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Keto Sausage Gravy

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This rich and creamy keto sausage gravy is packed with savory Italian sausage, Parmesan cheese, and fresh herbs. Perfect for a comforting low-carb breakfast or brunch.

Ingredients

  • 2 tablespoons butter
  • 1 small onion, diced (about 1/2 cup)
  • 4 cloves garlic, minced
  • 1 pound ground Italian breakfast sausage
  • 1 teaspoon sea salt
  • 1/2 teaspoon ground black pepper
  • 1 1/2 cups heavy cream
  • 1/2 cup finely grated Parmesan cheese, plus extra for garnish
  • 2 tablespoons chopped fresh flat-leaf parsley
  • 2 tablespoons finely chopped fresh chives, for garnish
  • 1/2 teaspoon smoked paprika, for garnish

Instructions

  1. Heat the butter in a large skillet over medium heat. Add the diced onion and cook until soft and translucent, about 4 minutes. Stir in the garlic and cook until fragrant, about 30 seconds.
  2. Add the ground sausage, sea salt, and black pepper to the skillet. Cook until the sausage is browned and fully cooked, breaking it apart as it cooks.
  3. Using a slotted spoon, remove the sausage and onion mixture from the pan. Carefully drain excess grease from the skillet to prevent the gravy from becoming oily.
  4. Add the heavy cream, Parmesan cheese, and parsley to the skillet. Increase heat to medium-high and bring to a gentle boil.
  5. Reduce the heat to low and simmer until the gravy thickens slightly, about 4 to 5 minutes.
  6. Return the sausage mixture to the skillet and stir until fully combined and heated through.
  7. Serve hot, garnished with additional Parmesan cheese, chopped chives, and smoked paprika.

Notes

  • For a spicier gravy, use hot Italian sausage.
  • This gravy pairs well with keto biscuits, cauliflower mash, or eggs.
  • Store leftovers in an airtight container in the refrigerator for up to 3 days.
  • Reheat gently over low heat to prevent the cream sauce from separating.

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