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.

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!
How to Make Keto Sausage Gravy
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.
2 Next, add the onion and cook for 2 minutes.
3 After that, stir in broth, heavy cream, cream cheese, and xanthan gum.
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.
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.
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.
Nutrition
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.
Tina
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
I am so glad that you enjoy it as much as we do! It makes 12 servings.
Cory B.
This recipe is the bomb.com thank you for sharing.
Cory B.
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
I am so glad that you enjoyed it as much as we do!
Crystal
What kind of broth?
Wendy Polisi
You can use any kind you like. I use chicken broth.
Chrissy
This is incredibly delicious!!! Thank you! What is the serving size? Trying to figure out when to STOP eating this delicious gravy!!
Wendy Polisi
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.
CJ
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
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.
Sarah
In your sausage gravy recipe what kind of broth are you using?
Diane Keeler
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
Do you think it would work with ground chicken? or with vegetarian ground sausage?
Wendy Polisi
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.
Irene
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
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
Would substituting low carb milk (3G per cup) for cream work? It would sure lower the calorie count.
Jessica
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.