Keto Stuffed Zucchini

We have been making the original, non-keto version for many, many years using breadcrumbs, however, since breadcrumbs are not a keto food I substituted with Pork Panko, which I found in my local grocery store.  It’s a delicious, easy-to-make meal that is so tasty. Stuffed zucchini is a winning dinner whether you use Italian sweet or hot sausage or bulk country sausage. Leftovers can be eaten for lunch the next day.

Keto Stuffed Zucchini

Keto version of delicious sausage stuffed zucchini.
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Prep Time: 15 minutes
Cook Time: 30 minutes
Total Time: 45 minutes
Servings: 6
Calories: 452kcal


  • 1 large skillet (to cook zucchini for 8-10 minutes)
  • 1 Large rimmed baking sheet
  • 1 large spoon (to scoop out cooked zucchini)


  • 4 large zucchini (Sliced in half lengthwise. Do not cut off the ends.)
  • 1 pound Italian sausage (sweet or hot) (remove casings)
  • ½ large onion (diced)
  • 2 large garlic cloves (smashed)
  • cup Panko pork rinds (packed)
  • ¼ cup Pecorino-Romano cheese (grated)
  • 8 oz whole milk mozzarella cheese (shredded)
  • 1 cup tomato sauce (homemade or jar, with no sugar added)


  • Preheat the oven to 350°F.
  • In a large skillet, cook halved zucchini in boiling, salted water for 8-10 minutes. Drain. Scoop out insides, leaving a 1/4-inch shell. Drain and mash the scooped-out zucchini. Set aside.
  • Place shells onto an ungreased large rimmed baking sheet.
  • Remove casings from sausage and cook in the same skillet for 5 minutes, breaking the meat into a crumble while cooking. Add the chopped onions and smashed garlic. Saute 3 minutes until tender. Add the mashed zucchini, Panko pork rinds, and 3/4 of the grated Pecorino-Romano cheese.
  • Spoon mixture into shells. Spoon tomato sauce on top to cover lengthwise. Sprinkle with remaining grated cheese. Top with shredded mozzarella cheese. Bake for 20-30 minutes until cheese melts. Enjoy!


Pork Panko makes a great substitute for any recipe calling for breadcrumbs.


Calories: 452kcal | Carbohydrates: 12g | Protein: 25g | Fat: 35g | Saturated Fat: 15g | Polyunsaturated Fat: 4g | Monounsaturated Fat: 14g | Cholesterol: 93mg | Sodium: 1080mg | Potassium: 929mg | Fiber: 3g | Sugar: 8g | Vitamin A: 881IU | Vitamin C: 44mg | Calcium: 294mg | Iron: 2mg

Please note: Although the Nutritional Facts are provided, we are not nutritionists and therefore cannot verify the accuracy of these calculations. Please verify any data you see here with your favorite nutrition calculator.

Pork Panko makes a great substitute for any recipe calling for breadcrumbs.
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