Pizza is one of the world’s most beloved comfort foods, but not all toppings are created equal. While some add protein and fiber, others are loaded with saturated fat, sodium, and preservatives that can wreak havoc on your health. If you’re trying to make smarter choices without giving up pizza entirely, it helps to know which toppings are the worst offenders.
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6 of the Most Unhealthy Pizza Toppings
Extra Cheese
While cheese is an essential part of pizza, extra cheese significantly boosts the calorie, fat, and sodium content of your slice. One ounce of mozzarella already contains about 6 grams of fat, and doubling that adds up quickly. Saturated fat from cheese is linked to higher cholesterol and heart disease risk. If you want to cut back, stick to a regular cheese portion or try part-skim varieties when available.
Pepperoni
Pepperoni is one of the most popular pizza toppings, but it’s also one of the least healthy. This processed meat is high in saturated fat, sodium, and preservatives like nitrates and nitrites, which have been linked to increased cancer risk. Just a few slices of pepperoni can add over 100 extra calories and a significant dose of sodium to your meal. For a healthier alternative, consider grilled chicken or lean turkey.
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Sausage
Sausage ranks right up there with pepperoni in terms of unhealthy pizza toppings. Whether it’s Italian sausage, chorizo, or breakfast-style, it’s usually made with fatty cuts of pork and loaded with salt and additives. One slice of sausage pizza can contain nearly half your daily recommended sodium intake. This processed topping is particularly hard on the heart and digestive system.
Bacon
Bacon might be a breakfast favorite, but it’s one of the worst things you can add to your pizza. Like pepperoni and sausage, bacon is a processed meat packed with fat, sodium, and chemical preservatives. It's also crispy and flavorful, which makes it addictive—but a few bacon crumbles can add unnecessary grease and calories. If you're craving a smoky flavor, try smoked paprika or grilled vegetables instead.
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Meat Lovers Combos
Pizzas that pile on multiple meats—like meat lovers or supreme-style combinations—multiply the damage. These toppings create a high-fat, high-sodium meal that can exceed 1,000 calories in just two slices. Between the pepperoni, sausage, ham, and bacon, these pies are overloaded with processed meats that have little to no nutritional benefit.
Stuffed Crust with Toppings
While not a topping in the traditional sense, stuffed crust pizzas often pair with heavy toppings like sausage and extra cheese, creating a calorie bomb. The additional cheese inside the crust significantly increases saturated fat and sodium, especially when combined with greasy meats.
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