Heat a non-stick skillet over medium heat and lightly grease with olive oil or butter
Place one low-carb tortilla in the skillet and let it warm slightly
Spread a thin layer of pizza sauce evenly across the tortilla
Sprinkle half of the mozzarella cheese over the sauce
Add pepperoni slices evenly across the surface
Sprinkle Italian seasoning and garlic powder over the toppings
Add the remaining cheese on top to help seal the quesadilla
Place the second tortilla on top and press gently
Cook until the bottom is golden brown and crispy, then carefully flip
Cook the other side until the cheese is fully melted and both sides are crisp
Remove from heat, let it cool slightly, then slice into wedges and serve