Have all of your ingredients measured and ready - this comes together quickly!
Best prepared with a pizza stone.
Preheat the oven to 250C / 482F and place a pizza stone or large baking tray in the middle rack.
Place mozzarella and cream cheese in a microwave safe bowl and microwave on high for 20 seconds.
Use a rubber spatula to stir quickly to combine. If it isn't quite sticking together, microwave for another 10 seconds at a time.
Add the almond flour, and using your hands, combine thoroughly. It will continue to absorb the almond flour as you work it more. Knead it in the bowl until a uniform dough is achieved.
Roll out between two pieces of baking paper to your desired shape. Generally about 3mm thick is best.
Place in the hot oven using the baking paper on the bottom. Cook for 3 minutes until edges are brown and it has puffed up.
Remove from oven, flip onto the second piece baking paper.
Meanwhile, combine the ketchup, salt and pepper, garlic and oregano. Spread over the base of the pizza and place the remaining toppings evenly. Not too thick - less is more!
Return to the oven and cook for a further 5 - 8 minutes until the cheese is melted.