Introduction

Have you ever craved the comforting decadence of keto sausage gravy, only to hesitate because of carbs? This recipe solves that with a rich, creamy alternative that doesn’t compromise your goals.. According to a 2024 Statista report, nearly 23 million Americans now follow a low-carb or ketogenic diet. Yet, many still believe that Southern classics like sausage gravy are off-limits.

That’s where keto sausage gravy steps in—a creamy, flavorful, and guilt-free version that satisfies without compromising your macros. In this post, we’ll guide you through a perfectly balanced, low-carb rendition of the iconic breakfast dish: creamy keto sausage gravy served over tender, buttery low-carb biscuits.

Ingredients List

For the Sausage Gravy:

• 1 lb ground breakfast sausage (preferably sugar-free)
• 2 tablespoons unsalted butter
• 2 cups heavy whipping cream
• 1/2 cup unsweetened almond milk (or coconut milk)
• 1/2 teaspoon xanthan gum (thickening agent)
• Salt and black pepper to taste
• Optional: 1/4 teaspoon garlic powder, 1/4 teaspoon onion powder, 1/4 teaspoon smoked paprika for depth

For the Low-Carb Biscuits:

• 2 cups almond flour
• 1 tablespoon baking powder
• 1/2 teaspoon sea salt
• 2 large eggs
• 1/3 cup sour cream (or Greek yogurt for a tangier note)
• 1/2 cup shredded mozzarella or cheddar cheese

Substitutions:

• Almond flour can be replaced with coconut flour (use 1/2 cup instead).
• Dairy-free? Swap out the butter and cream for ghee and full-fat coconut milk.

Timing

• Prep Time: 10 minutes
• Cook Time: 20 minutes
• Total Time: 30 minutes

That’s 20% faster than most traditional sausage gravy recipes, which average around 40 minutes!

Step-by-Step Instructions

Step 1: Brown the Sausage

In a large skillet over medium heat, cook the ground sausage until browned and fully cooked. Break it apart as it cooks to ensure even browning.

Pro Tip: Don’t drain all the grease—leave a tablespoon or two for extra flavor.

Step 2: Add the Butter & Spices

Once the sausage is browned, add the butter, garlic powder, onion powder, and smoked paprika. Stir well to coat the meat evenly.

Step 3: Create the Cream Base

Slowly pour in the heavy cream and almond milk while stirring. Bring to a gentle simmer. This is the secret to a luscious, velvety texture.

Step 4: Thicken with Xanthan Gum

Sprinkle xanthan gum over the mixture while continuously stirring to avoid clumps. Simmer for 5-7 minutes until it thickens.

Step 5: Make the Biscuits

Preheat the oven to 375°F (190°C). In a bowl, mix almond flour, baking powder, and salt. Add eggs, sour cream, and cheese. Mix until dough forms.

Tip: Use a cookie scoop for uniform biscuit sizes.

Step 6: Bake

Place dough scoops onto a parchment-lined baking sheet. Bake for 12-15 minutes or until golden brown.

Step 7: Serve

Split the warm biscuits and ladle generous helpings of keto sausage gravy over them. Garnish with fresh parsley or chives if desired.

Nutritional Information

Per Serving (1 biscuit + 1/4 cup gravy):

• Calories: 420 kcal
• Fat: 35g
• Protein: 15g
• Net Carbs: 4g
• Fiber: 2g
• Total Carbs: 6g

Data Insight: Compared to traditional sausage gravy and biscuits, which contain over 25g net carbs per serving, this recipe cuts carbs by over 80%.

Healthier Alternatives for the Recipe

• Swap heavy cream: Use unsweetened cashew cream to reduce dairy.
• Lower sodium: Opt for low-sodium sausage or make your own.
• More fiber: Add a tablespoon of flaxseed meal to the biscuit mix.
• Boost protein: Stir in a scoop of unflavored collagen peptides to the gravy.

Serving Suggestions

• Brunch Boards: Serve alongside keto scrambled eggs and avocado.
• Southern Comfort Platter: Pair with sautéed spinach and bacon.
• Sweet & Savory: Add a dollop of sugar-free berry jam to the biscuit side.

Pro Tip: Add a dash of hot sauce or a sprinkle of cayenne for a spicy twist.

Common Mistakes to Avoid

1. Using high-carb sausage: Always check labels for hidden sugars.
2. Skipping xanthan gum: You’ll miss out on that thick, creamy consistency.
3. Overbaking biscuits: They dry out fast. Aim for golden edges.
4. Overmixing dough: Can result in dense biscuits. Mix until just combined.

Storing Tips for the Recipe

• Gravy: Store in an airtight container for up to 5 days. Reheat on the stove with a splash of almond milk.
• Biscuits: Keep in a sealed bag at room temperature for 2 days or refrigerate for up to a week.
• Freezing: Wrap biscuits in foil and freeze. Reheat at 300°F for 10 minutes.

For more delicious cooking ideas and recipes, be sure to explore the full collection on our website!

Conclusion

Creamy keto sausage gravy over fluffy low-carb biscuits is the ultimate guilt-free comfort food. This quick, delicious, and macro-friendly recipe delivers everything you love about the classic Southern dish—without the carbs.

Try it today and let us know how it turned out! Leave a comment, share your review, or subscribe for more keto-friendly recipes.

FAQs

Can I use coconut flour instead of almond flour?

Yes, but reduce the amount to 1/2 cup and increase the eggs to 3 for better texture.

Is xanthan gum necessary?

It’s the key to thickening your gravy without flour. If unavailable, try glucomannan or guar gum.

Can I make this dairy-free?

Absolutely. Use full-fat coconut milk and ghee or avocado oil instead of butter and cream.

How can I make the biscuits fluffier?

Try adding 1/2 teaspoon of apple cider vinegar to the dough mix to activate the baking powder.

Is this recipe freezer-friendly?

Yes. Freeze both biscuits and gravy separately in airtight containers. Thaw and reheat gently before serving.

Keto Sausage Gravy: 5 Irresistible Reasons to Love It

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• Author: Chef eva
• Total Time: 30 minutes
• Yield: 6 servings 1x
• Diet: Low Calorie

Print Recipe

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Description

Enjoy a comforting Southern classic without the carbs. This creamy keto sausage gravy is rich, flavorful, and served over fluffy, low-carb almond flour biscuits — perfect for a satisfying keto breakfast or brunch.

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Ingredients

Scale 1x2x3x

For the Sausage Gravy:

• 1 lb ground sugar-free breakfast sausage

• 2 tbsp unsalted butter

• 2 cups heavy whipping cream

• 1/2 cup unsweetened almond milk

• 1/2 tsp xanthan gum

• Salt & pepper to taste

• Optional: 1/4 tsp garlic powder, onion powder, smoked paprika

For the Low-Carb Biscuits:

• 2 cups almond flour

• 1 tbsp baking powder

• 1/2 tsp sea salt

• 2 large eggs

• 1/3 cup sour cream (or Greek yogurt)

• 1/2 cup shredded mozzarella or cheddar cheese

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Instructions

• Brown the Sausage
  In a skillet over medium heat, cook sausage until fully browned. Leave about 1 tbsp grease for flavor.

• Add Butter & Seasoning
  Stir in butter and spices (garlic, onion, paprika) to coat the sausage.

• Make the Gravy Base
  Pour in heavy cream and almond milk. Simmer gently.

• Thicken
  Sprinkle in xanthan gum while stirring. Simmer until thickened (5–7 min).

• Prepare Biscuits
  Mix almond flour, baking powder, salt. Add eggs, sour cream, and cheese. Form dough.

• Bake Biscuits
  Scoop onto a baking sheet, bake at 375°F for 12–15 minutes.

• Serve
  Split biscuits, top with hot keto sausage gravy. Garnish if desired.

Notes

• Substitute coconut milk for almond milk for a nuttier flavor.

• Add cayenne or hot sauce for a spicy twist.

• Use coconut flour (1/2 cup) as a nut-free biscuit base.

• Prep Time: 10 minutes
• Cook Time: 20 minutes
• Category: Breakfast / Brunch
• Method: Stovetop & Baking
• Cuisine: Southern, American

Nutrition

• Serving Size: 1 biscuit + 1/4 cup gravy
• Calories: 420 kcal
• Sugar: 1g
• Sodium: 640mg
• Fat: 35g
• Saturated Fat: 18g
• Unsaturated Fat: 14g
• Trans Fat: 0g
• Carbohydrates: 6g
• Fiber: 2g
• Protein: 15g
• Cholesterol: 105mg

Keywords: keto sausage gravy, low-carb biscuits, keto breakfast, sugar-free gravy, almond flour biscuits, keto brunch, Southern keto, keto comfort food, gluten-free biscuits, sausage gravy keto