My favorite weekend breakfast is without question 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.
To me, a decadent breakfast will always involve biscuits and gravy. For years it is what I have served on holiday mornings.
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.
This Southern classic tastes just as good as the original!
Let’s Talk Ingredients
Any breakfast sausage—pork, turkey, chicken, or beef—will work here. I’ve tested them all. When cooking with pork and beef sausage, consider draining the grease after browning.
Heavy cream keeps this rich and keto-friendly. If you’re not strict keto, half and half works too.
Xanthan gum thickens it perfectly without adding carbs. You can find it in the baking section, often near gluten-free items. For a non-keto version, a quick cornstarch slurry works just as well.
Step-by-Step
Serving Suggestions
- 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.
Tips & Tricks
- Use Quality Sausage: Opt for a high-quality breakfast sausage that's free from added sugars and fillers. This ensures the gravy remains keto-friendly and flavorful.
- Brown the Sausage Well: Browning the sausage properly enhances its flavor and adds depth to your gravy. Make sure to break the sausage into smaller pieces as it cooks.
- Don't Skip the Butter: Adding butter not only enriches the taste but also contributes to the creamy texture of the gravy. Choose unsalted butter to control the sodium levels better.
- Thicken with Xanthan Gum: A pinch of xanthan gum works wonders as a thickening agent in keto recipes. Sprinkle it in slowly while whisking to avoid clumps and achieve the perfect gravy thickness.
You May Also Like
- You owe it to yourself to try these Keto Biscuits. Even my picky kids beg for them again and again.
- Keto Trail Mix makes the perfect mid-morning or afternoon snack. Loaded with ingredients that will leave you feeling your best, this is one recipe you want to keep in your back pocket.
- 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.
Keto Sausage Gravy
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.
Tina says
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!
Wendy Polisi says
I am so glad that you enjoy it as much as we do! It makes 12 servings.
Cory B. says
This recipe is the bomb.com thank you for sharing.
Cory B. says
Made this today and words cannot describe the way my mouth feels right now. I added a little bacon to mines but wow!
Wendy Polisi says
I am so glad that you enjoyed it as much as we do!
Crystal says
What kind of broth?
Wendy Polisi says
You can use any kind you like. I use chicken broth.
Chrissy says
This is incredibly delicious!!! Thank you! What is the serving size? Trying to figure out when to STOP eating this delicious gravy!!
Wendy Polisi says
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.
brenda j foster says
chicken broth or just whatever we have??
CJ says
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 ...
Wendy Polisi says
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.
Cristina Smith says
What kind of broth do you use?
Sarah says
In your sausage gravy recipe what kind of broth are you using?
Diane Keeler says
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.
Claire says
Do you think it would work with ground chicken? or with vegetarian ground sausage?
Wendy Polisi says
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.
dolores_horine says
Still trying to figure out the portion sizes, but is delish
Irene says
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?
Wendy Polisi says
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.
Jean Painter says
Would substituting low carb milk (3G per cup) for cream work? It would sure lower the calorie count.
Jessica says
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.
Doug says
I made this twice per the instructions. It was very good, but had more cream cheese "tang" than I'm looking for in sausage gravy.
Reduced the cream cheese to 4 oz, increased the cream to 1 1/2 cups and doubled the xanthum gum to 1/2 teaspoon. Perfect!
A couple of notes:
Any broth will work (as would water if you are out)
I like my onions thoroughly cooked and add to the butter before the sausage.
Don't drain the sausage grease if you are wondering...
How the heck are you supposed to "whisk" something that is full of sausage lumps?
Lynn M says
The first time I used this recipe it definitely was saved to my favorites. I have used chicken broth as well as beef broth with no taste difference. Its all about using good quality sausage. I am a family of one so it is used for a quick breakfast daily usually over scrambled eggs or piece of toast. I do omit using the xanthan gum as I dont want it to be too thick. Thank you for this delicious recipe!