Keto Sausage Gravy
Rich, peppery Southern-style sausage gravy made keto with a cream cheese and almond flour base instead of wheat flour. Just 3.2g net carbs per serving and ready in 20 minutes, it's perfect spooned over keto biscuits, eggs, or roasted veggies.
Head of Nutrition · June 17, 2026
Nutrition per serving
Per serving · makes 4. Values are estimates; brands vary.
This keto sausage gravy delivers all the rich, peppery comfort of the Southern classic without the wheat flour. A cream cheese and almond flour base keeps it thick and silky at just 3.2g net carbs per serving.
Ingredients
- 1 lb (450g) ground pork breakfast sausage (no added sugar)
- 2 oz (57g) cream cheese, cubed and softened
- 1 cup (240ml) heavy whipping cream
- 1/2 cup (120ml) unsweetened almond milk or chicken broth
- 2 tablespoons almond flour
- 1 teaspoon onion powder
- 1/2 teaspoon garlic powder
- 3/4 teaspoon freshly ground black pepper (plus more to taste)
- 1/4 teaspoon fine sea salt (adjust to sausage saltiness)
- 1/8 teaspoon red pepper flakes (optional)
Instructions
- 1
In a large skillet over medium heat, crumble and brown the ground sausage, breaking it into small pieces, until cooked through and no pink remains, 6 to 8 minutes. Do not drain the rendered fat.
- 2
Sprinkle the almond flour over the sausage and stir for 1 minute to toast it lightly and coat the meat.
- 3
Add the cubed cream cheese and stir until it melts into the sausage, about 1 minute.
- 4
Pour in the heavy cream and almond milk (or broth). Stir constantly, scraping up any browned bits, and bring to a gentle simmer.
- 5
Stir in the onion powder, garlic powder, black pepper, salt, and red pepper flakes if using. Simmer, stirring often, until the gravy thickens to your liking, 3 to 5 minutes.
- 6
Taste and adjust salt and pepper. Serve hot over keto biscuits, fried eggs, or roasted cauliflower.
Tips & notes
- Choose a breakfast sausage with no added sugar or dextrose to keep carbs low — check the label, as many supermarket brands sneak in sugar.
- The gravy thickens as it sits and off heat. Loosen leftovers with a splash of cream or broth when reheating over low heat.
- Store in an airtight container in the fridge for up to 4 days. Reheat gently on the stovetop; it does not freeze well due to the cream.
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Frequently asked questions
- How many carbs are in keto sausage gravy?
- This recipe has 3.2g net carbs per serving (4.0g total carbs minus 0.8g fiber), with 412 calories, 16g protein, and 37g fat. It makes 4 servings.
- What can I use instead of flour to thicken keto gravy?
- Cream cheese and a small amount of almond flour do the work here. The cream cheese melts in for body while the almond flour adds a subtle thickness, giving you a gravy that clings without wheat flour or cornstarch.
- What do you serve keto sausage gravy over?
- It's classic over keto almond flour or cheddar biscuits, but it's also excellent over fried or poached eggs, roasted cauliflower, sauteed zucchini, or a low-carb breakfast hash.
