If you love biscuits and gravy, you will love this keto sausage gravy recipe. It doesn’t use flour so it’s gluten free too so it’s perfect if you are on a low carb diet. Spoon over low carb biscuits or bread and even more ideas below. It’s hearty comfort food using 3 simple ingredients and has 1.9 grams of carbs and 15.1 grams of protein!
You might also like homemade Italian keto sausage recipe!
I’ve been wanting to make this recipe for a long time now. However last week I made some keto biscuits and used the leftover biscuits with this delicious keto sausage gravy.
The creamy rich flavor was very delicious on top of the biscuits. Both my son and hubby loved it and it was so easy to make. With just a few ingredients you can whip it up 15 minutes or less. So it’s a great keto recipe for busy mornings.
The gravy is thick and creamy and doesn’t use any kind of flour like traditional sausage gravy recipes. And while it tastes great over keto biscuits, you could also eat other ways.
What I love about this recipe.
- It’s low (1.9 grams net carbs) and high protein (15.1 grams of protein).
- You only need 3 simple ingredients and takes only 15 minutes to make.
- It’s rich and decadent but simple to make.
- It’s comfort food for breakfast and you can eat it over keto biscuits, low carb bread, keto waffles, cauliflower mash or scrambled eggs.
- It’s gluten free and doesn’t include any kind of flour like traditional sausage gravy uses.
What is sausage gravy and how do you make it keto friendly?
Traditional sausage gravy is a southern classic breakfast dish that is usually served over biscuits. It’s made with loose sausage that you brown in a pan. Then you take it out and make a roux which is a technique of browning all purpose flour with the remaining pork fat in the pan along with some seasonings. Lastly you whisk in milk to make the gravy.
How we make this southern gravy into a keto recipe is to use use heavy cream instead of milk and use cream cheese to thicken instead of flour. Regular dairy milk has a much higher carb count and flour is loaded with carbs. The result is a rich and creamy sauce that goes great with the flavor of the breakfast sausage.
You could also use unsweetened almond milk (or non-dairy milk of choice) and a keto-friendly thickening agent like xanthan gum or glucomannan root to make a keto gravy. But I not many people have xanthan gum on hand so I went with the cream cheese to create the creamy texture.
Recipe ingredients I used and substitutions.
The ingredients I used for this simple recipe are heavy cream, cream cheese, breakfast ground sausage, salt and black pepper. You could also use ground beef and some seasonings or really any type of sausage but the breakfast sausage has lots of flavor and is easiest to use.
I used Bob Evans ground pork sausage that you get in a roll form. You don’t want links or anything with casings. It doesn’t matter what brand it is but I always get Bob Evans at Aldi.
You could also add a little heat if you wanted to by add a bit of hot pepper flakes or cayenne pepper. FYI my husband has a great homemade hot pepper flakes recipe. I don’t think you will need to season with salt because it seems to have plenty on it’s own.
How to make keto sausage gravy.
Step 1: Get out a large skillet and heat to medium high heat. Add the ground sausage and cook for a few minutes then turn down the heat to medium heat and continue until golden brown.
Step 2: Take the cooked sausage out of the pan and set aside.
Step 3: Using the same skillet, add the heavy cream, cream cheese, salt and black pepper. Whisk the mixture as the cream cheese melts to make a creamy sauce.
Step 4: Once the cheese has melted add back the cooked sausage to the creamy mixture and stir to combine. Let it cook for a few minutes and that it!
Store leftover sausage gravy in an airtight container. Please scroll down for the printable recipe card.
This white sausage gravy is heavy on the sausage but if you want you can use less of it or add additional cream cheese and heavy cream. It’s quite easy to do either option. You could also add a bit of beef or chicken broth to thin it out.
I primarily made this delicious gravy to go on top of keto biscuits I made which you can see below. If you are using this for a low carb recipe you can try other low carb bread products like keto bread, low carb English muffins or keto cheese waffles.
This creamy sausage gravy has such delicious flavor it would even taste great over eggs, cauliflower mash or even a savory keto chaffle.
If you want to make this a bit lighter try it with this homemade turkey sausage recipe. It has less fat content than ground pork sausage.
More keto breakfast recipes to try.
I have almost 100 keto breakfast recipes you might also like but here are few of my favorite low carb breakfast recipes.
- keto bacon pancakes
- low carb pizza eggs
- sugar free blueberry waffles
- keto breakfast egg cups
- low carb breakfast pizza
- keto savory breakfast cookies, (veggie and meat lover flavors too)
Well even if you are not on a low carb diet I hope you enjoy this delicious keto savory sausage gravy as much as my family did. And if you get a chance try this low carb biscuit recipe because the gravy makes them a decadent breakfast. Enjoy!
The nutrition data for 1 serving is 416 calories / 38.7g fat / 1.9g carbs / 15.1g protein = 1.9 grams of carbs
Keto Sausage Gravy Recipe
This rich and savory low carb sausage gravy is super easy to make with just a few ingredients and about 15 minutes. Use it to smother keto biscuits or over eggs for a delicious breakfast on a low carb diet.
Ingredients
- 16 ounces breakfast sausage in a roll
- ½ cup heavy whipping cream
- 4 ounces cream cheese
- ½ cup water (or broth)
- ½ teaspoon ground black pepper
Instructions
- Get out a large pan and heat to medium high heat. Add the sausage and break up with a wooden spoon. Once it starts to brown, turn the heat down to medium heat.
- When it's all nice and browned, take out of the pan and set aside.
- Add in the cream cheese, heavy cream, pepper and water to the same pan. Whisk well to combine and when the cream cheese has full melted you will have a nice creamy gravy.
- Next add back the cooked sausage to the creamy mixture.
- Simmer for a few minutes to get everything fully integrated and then take off the heat. Serve with low carb biscuits, eggs, cauliflower mash or even a savory keto chaffle.
- Store leftover sausage gravy in an airtight container.
Notes
This recipe is pretty thick. You can add more water or even beef broth to thin it out or use less sausage if you want. It's pretty easy to play around with and make it how you like it.
You could also add a little heat if you wanted to by add a bit of hot pepper flakes or cayenne pepper. I don't think you will need to season with salt because it seems to have plenty on it's own.
The nutrition data for 1 serving is 416 calories / 38.7g fat / 1.9g carbs / 15.1g protein – 1.9g net carbs
Nutrition Information:
Yield: 6 Serving Size: 1Amount Per Serving: Calories: 416
Beth says
I love this recipe as a starter. I only had spicy Italian sausage on hand and jalapeño cream cheese spread. This worked well for the spiciness I like. Because I used a cream cheese spread it wasn’t as thick, but I just added more spread. Served this over keto biscuits👍🏾
Denise says
That sounds very good Beth! So glad you liked it and I’ll have to try that someday with the Italian sausage. Thanks for coming back comment!
Christine M Eaglebear says
we loved it, however it wasn’t as thick as I had assumed by looking at pictures. I like more gravy than sausage. is there a way to make more gravy. I’m assuming its just doubling the cream cheese and heavy cream.
Denise says
Hi Christine, you can add more cream cheese and heavy cream. If that is too heavy maybe add a bit of beef broth too? Hope that helps a bit.
Dale says
I must admit…the comment that described this gravy as being sweet and they just waisted product prevented me from making this sausage gravy for a long time. However, I kept going back to the idea of, “where did any sweetness exist in these ingredients?” So, I tried it today and I couldn’t be more happy! No sweetness at all! Just plain ole great sausage gravy that I covered some keto biscuits with. Just savory deliciousness goodness!!! Sausage gravy on biscuits is back on the table y’all!! Don’t let that one comment prevent you from making this! Especially if you don’t like the mouth feel of xanthum gum for a thickener…this is your recipe!!
Denise says
So glad you l liked it Dale. Thanks for coming back and sharing your experience!
Donna says
Hi Dale. It’s possible they used a sweet sausage that had something like maple syrup in it.
Phyllis says
Made this for myself this morning. Made half recipe and had my serving over keto toast. Delicious! Thanks for sharing your recipe.
Denise says
Hi Phyllis, so glad you liked it!
Rkahler says
I personally prefer my gravy to be savory. This was more like a dessert sauce and clashed horribly with the savoriness of my sausage. The cream cheese is way too sweet. it was a waste of ingredients and as we all know things are too expensive these days to have to toss out food. completely inedible unless I wanted to throw vanilla in it and make it pudding.
Denise says
I’m sorry you didn’t like it. I’m guessing you didn’t like the richness and creaminess that comes from cream and cream cheese. I use those to thicken mostly rather than flour and they are more common that keto thickeners. However if you are looking for any try Thick It Up low carb thickener or xanthan gum.
Andrea Hager says
Would a serving be about 2.6 ounces once it’s made? Just wanting to make sure that I get my proportions right when I dish it up.
Denise says
Hi Andrea, I’m sorry I don’t have an exact answer for you but that’s kind of hard for me to answer. Here is the nutritional information for the whole dish. You can then divide the those numbers by the number of servings you want. I hope that helps a bit. I just can’t figure out how to calculate the weight of each serving with the how the ingredients cook up.
For the whole recipe: 2,494 calories / 232.4g fat / 11.3g carbs / 0g fiber / 90.5g protein = 11.3g net carbs
Andrea Hager says
Thank you. That helps. 😉👍🏻
Denise says
you are most welcome!
DeeDeeWV says
We made this recipe, the gravy did not disappoint. It was thick as stated,just the way we like. We did not add any salt, it’s plenty salty when adding to sausage and keto biscuits. We added red pepper flakes for a bit of heat. Delicious!
Denise says
Hi Dee, I’m so glad you liked it! Thanks for coming back and sharing your experience!
Debbie says
I made this about 4 weeks ago and loved it. I froze what was left into individual portions and it has been great to just pull out of the freezer and use! I did not save the recipe and so glad it was easy to find again. This time I saved it!
Just made it again and doing the same thing. I pour it over a scrambled egg!
Thanks so much for sharing!
Denise says
Hi Debbie, I’m so glad you enjoy it.That was smart to freeze individual portions and I like the thought of pouring over scrambled eggs. I’ll have to try that!