Keto Spinach Pesto Chicken Rice Casserole is a creamy low-carb chicken bake made with cauliflower rice, basil pesto, wilted spinach, and melty cheese. This easy keto casserole is perfect for meal prep, family dinners, and comforting low-carb meals with fresh herb flavor.
About This Recipe
Keto Spinach Pesto Chicken Rice Casserole (Cauliflower Rice) brings together fresh herb flavor and creamy comfort in a low-carb format that’s ideal for weeknights and meal prep. Traditional rice is replaced with cauliflower rice, which absorbs the pesto cream sauce beautifully while keeping the dish light and keto-friendly. The result is a casserole that feels rich and satisfying without being heavy or carb-dense.
The recipe starts by gently cooking cauliflower rice to remove excess moisture, ensuring the final bake stays creamy rather than watery. Chicken is seasoned and combined with a pesto-based cream sauce made from heavy cream, cream cheese, and basil pesto. Fresh spinach wilts into the mixture, adding color, nutrients, and a subtle earthiness that balances the richness of the sauce. Everything is then baked together and finished with a layer of melted mozzarella that creates a bubbly, golden top.
This casserole is particularly well-suited for meal prep. It slices cleanly, reheats evenly, and the flavors deepen after a day in the fridge. You can customize it easily by adding mushrooms, sun-dried tomatoes, or extra Parmesan for a sharper finish. Whether you’re expanding your Chicken Casserole board or planning a week of low-carb lunches, this spinach pesto chicken casserole delivers dependable flavor, texture, and simplicity.
Why You’ll Love This Recipe
- Fresh basil pesto flavor
- Creamy, comforting texture
- Low-carb cauliflower rice base
- Perfect for meal prep
- Family-friendly
- Easy to customize
- Naturally keto
- Great chicken casserole option
Ingredients
For the Casserole
- 1.5 lb chicken breast, cut into bite-size pieces
- 3 cups cauliflower rice
- 2 cups fresh spinach
- 1 tbsp olive oil
- 1/2 tsp salt
- 1/2 tsp black pepper
Pesto Cream Sauce
- 1 cup heavy cream
- 4 oz cream cheese
- 1/3 cup basil pesto
- 1/2 tsp garlic powder
For Topping
- 1 1/2 cups shredded mozzarella
- 1/4 cup grated Parmesan (optional)
Instructions
- Preheat oven to 375°F.
- Heat olive oil in a skillet over medium heat. Add cauliflower rice and cook 4–5 minutes to release moisture. Set aside.
- Season chicken with salt and pepper. Lightly brown in the same skillet 3–4 minutes (not fully cooked).
- In a saucepan, heat heavy cream and cream cheese until smooth.
- Stir in pesto and garlic powder.
- Combine cauliflower rice, chicken, spinach, and pesto cream sauce.
- Transfer to a greased baking dish.
- Top with mozzarella and optional Parmesan.
- Bake 20–25 minutes until bubbly and chicken is cooked through.
- Rest 5 minutes before serving.
Nutrition (per serving)
- Calories: 435
- Fat: 31g
- Protein: 33g
- Net Carbs: 4g
FAQ
- Q: Can I use rotisserie chicken?
A: Yes — skip browning and reduce bake time slightly. - Q: Will frozen cauliflower rice work?
A: Yes — cook longer to remove moisture before baking. - Q: Can I add mushrooms?
A: Absolutely. Sauté first to remove moisture. - Q: Is store-bought pesto okay?
A: Yes — choose a low-carb, sugar-free option. - Q: Is this good for meal prep?
A: Excellent. It reheats well and keeps texture.
Variations & Substitutions
- Add sun-dried tomatoes
- Use chicken thighs for extra juiciness
- Swap mozzarella for provolone
- Add extra Parmesan for sharper flavor
- Stir in roasted garlic
- Add pine nuts for crunch (optional)
Serving Suggestions
- Serve with a crisp green salad
- Pair with roasted broccoli
- Add a lemony side salad
- Enjoy as a stand-alone meal

Keto Spinach Pesto Chicken Rice Casserole (Cauliflower Rice)
Ingredients
For the Casserole
- 1.5 lb chicken breast (cut into bite-size pieces)
- 3 cups cauliflower rice
- 2 cups fresh spinach
- 1 tbsp olive oil
- 1/2 tsp salt
- 1/2 tsp black pepper
Pesto Cream Sauce
- 1 cup heavy cream
- 4 oz cream cheese
- 1/3 cup basil pesto
- 1/2 tsp garlic powder
For Topping
- 1 1/2 cups shredded mozzarella
- 1/4 cup grated Parmesan (optional)
Instructions
- Preheat oven to 375°F.
- Heat olive oil in a skillet over medium heat. Add cauliflower rice and cook 4–5 minutes to release moisture. Set aside.
- Season chicken with salt and pepper. Lightly brown in the same skillet 3–4 minutes (not fully cooked).
- In a saucepan, heat heavy cream and cream cheese until smooth.
- Stir in pesto and garlic powder.
- Combine cauliflower rice, chicken, spinach, and pesto cream sauce.
- Transfer to a greased baking dish.
- Top with mozzarella and optional Parmesan.
- Bake 20–25 minutes until bubbly and chicken is cooked through.
- Rest 5 minutes before serving.
Did you make this recipe?
I’d love to hear from you — leave a comment below and tell me how it turned out, what you liked, or if you made any tweaks!
Try these next:
- Keto Creamy Pesto Chicken Bake (Rich, Cheesy & Low-Carb)
- Keto Creamy Pesto Chicken Skillet (30 Minutes)
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