuffed Peppers
- Packed with Flavor: The spicy kick from the hot Italian sausage combined with rich marinara and melted cheese creates an irresistible flavor profile.
- Low-Carb & Guilt-Free: By skipping traditional grains like rice and using finely chopped mushrooms and onions to bulk up the meat sauce, this recipe keeps carbs low without sacrificing satisfaction.
- Incredibly Versatile: The filling comes together effortlessly in a single skillet, making weeknight dinners stress-free.

Ingredient Swaps
If you need to make substitutions based on what you have in your pantry or your dietary preferences, here are some great alternatives for each ingredient:
- Bell Peppers: Instead of green bell peppers, you can use red, yellow, or orange bell peppers for a sweeter flavor profile. If you don’t have peppers on hand, large zucchini boats or hollowed-out portobello mushroom caps make fantastic vessels.
- Hot Italian Ground Sausage: If you prefer less spice or are cooking for those who don’t like heat, swap this for mild or sweet Italian pork sausage. You can also use ground turkey sausage, chicken sausage, or plant-based ground meat alternatives.
- Yellow Onion & White Mushrooms: Swap yellow onion for white or red onion, or shallots. If you dislike mushrooms, you can substitute finely riced cauliflower or extra diced bell pepper.
- Low-Sugar Marinara Sauce: Use any low-sugar tomato-basil or garlic marinara brand. If you aren’t strictly watching carbs, regular marinara works great, or you can use crushed tomatoes seasoned with Italian herbs and garlic powder.
- Cheddar & Parmesan Cheeses: Swap cheddar for mozzarella, provolone, or Monterey Jack for a classic, stretchy melt. Parmesan can be easily substituted with Pecorino Romano or Asiago.

Tips & Tricks
- Dish Fit: Use a deep-walled casserole dish that snugly fits your pepper halves so they stay upright and don’t tip over while baking.
- Customizing Texture: If you prefer your bell peppers crisp-tender with a bit of crunch, stick to a total bake time of about 30 minutes. If you prefer melt-in-your-mouth tender peppers, bake closer to 50 minutes total (remembering to add the cheese during the last 10 minutes!).
- Sauce Selection: Keep an eye on the labels; choosing a truly low-sugar marinara variety is key to keeping this recipe strictly low-carb.
Storage & Meal Prep
- Refrigerator: Store leftover stuffed peppers in an airtight container in the fridge for up to 3 to 4 days.
- Freezing: You can freeze cooked stuffed peppers for up to 2 months. Let them cool completely, transfer them to a freezer-safe container, and thaw overnight in the refrigerator before reheating.
- Reheating: Reheat individual portions in the microwave for 1 to 2 minutes until heated through, or warm them in a 350°F oven for about 15 minutes if reheating a larger batch.

Frequently Asked Questions (FAQs)
Can I use sweet Italian sausage instead of hot? Yes! If you prefer a milder flavor profile or are serving family members who don’t like spice, you can easily substitute mild or sweet Italian sausage.
Do I have to precook the peppers before stuffing them? No need. Because bell peppers roast and steam simultaneously in the casserole dish while the hot filling finishes cooking, precooking the peppers is not necessary.
Can I add other vegetables to the filling? Definitely. Finely diced zucchini, spinach, or riced cauliflower are great additions if you want to pack even more veggies into the mix.
Tasty Dinner Bakes
- Green Stuffed Peppers
- Air-Fried Stuffed Mushrooms
- Crabmeat Stuffed Onions
- Portuguese Baked Shrimp
- Sausage Stuffed Shells
Oven-Baked Sausage Stuffed Peppers
Equipment
- cutting board & knife
- deep-walled cutting board
- oven
Ingredients
- 12 ounces hot Italian sausage ground
- 3 green bell pepper washed, dried, halved, seeded
- 1 yellow onion small, diced
- ½ cup white mushrooms chopped
- 1 cup marinara low-sugar variety only
- ¼ cup shredded cheddar
- 3 tbsps Parmesan cheese
Instructions
- Preheat your oven to 350°F (175°C). Wash, dry, and cut your bell peppers in half lengthwise, removing all seeds and membranes. Arrange the pepper halves snugly in a deep-walled casserole dish.
- In a large skillet over medium-high heat, combine the ground sausage, diced onion, and chopped mushrooms. Cook until the sausage is thoroughly browned (about 6 to 8 minutes).
- Drain any excess grease from the skillet. Pour in the low-sugar marinara sauce and stir well with a wooden spoon to combine all the ingredients into a thick, hearty meat sauce.
- Scoop an even amount of the warm sausage mixture into each pepper half. (This recipe is measured to perfectly fill 6 pepper halves).
- Place the casserole dish in the oven and bake uncovered for 20 minutes at 350°F.
- Remove the pan from the oven and evenly top the peppers with the shredded cheddar and Parmesan cheeses.
- Return the dish to the oven and bake for an additional 10 minutes (for firmer peppers) or up to 30 minutes (for softer peppers). Note: If you prefer very soft peppers and choose a longer bake time, hold off on adding the cheese until the final 10 minutes of baking to keep it creamy and prevent burning.
- Let cool slightly, and enjoy warm!


Stuffed bell peppers are the best! I love trying different recipes. The sausage you used in this dish looks amazing!
Those look absolutely delicious! I love stuffed peppers and it has been a while, I will have to try this!
So happy to see a recipe I would love! I am currently on a Low carb diet so this is so perfect! It looks yummy!
Stuffed peppers are my favorite dish! I need to try your recipe! It looks fabulous!
I had no idea Hatfield had seasoned ground pork available like this. It makes things so easy! Those Stuffed Peppers look amazing!
Stuffed peppers are one of our favorite dishes. We do different fillings to bring a variety to our dinners.
I really need to make this for dinner. I am trying to cut back on my carb intake.
I haven’t had a stuffed pepper since I was a kid. I would love to make these for my family!
Now this will make for a fun meal. We love stuffed peppers and that sausage filling sounds really nice.
Now this is a different take on stuffed peppers! I normally use browned hamburger meat that’s seasoned, but I love the idea of using Italian sausage instead!
Now this is a meal my whole family will love. I have to get these on the menu asap!!