The pepper halves bake for ten minutes first so they soften before they are filled.
Italian sausage is browned to 160°F and stirred with marinara and four ounces of cream cheese, which is what makes the filling creamy rather than plain tomato.
Why This Recipe Works
- Pre-baking the halves means the peppers and filling finish together.
- Cream cheese binds the sausage and marinara into a filling that holds its shape.
- Draining the sausage fat keeps the filling from going greasy.
- Chopped pepperoni on top crisps in the second bake.
One Pepper Half
Eight halves, built the same way.
What goes into one pepper half
Pepper
Halved, seeded, brushed with oil and softened 10 minutes.
Creamy filling
Italian sausage at 160°F with marinara, cream cheese and Italian seasoning.
Mozzarella
Scattered over the filling.
Pepperoni
Chopped, over the cheese.
Baked 18 to 20 minutes until tender and browned in spots.
How to Make It
Peppers softened
Heat oven to 375°F. Brush the pepper halves with olive oil and arrange cut-side up in a baking dish. Bake 10 minutes to soften slightly.
Filling made
Cook the ground Italian sausage in a skillet over medium heat until browned and the center reaches 160°F. Drain excess fat. Stir in marinara, cream cheese and Italian seasoning until creamy and combined.
Filled and topped
Divide the creamy sausage pizza filling among the pepper halves. Top with mozzarella and chopped pepperoni.
Baked
Bake 18 to 20 minutes more, until the peppers are tender and the cheese is melted and browned in spots. Finish with parsley.
Ingredient Notes
- Ground Italian sausage
- One pound, cooked to 160°F before it goes into the peppers.
- Cream cheese
- Four ounces, softened, stirred into the marinara.
- Pepperoni
- Two ounces, chopped, over the mozzarella.
Success Tips
- Choose peppers that sit flat once halved so the filling stays in.
- Drain the sausage well before adding the marinara.
- Let them rest a few minutes; the filling is very hot.
Serving Ideas
Serve two halves per plate with parsley scattered over.
Storage and Reheating
Refrigerate
Refrigerate leftovers within 2 hours and use within 4 days; reheat to 165°F.
Frequently Asked Questions
How hot should the sausage be?
160°F before the peppers are filled.
What makes the filling creamy?
Four ounces of cream cheese stirred into the sausage and marinara.





