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Small ovehead square image of keto sausage gravy on a biscuit garnished with parsley.
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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


  • 1 tablespoon butter
  • 12 ounces breakfast sausage
  • 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


  • 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.


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