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

  1. Preheat oven to 375°F.
  2. Heat olive oil in a skillet over medium heat. Add cauliflower rice and cook 4–5 minutes to release moisture. Set aside.
  3. Season chicken with salt and pepper. Lightly brown in the same skillet 3–4 minutes (not fully cooked).
  4. In a saucepan, heat heavy cream and cream cheese until smooth.
  5. Stir in pesto and garlic powder.
  6. Combine cauliflower rice, chicken, spinach, and pesto cream sauce.
  7. Transfer to a greased baking dish.
  8. Top with mozzarella and optional Parmesan.
  9. Bake 20–25 minutes until bubbly and chicken is cooked through.
  10. 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)

Prep Time 10 minutes
Cook Time 25 minutes
Total Time 35 minutes
Servings 6 Servings
Calories 435
A creamy keto chicken casserole with cauliflower rice, spinach, and basil pesto — perfect for meal prep.

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.
Calories: 435kcal
Course: Dinner
Cuisine: American
Keyword: cauliflower rice bake, keto pesto chicken casserole, low carb chicken casserole

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