Pizza Sausage Skewers for all you low carb recipe lovers out there. This sweet and spicy Italian sausage duo has it all. Are you a classic red sauce pepperoni person or is white sauce more your style? You can have it either way this go round, as long as you don’t add one ingredient… Don’t worry, all pineapple was harmed in the making of this recipe. While you’ll never catch me with pineapple on my pizza, you’ll see it on my parent’s pizza. What are your thoughts on pineapple and pizza? Are you in, or out?


Sweet & Spicy Sausage Skewers


This recipe is built on Italian sausage and anytime I’m cooking sausage, I like to skewer it. This is because it allows me to pile flavor on the middle of the sausage, down the length of the skewers. I quite literally mean piling on flavor when I say this. Today, we’re building two different pizza flavors on our sausage skewers. If pizza isn’t your thing (I don’t know why it wouldn’t be, but you never know), I’ve done a similar style recipe in the past. You can check it out here


First things first, let’s talk about the sausage. I used sweet and spicy sausages for this recipe. If you have a preference, you can use whatever type you like. My thought process was the sweet sausage would pair well with the savoriness of the red sauce and pepperoni. I also liked the idea of using the spicy sausage with the alfredo sauce because that creaminess will help calm the spicy. All in all, I loved how these Pizza Sausage Skewers turned out, everyone truly enjoyed both the sweet and spicy sausage flavors along with their pizza combinations. 


Pizza Sausage Skewers




Not a Pizza Pie


I started two charcoal chimneys for these Pizza Sausage Skewers. As the coals turned bright orange in color, I spread them across the bottom of my grill and set the skewered sausage on the grill to start cooking. Sausage needs to be cooked until it reaches an internal temperature of 165F. Keep an eye on the sausages and flip as needed throughout the cooking process. 


Once the sausages are almost done cooking, around the 150F-155F range, we’ll start adding our pizza toppings. This is where the real fun begins. On my sweet sausage skewers, I spread a layer of marinara across the middle of all the sausages. Then comes the shredded mozzarella cheese, five large pepperonis and a few fresh basil leaves. I also added a dusting of grated parmesan and some red chili flakes, two pizza classics. 


The assembly for the spicy sausage starts with a generous layer of alfredo sauce. Next, more shredded mozzarella cheese and then as many bacon bits as your heart desires. I finished this set of Pizza Sausage Skewers similar to the sweet sausages, with some grated parmesan and red chili flakes. 


Pizza Sausage Skewers



Pizza Sausage Skewers 


Final Pizza Sausage Skewer Steps


After building the Pizza Sausage Skewers, I closed the lid on my grill to allow the heat to circulate more efficiently around the skewers. This helps the cheese on top of the sausage skewers melt and all the ingredients fuze together. 


Finally, check the temp on those Pizza Sausage Skewers. If they’re at 165F, pull them from the grill and place them on a cutting board. Remove the pizza sausage from the skewers and slice into threes. From here, we eat! Best enjoyed with friends and family. Cheers!



Pizza Sausage Skewers




Pizza Sausage Skewer




Pizza Sausage Skewers




Pizza Sausage Skewers

Pizza Sausage Skewers

Pizza Sausage Skewers for all you low carb recipe lovers out there. This sweet and spicy, white and red sauce, Italian sausage duo has it all.
Author:Derek Wolf
5 from 2 votes
Prep Time: 20 minutes
Cook Time: 15 minutes
Total Time: 35 minutes
Course: Main Course
Cuisine: American
Servings: 8 People


Red Sausage Pizza:

  • 8-10 Sweet Italian Sausages
  • ¼ cup of Mozzarella Cheese
  • 3-4 tbsp of Marinara Sauce
  • 5-6 Sliced Pepperoni
  • 3-4 Basil Leaves

White Sausage Pizza:

  • 8-10 Spicy Italian Sausages
  • ¼ cup of Mozzarella Cheese
  • 3-4 tbsp of Alfredo Sauce
  • 1.5 tbsp of Bacon Bits
  • 1.5 tbsp of Buffalo Sauce


  • Grated Parmesan Cheese
  • Red Chili Flakes


  • Preheat your grill for medium heat (around 350F) making the grill grate or the place where you lay your skewers at least 4 inches away from the heat. It is also helpful to create 2x three zone cooking areas so that the skewers lay between two fires instead of directly over the flames.
  • Begin by carefully skewering your sausage onto a two prong skewer or using two single prongs. Add the skewers to the grill to cook for about 7-9 minutes per side. Make sure to watch out for flare ups, and pull the sausages off or move the coals around it that becomes a problem.
  • Once the skewers are close to their final temperature (165F), begin topping them. Add the marinara and alfredo topping with cheese. Then build each sausage skewer with their toppings. Once finished, let the sausage cook (ideally covered) for 2-3 more minutes until the cheese is melted. Once done, topp with parmesan cheese, red chili flakes and buffalo sauce (for the white sauce pizza). Pull off and let cool for 5 minutes.
  • Add more parmesan if desired, pull off the skewers, slice and enjoy!

Derek Wolf

Derek is the driving force behind Over the Fire Cooking. He started cooking with live fire in 2016 and decided to start a social media page so his friends and family could follow the journey. Fast forward to today and Over the Fire Cooking has spread across multiple platforms with millions now following Derek's fire cooking journey. He's a southern fellow who enjoys everything from classic BBQ to Central and South American inspired dishes. Whatever he's cooking up, it's guaranteed to be so freakin' delicious!

5 from 2 votes (1 rating without comment)

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  1. Hi I was wondering where we can get the same skewers you use in this video for the pizza sausage skewers.