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    Home » Breakfast » Keto Sausage Gravy

    Keto Sausage Gravy

    Published: Nov 13, 2019 by Wendy Polisi Modified: Jul 16, 2020 · 851 words. · About 5 minutes to read this article.

    • 248
    Jump to Recipe Print Recipe

    Without question, my favorite weekend breakfast is this Keto Sausage Gravy served with biscuits. It is the kind of comfort food that never gets old. This company-worthy dish is one that everyone - even those not on a low carb diet - will crave again and again.

    Overhead photo of Keto Sausage Gravy on a Biscuit garnished with parsley and crushed red pepper flakes.

    Keto Sausage Gravy - A Favorite Southern Classic Made Low Carb!

    To me, a decadent breakfast will always involve biscuits and gravy. For years it is what I have served on holiday mornings.

    I can't tell you how many years I ended up not feeling my best afterward. It took years before I realized that gluten was an issue me, and even longer before I was willing to give up my beloved favorite.

    I was skeptical that I could make a keto-friendly version that the whole family loved, but after many tries, I have. This Keto Sausage Gravy is nothing short of spectacular.

    I've made this recipe no less than ten times, and every time I get a round of thanks from every family member. I love knowing that they are eating a healthier version of a favorite, and I love that I can stick to my health goals and feel my best.

    This Southern classic tastes just as good as the original!

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      How to Make Keto Sausage Gravy

      Photo of breakfast sausage that has been browned in a saucepan.

      1 First, heat butter in a saucepan over medium heat. Add the sausage and cook for 6 minutes, breaking it up with the back of a spoon.

      Photo of onion that has been added to a pot of browned breakfast sausage.

      2 Next, add the onion and cook for 2 minutes.

      Photo of breakfast sausage, onion, cream, broth, and cream cheese in a pot.

      3 After that, stir in broth, heavy cream, cream cheese, and xanthan gum.

      Photo of seasonings that have been added to Keto sausage gravy.

      4 Bring to a simmer, whisking constantly. Reduce to medium-low. Cook until the mixture thickens, about 5 minutes. Add in the garlic powder, salt, and fresh ground black pepper.

      Photo of finished low carb sausage gravy in a saucepan.

      5 Enjoy!

      Frequently Asked Questions

      Is gravy bad for keto?

      While it is possible to make keto-friendly gravy, most traditional recipes are going to use flour to thicken, which makes them non-keto friendly.

      Is milk keto?

      No. Milk has a lot of sugar. One cup has a whopping 12 grams of carbohydrates! Unsweetened non-dairy milk is an option, but they will not make a thick and creamy gravy. I have successfully used half cream, and half unsweetened macadamia nut milk in this recipe when I was trying to watch my overall calorie intake. If you do this, you may want to increase the xanthan gum by ⅛ of a teaspoon. Because the texture of nut milk can vary, I recommend making it and adding in more xanthan gum at the end only if you need it.

      How do you thicken sausage gravy on keto?

      My go-to way to thicken sauces on keto is xanthan gum. It is made by mixing fermented sugars with a certain kind of bacteria. It only takes a little, so be careful not to overdo it.

      How do you make keto biscuits and gravy without xanthan gum?


      I like a thicker gravy, so I use xanthan gum in my recipe. If you prefer not to use it, feel free to leave it out. If you find that it is too thin for your liking without it, you can add a little more cream cheese to thicken it up.

      What do you serve with low carb sausage gravy?

      • My favorite way to serve this is over my Keto Biscuits.
      • For hearty appetites, they are fabulous on a Sausage, Gravy, and Egg Breakfast Sandwich. You can use any keto-friendly bread or bagel, or even chaffles.
      • Serve over sausage patties.
      • Drizzle over scrambled eggs.
      Overhead photo of a cast iron skillet of keto sausage gravy garnished with parsley and crushed red pepper flakes.

      You May Also Like

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      • With just three net carbs, these Low Carb Granola Bars make the perfect on-the-go breakfast.
      • When you haven't got a moment to spare, this Keto Chocolate Smoothie satisfies. Plus - chocolate for breakfast is always a win.
      Photo of a keto quickstart guide with the description of the guide on the right.
      Small ovehead square image of keto sausage gravy on a biscuit garnished with parsley.
      Print Recipe
      5 from 4 votes

      Keto Sausage Gravy

      Without question, Keto Sausage Gravy and Biscuits is the ultimate weekend breakfast. It is the kind of comfort food that never gets old.
      Prep Time10 mins
      Cook Time15 mins
      Total Time25 mins
      Course: Breakfast
      Cuisine: American
      Keyword: Holidays, Weekend
      Servings: 12
      Calories: 232kcal
      Author: Wendy Polisi
      As an Amazon Associate I earn from qualified sales.

      Ingredients

      • 1 tablespoon butter
      • 12 ounces breakfast sausage
      • ⅓ cup chopped onion
      • 1 cup broth
      • 1 cup heavy cream
      • 8 ounces cream cheese cubes
      • ¼ teaspoon xanthan gum
      • 1 ½ teaspoons garlic powder
      • ½ teaspoon sea salt
      • ½ teaspoon fresh ground black pepper

      Instructions

      • Heat butter in a saucepan over medium-high heat.
      • Add the sausage and cook, using a spoon to break up the meat, for about 6 minutes, or until the sausage is no longer pink.
      • Add the onion and cook for 2 minutes.
      • Stir in broth, heavy cream, cream cheese, and xanthan gum.
      • Bring to a simmer, whisking constantly.
      • Reduce to medium-low. Cook until the mixture thickens, about 5 minutes.
      • Add in garlic powder, salt, and fresh ground black pepper.

      Nutrition

      Calories: 232kcal | Carbohydrates: 2g | Protein: 6g | Fat: 22g | Saturated Fat: 11g | Cholesterol: 71mg | Sodium: 434mg | Potassium: 122mg | Fiber: 1g | Sugar: 1g | Vitamin A: 638IU | Vitamin C: 1mg | Calcium: 35mg | Iron: 1mg

      More Low Carb Breakfast Ideas

      • This low carb twist on a classic fast food favorite has just two net carbs! Don't miss these Keto McGriddle Sandwiches.
      • When you need something rich and sweet, this Keto French Toast Recipe hits the spot.
      « Keto Strawberry Shortcake Chaffles
      Keto Sausage Balls »
      • 248

      Reader Interactions

      Comments

      1. Tina

        September 14, 2020 at 4:07 am

        5 stars
        Love this! My family does as well! It’s delicious! Just not sure how much constitutes a serving. Please advise! Can’t wait to try more of your recipes!

        Reply
        • Wendy Polisi

          September 14, 2020 at 10:51 am

          I am so glad that you enjoy it as much as we do! It makes 12 servings.

          Reply
          • Cory B.

            October 11, 2020 at 3:52 pm

            This recipe is the bomb.com thank you for sharing.

            Reply
      2. Cory B.

        October 11, 2020 at 3:55 pm

        5 stars
        Made this today and words cannot describe the way my mouth feels right now. I added a little bacon to mines but wow!

        Reply
        • Wendy Polisi

          October 12, 2020 at 11:01 am

          I am so glad that you enjoyed it as much as we do!

          Reply
          • Crystal

            February 24, 2021 at 3:09 pm

            What kind of broth?

            Reply
            • Wendy Polisi

              March 03, 2021 at 11:10 am

              You can use any kind you like. I use chicken broth.

              Reply
      3. Chrissy

        December 01, 2020 at 7:36 pm

        5 stars
        This is incredibly delicious!!! Thank you! What is the serving size? Trying to figure out when to STOP eating this delicious gravy!!

        Reply
        • Wendy Polisi

          December 02, 2020 at 12:50 pm

          So glad you enjoyed it. I have never actually measured the serving size other than just dividing the recipe into 12 portions. I will measure it next time I make it.

          Reply
      4. CJ

        March 20, 2021 at 6:38 pm

        5 stars
        The recipe was delicious as is. I couldn't imagine splitting it into 12 servings though. I split it into 8 as that made it filling enough for me. I think next time I will make half as much and consider it 4 servings because eating the same thing everyday for 8 days was yummy but ...

        Reply
        • Wendy Polisi

          March 22, 2021 at 1:39 pm

          Haha - yes, I image eight days in a row was a bit much. We are a family of five and I have two teen boys, so it rarely lasts more than two or three days at our house. I make this with my biscuits, so with that it is super-filling for twelve servings, but if you aren't making it with that I can definitely see cutting it down to eight.

          Reply
      5. Sarah

        September 11, 2021 at 12:32 pm

        In your sausage gravy recipe what kind of broth are you using?

        Reply
      6. Diane Keeler

        September 22, 2021 at 11:51 pm

        Absolutely delish. I made this for dinner for my family of 6 with the biscuits. Everyone enjoyed. Next time I will make it for breakfast with eggs.

        Reply
      7. Claire

        March 08, 2022 at 2:22 am

        Do you think it would work with ground chicken? or with vegetarian ground sausage?

        Reply
        • Wendy Polisi

          March 10, 2022 at 3:01 pm

          Yes, I use chicken sausage frequently, so I am sure ground chicken would work. But keep in mind that sausage adds extra seasonings so you may want to make some additions.

          Reply
      8. Irene

        May 15, 2022 at 1:15 pm

        I look forward to trying this recipe. I am not full keto and don’t indent to be but I’m trying to keep my carb intake down. Biscuits and gravy is a family fave and I’m hoping this recipe will be a winner in our house! Some quick questions:
        1) Can I substitute bacon fat for the butter? We’ve always made our breakfast gravy with bacon fat and want to try and keep the flavor profile at least a little similar.
        2) Also, onions and garlic powder in breakfast gravy? Is this just to add flavor that is lost to switching away from regular gravy?
        3) Also, we usually brown our roux (more than most). Is that something I can do in this recipe?

        Reply
        • Wendy Polisi

          May 19, 2022 at 7:52 pm

          Hi - You can use bacon fat. The onions and garlic add a lot of flavor, but you could try it without them if you want. I would imagine that bacon fat would help make up for some of the flavor.

          You don't really have a roux since you aren't using flour here.

          Reply
      9. Jean Painter

        July 10, 2022 at 2:45 pm

        Would substituting low carb milk (3G per cup) for cream work? It would sure lower the calorie count.

        Reply
      10. Jessica

        January 06, 2023 at 2:48 pm

        Am I missing the instructions or info on what type of biscuits you serve with this? I would imagine that the store bought flaky biscuits wouldn’t comply with a keto themed meal.

        Reply

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      Welcome

      I'm Wendy and I'm here to show you just how delicious a low carb, gluten free and keto diet can be! You are just as likely to find me obsessing over all things cheesy as you are getting excited by a full produce drawer. I'm a mom to three, obsessive planner and roller coasters are my happy place. Let's dig deeper →

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