This low acid baked ziti skips tomatoes, garlic, and peppery heat. Instead, it gets flavor from fresh herbs, smooth ricotta, and mozzarella for a creamy and mild finish. The pasta bakes up bubbly and golden, perfect for a reflux-sensitive dinner that still feels indulgent. It’s a crowd-pleasing casserole made for stomach-soothing, GERD-safe comfort.
Ingredients Needed:
- 1 tablespoon unsalted butter: to grease the baking dish
- 1 pound ziti or short pasta: cooked al dente
- 2 pounds part-skim ricotta cheese: creamy and easy on digestion
- ½ cup lactose-free whole milk: replaces heavy cream gently
- ½ cup starchy pasta water: helps bind the sauce
- 1 tablespoon garlic-infused olive oil: flavor without reflux risk
- ½ teaspoon white pepper (optional): milder than black pepper
- 1½ cups shredded low-moisture mozzarella: mild and reflux-friendly
- ½ cup grated fresh Parmesan: use moderately to keep acid low
- 8 basil leaves: chopped or torn
- 4 scallions: green tops only for gentler digestion
- 1 tablespoon fresh dill: optional but adds fresh flavor
- 1 tablespoon fresh chives: mild, oniony taste
- 1 teaspoon fresh oregano: gentle and aromatic
- Salt: as needed for taste (use lightly)
How To Make Low Acid Baked Ziti:
Prep the Oven and Dish:
Preheat oven to 375°F. Butter a 13×9-inch baking dish with unsalted butter.
Cook the Pasta:
Boil ziti until al dente. Reserve ½ cup of starchy pasta water, then drain. Let pasta cool slightly.
Make the Ricotta Base:
In a food processor, blend ricotta, garlic-infused oil, salt, and optional white pepper until smooth. Add the milk and blend again.
Mix the Filling:
Pour ricotta mixture into a large bowl. Whisk in pasta water until smooth. Fold in mozzarella, Parmesan, scallions, and herbs. Add the cooked pasta and mix to coat.
Assemble and Bake:
Spread the mixture in the prepared dish. Sprinkle a small handful of mozzarella on top. Bake for 25 minutes until bubbly and golden. Let cool slightly before serving.

Recipe Tips:
- Use garlic-infused oil instead of fresh garlic for reflux safety
- Avoid red pepper flakes and black pepper—these trigger heartburn
- Use part-skim cheese to keep it creamy but lighter
- Stir in milk slowly to avoid curdling
- Let pasta sit before serving for better slicing
How to Store & Reheat:
- Room Temperature: Not recommended—cool and refrigerate promptly
- Fridge: Store covered for up to 3 days
- Freezer: Freeze portions up to 2 months; reheat at 350°F for 15–20 minutes
Nutrition Facts (Approx. per serving, 1/10 of casserole):
- Calories: 385
- Sodium: 290 mg
- Protein: 21 g
- Fat: 17 g
- Carbs: 34 g
- Fibre: 2 g
- Sugar: 4 g
FAQs:
Is baked ziti okay for acid reflux?
Yes, when made without tomatoes, garlic, or spicy peppers like in this low acid version.
What pasta sauce is best for GERD?
Creamy ricotta-based sauces with no tomato or citrus are safest for acid reflux.
Can I use garlic in low acid recipes?
Yes—garlic-infused oil gives flavor without triggering reflux like fresh garlic does.
Is cheese okay on a low acid diet?
Yes, mild cheeses like mozzarella and ricotta are well tolerated in moderation.
Can I make this baked ziti ahead?
Yes. Prepare and refrigerate unbaked for up to 24 hours. Bake when ready to serve.
Try More Recipes:
Low Acid Baked Ziti
Course: DinnerCuisine: AmericanDifficulty: Easy10
servings15
minutes25
minutes385
kcalA creamy, tomato-free baked pasta dish that’s gentle on the stomach. This low acid baked ziti uses ricotta, mozzarella, and fresh herbs for comforting flavor without triggering reflux.
Ingredients
1 tbsp unsalted butter
1 lb ziti or short pasta
2 lb part-skim ricotta
½ cup lactose-free milk
½ cup reserved pasta water
1 tbsp garlic-infused olive oil
½ tsp white pepper (optional)
1½ cups shredded mozzarella
½ cup fresh grated Parmesan
8 basil leaves, chopped
4 scallions, green tops only
1 tbsp chopped fresh dill
1 tbsp chopped fresh chives
1 tsp chopped fresh oregano
Salt to taste
Directions
- Preheat oven to 375°F. Butter a 13×9″ dish.
- Cook pasta to al dente. Reserve ½ cup water. Drain and cool.
- Blend ricotta, garlic oil, salt, and pepper. Add milk and blend again.
- Transfer to bowl. Whisk in pasta water. Fold in cheeses and herbs.
- Mix in pasta. Transfer to dish. Top with extra mozzarella.
- Bake 25 minutes until bubbly. Let cool slightly before serving.
