Keto Salisbury Steak
Tender beef patties smothered in a rich mushroom-onion gravy that tastes like comfort-food classics without the carbs. At just 4.8g net carbs per serving and ready in 35 minutes, this skillet dinner is weeknight-easy and family-approved.
Head of Nutrition · June 17, 2026
Nutrition per serving
Per serving · makes 4. Values are estimates; brands vary.
This keto Salisbury steak delivers all the diner-style comfort of the original: juicy seasoned beef patties blanketed in a savory mushroom-onion gravy, thickened with xanthan gum instead of flour. It comes together in one skillet in about 35 minutes.
Ingredients
- 1.25 lb ground beef (80/20)
- 1 large egg
- 1/4 cup almond flour
- 2 tbsp grated Parmesan cheese
- 1 tsp garlic powder
- 1 tsp onion powder
- 1 tsp Dijon mustard
- 3 tbsp butter, divided
- 8 oz cremini mushrooms, sliced
- 1/2 medium yellow onion, thinly sliced
- 2 cups beef broth
- 1/2 tsp xanthan gum
- 1 tbsp coconut aminos
- Salt and black pepper, to taste
Instructions
- 1
In a bowl, combine ground beef, egg, almond flour, Parmesan, garlic powder, onion powder, Dijon, 1 tsp salt, and 1/2 tsp pepper. Mix gently and form into 4 oval patties about 3/4 inch thick.
- 2
Heat 1 tbsp butter in a large skillet over medium-high heat. Sear patties 3-4 minutes per side until browned. Transfer to a plate (they will finish cooking in the gravy).
- 3
Add remaining 2 tbsp butter to the skillet. Saute the mushrooms and onion for 6-8 minutes until softened and golden, scraping up the browned bits.
- 4
Pour in the beef broth and coconut aminos. Sprinkle the xanthan gum over the surface while whisking constantly to avoid clumps. Simmer 3-4 minutes until the gravy thickens.
- 5
Return the patties and any juices to the skillet. Reduce heat to medium-low, cover, and simmer 8-10 minutes until the patties are cooked through (internal temp 160°F). Season the gravy with salt and pepper and serve.
Tips & notes
- Whisk the xanthan gum in slowly and steadily; adding it all at once causes lumps. If the gravy gets too thick, thin it with a splash of warm broth.
- Serve over mashed cauliflower or buttered cabbage noodles to soak up the gravy while keeping it low-carb.
- Stores well: refrigerate up to 4 days or freeze up to 3 months. Reheat gently with a splash of broth to loosen the gravy.
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Frequently asked questions
- How many carbs are in keto salisbury steak?
- Each serving has 4.8g net carbs (6.5g total carbs minus 1.7g fiber), along with 462 calories, 33g protein, and 34g fat. This recipe makes 4 servings of one patty with gravy each.
- What thickens keto gravy without flour or cornstarch?
- Xanthan gum is the go-to keto thickener. Just 1/2 teaspoon whisked into the simmering broth gives this gravy a silky, classic texture with zero added carbs. Add it gradually to prevent clumping.
- What can I serve with keto Salisbury steak?
- Mashed cauliflower, sauteed green beans, roasted broccoli, or buttered cabbage 'noodles' all pair perfectly and stay keto. They soak up the mushroom gravy without adding meaningful carbs.
