Preheat oven to 350°F (175°C). Lightly grease a 9 x 13 inch baking dish.
In a large skillet over medium-high heat, cook turkey sausage, breaking it apart, until browned, 8 to 10 minutes. Drain excess fat.
Spread sausage in the baking dish. Distribute the thawed, squeezed-dry riced cauliflower and the bell pepper over it. Sprinkle 1 cup (4 oz) cheddar.
In a bowl, whisk eggs. Add milk, flaxseed meal, garlic powder, onion powder, salt, pepper, and hot sauce. Whisk until smooth.
Pour custard over the dish. Top with remaining 1/2 cup (2 oz) cheddar. Cover tightly with foil and bake 30 minutes.
Uncover and bake 20 minutes, or until the center is set and an instant-read thermometer in the middle registers 165°F (74°C). A knife inserted in the center should come out without wet egg.
Rest 5 minutes. Slice into 12 squares.