Heart Healthy Spinach and Tomato Pizza with Cauliflower Crust

(5.0)
By Judy Capodanno
Updated 1/13/2026
Dietitian Reviewed: Jane Schwartz, RDN, CLT
Approved for These Diets:
Heart Healthy | Gluten Free | Diabetic | Vegetarian
Heart Healthy Tomato and Spinach Pizza
Photo Credit: Shutterstock

Low-carb cauliflower pizza gets a vibrant Mediterranean makeover from cherry tomatoes, baby spinach, and chopped basil. This vegetarian pizza is the perfect solution when you are craving a thin, crispy crust and garden-fresh toppings without the heavy carbs of traditional dough.  The combination of melty mozzarella and sweet roasted tomatoes makes it a satisfying meal that fits perfectly into a balanced lifestyle.

Find more healthy pizza recipe inspiration here.

Total Time
60 minutes
Servings
1
Calories
351

What Makes This Spinach and Tomato Pizza with Cauliflower Crust Healthy

By swapping traditional refined flour for a fiber-rich cauliflower base, this pizza significantly reduces the glycemic impact while adding a serving of vegetables. The Mediterranean-inspired toppings provide essential antioxidants and heart-healthy nutrients in a low-calorie format.

Key Health Highlights

  • Low-Carb Alternative: Using cauliflower instead of wheat flour makes this pizza diabetic-friendly and lower in calories.
  • Nutrient-Dense Greens: Fresh baby spinach is packed with Vitamin K and iron to support bone health and energy.
  • Antioxidant-Rich: Sliced cherry tomatoes are a great source of lycopene, which supports heart health.
  • Gluten-Free by Nature: The grain-free crust is a safe and delicious option for those with gluten sensitivities or celiac disease.
  • Reduced Saturated Fat: Using part-skim mozzarella and a touch of Parmesan keeps the flavors high while keeping fat content in check.

FAQs About Spinach and Tomato Pizza

The secret is squeezing! After cooking the processed cauliflower, use a clean kitchen towel to wring out as much water as possible until the cauliflower is completely dry.

No, for this recipe, it's best to use fresh baby spinach. It will wilt perfectly during the final 7 minutes of baking without making the crust wet.

Yes! Because the crust is made primarily of cauliflower and egg, it is significantly lower in net carbs than traditional pizza.

Yes, you can bake the cauliflower base (Step 4) ahead of time and store it in the fridge. When ready to eat, simply add toppings and do the final bake.

More Healthy Pizza Favorites

Making pizza at home is a healthier option than takeout, and it’s easier than you think with these tasty recipes!

Mediterranean Mainstays

These flavorful, Mediterranean-inspired recipes are delicious options for healthy family meals.

Ingredients

Recipe yields 1 servings

Directions

  1. Step 1

    Preheat oven to 400°F. In a food processor, process cauliflower until finely chopped.

  2. Step 2

    In a microwave-safe bowl, cook cauliflower for 5 minutes, or until tender. Place cauliflower in a towel and squeeze out excess water so it is completely dry.

  3. Step 3

    In a bowl, mix egg, cauliflower, 2 tablespoons of the basil, black pepper, garlic and Parmesan cheese until combined.

  4. Step 4

    On a parchment-lined baking sheet, spread cauliflower dough out into a pizza round. Lightly coat cauliflower crust with cooking spray. Bake for 30 minutes, or until lightly browned.

  5. Step 5

    Remove crust from oven. Increase oven temperature to 450°F. Top cauliflower crust with mozzarella cheese, tomatoes, spinach, remaining 2 tablespoons basil and black pepper to taste. Bake for 7 minutes, or until cheese melts. Serve immediately.

Nutrition Facts

Serving Size:
1 pizza

351
Calories
16
g
Fat
207
mg
Cholesterol
517
mg
Sodium
28
g
Carbs
6
g
Sat. Fat
12
g
Fiber
25
g
Protein
13
g
Sugars

Alternative Cooking Methods

  • Air Fryer: You can "bake" the cauliflower crust round in an air fryer at 375°F for 12–15 minutes, flipping halfway, then add toppings and air fry for another 3–5 minutes.
  • Pizza Stone: For the crispest possible crust, preheat a pizza stone in your oven for 30 minutes before placing your parchment-lined crust on top.

Serving & Storage Tips

  • To Serve: Slice with a sharp pizza cutter and serve immediately. A light drizzle of balsamic glaze adds a gourmet touch.
  • Storage: Store leftovers in an airtight container in the refrigerator for up to 2 days.
  • Reheating: To maintain a crispy base, avoid the microwave. Reheat slices in a dry skillet over medium heat or in a 350°F oven until the cheese is bubbly.

Try New Toppings:

This cauliflower crust can be topped any way you like to add variety or please different family members.

  • White Pizza Style: Omit the tomatoes and add a thin layer of ricotta cheese or a garlic-herb oil base before topping with spinach.
  • Spinach Artichoke: Add chopped canned artichoke hearts (well-drained) alongside the spinach for a classic flavor profile.
  • Greek Pizza: Add a few kalamata olives and swap the mozzarella for feta cheese.

Ingredient Substitutions

For extra tang, a sprinkle of goat cheese or feta works beautifully. If you are dairy-free, use a high-quality shredded vegan mozzarella.

While the recipe uses cauliflower and egg to bind, a tablespoon of almond flour can be added to the "dough" for a slightly sturdier, nuttier crust.

If fresh basil isn't available, substitute with a teaspoon of dried Italian seasoning in the crust mixture.

More Recipes Like Tomato and Spinach Pizza