Preheat and prep: Heat your oven to 375°F (190°C). Grease a 9x13-inch casserole dish or similar.
Cook the turkey: Warm a large skillet over medium heat with butter or oil. Add ground turkey, breaking it up as it cooks.
Season with salt, pepper, onion powder, and paprika. Cook until no longer pink.
Add aromatics: Stir in minced garlic, chopped celery, and most of the green onions (reserve a bit for garnish). Cook 2–3 minutes until fragrant and slightly softened.
Stir in cauliflower rice: Add the cauliflower rice to the skillet.
Cook 3–4 minutes, stirring, to steam off extra moisture. This keeps the casserole from getting watery.
Make the creamy buffalo base: In a bowl, whisk softened cream cheese, sour cream, buffalo sauce, ranch dressing, and ranch seasoning until smooth. Taste and adjust salt or buffalo heat.
Combine: Pour the creamy mixture into the skillet with the turkey and veggies.
Stir until everything is evenly coated and glossy.
Layer with cheese: Transfer mixture to the casserole dish. Top evenly with shredded cheese.
Bake: Bake for 18–22 minutes, until the edges bubble and the cheese melts. For a browned top, broil 2–3 minutes at the end, watching closely.
Rest and top: Let it rest 5–10 minutes to set.
Garnish with extra green onions, a drizzle of buffalo sauce, and blue cheese crumbles if you like.
Serve: Scoop into bowls and enjoy as-is or with a simple side salad.