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Heat 1 tablespoon olive oil in a large skillet over medium heat. Add the chopped onions, green peppers, and sliced mushrooms. Cook for 4–6 minutes until softened.
Stir in the minced garlic and cook 1 more minute until fragrant.
Add the ground beef or ground turkey to the skillet. Break it apart with a spatula and cook until fully browned (about 6–8 minutes). Season with Italian seasoning, salt, and pepper.
If using beef and there's excess grease, drain it for a lighter dish.
Stir in ½–1 cup low-carb pizza sauce or marinara and let the mixture simmer for 2–3 minutes to meld flavors.
Transfer mixture into oven-safe bowls or a small casserole dish. Top generously with shredded mozzarella and optional toppings like pepperoni, olives, jalapeños, or spinach.
Place under the broiler on high for 2–4 minutes until cheese is melted, bubbly, and lightly browned.
Garnish with fresh parsley or red pepper flakes and serve hot.