Here is an easy keto sausage gravy recipe that is silky smooth and totally comforting.
Looking for a gluten free sausage gravy recipe? This is the one for you!
Whip up a batch of this creamy sausage gravy in under 30 minutes and you will take your favorite breakfast to another level of yum!

If you love a filling breaking, also try our Low Carb Chocolate Chip Muffins and Keto Pancakes.
Why you'll love this Keto Sausage Gravy recipe
There are so many reasons to whip up this keto sausage gravy recipe, here is why you’ll love this keto version of savory sausage gravy:
So easy to make: This recipe is incredibly straightforward and beginner-friendly. It's also a perfect dish for meal prep to serve a quick, hearty breakfast on busy mornings.
Low carb comfort food: Craving the cozy, comforting flavors of sausage gravy without the carbs? Our low carb sausage gravy delivers all the rich, creamy goodness you love in a traditional gravy, but without the carbohydrates.
Filling breakfast: Not only does this savory sausage gravy taste delicious, but it's also incredibly filling. Pour it generously over Keto Biscuits, Keto Chaffles (cheese waffles), or scrambled eggs for a hearty and satisfying breakfast that will keep you satiated.

Versatile pairings: Use it as a topping for cauliflower mash, keto chicken fried steak, or even sautéed veggies.
Keto-friendly ingredients: With almond flour and heavy whipping cream as key components, you can indulge in creamy goodness while staying on track with your ketogenic goals.
Customizable flavor: Feel free to adjust the spices and seasonings to make a gravy that the whole family will love.

Ingredients in our Low Carb Sausage Gravy
Gather these simple ingredients to make this delicious gravy:
- Pork breakfast sausage: Choose high-quality, low-carb pork breakfast sausage, as you would when making any traditional sausage gravy. Chicken or turkey sausage can also be used.
- Onion: White, yellow, or red onions are great to use in this recipe.
- Garlic: Feel free to use fresh minced garlic or substitute a ½ teaspoon of garlic powder.
- Heavy cream: Heavy cream is a staple in low-carb cooking. It's rich, creamy, and low in carbs. Be sure to use unsweetened heavy cream to avoid any hidden sugars.
- Finely ground almond flour: Almond flour is an excellent low-carb substitute for the traditional wheat flour that is commonly used as a thickening agent in gravy. Ensure that your almond flour is finely ground for a smooth texture in this low carb gravy. Almond flour not only keeps the carb count low, but also adds essential nutrients.
- Optional seasonings: Depending on your flavor preferences, you can customize your gravy with additional seasonings like sage, thyme, or crushed red pepper flakes for added depth and complexity.
- Butter: Opt for unsalted melted butter to have better control over the sodium content in your gravy.
If you have any questions about this delicious keto sausage gravy recipe, please leave a comment below and we will get back to you.

How to make this Easy Keto Sausage Gravy recipe
- Cook the sausage. Place a large skillet over medium heat. Add the ground sausage, breaking it up into small pieces with a spatula or spoon, until it is browned and cooked thoroughly. This should take about 5-7 minutes. Once the sausage is cooked, use a slotted spoon to remove it from the pan, allowing any excess fat to drain, and transfer it to a plate. Set it aside.
- Cook the Onion and garlic. In the same pan with the remaining sausage fat, add the diced onion and minced garlic. Sauté them over low heat until they become softened and translucent. This should take about 3-4 minutes.
- Add in the almond flour. Sprinkle the almond flour over the onion and garlic mixture and add the butter. Whisk everything together and allow it to simmer for about 2 minutes. This will help thicken the gravy.
- Add the cream and seasoning. Pour in the heavy cream and season with salt and pepper to taste. Stir the mixture thoroughly to combine all the ingredients.
- Finish off the creamy gravy. Increase the heat slightly to bring the mixture to a gentle boil, stirring occasionally. Once it starts boiling, reduce the heat to low and let the gravy simmer for about 1 minute. This will allow the flavors to meld. Return the cooked sausage to the pan with the gravy. Stir everything together and let it cook for another minute or so, ensuring the sausage is evenly coated with the gravy. If you prefer a thinner gravy, you can gradually add 1 tablespoon of water at a time until it reaches your desired consistency. Stir well after each addition to ensure it is mixed evenly.
For the complete list of ingredients and instructions, please see the printable recipe card below.
Best tips for making Keto Breakfast Gravy
When making your keto breakfast gravy follow these recommendations to ensure optimal flavor, texture, and a low carb content.
Use heavy cream: Don't swap out the heavy cream for milk. Using heavy cream is essential for maintaining a rich, creamy texture without increasing the carb count. Milk will add extra carbs and won't properly thicken the gravy.
Ensure you use superfine almond flour: To avoid a grainy texture use superfine almond flour. Coarser varieties can create a grainy finish.
Adjust thickness: If you prefer a thinner gravy, you can add a tablespoon or two of water. This allows you to achieve your desired consistency without compromising the flavor.
Choose ground pork sausage: Select ground pork sausage without casings or links. Be sure to check for added sugars on the nutritional label.
Avoid overcooking the sausage: Overcooking can make the sausage dry and tough. Cook it until it's browned and crumbly, but still juicy.
Add some spice: For a bit of kick, add red pepper flakes. This adds a spicy element to your gravy that pairs well with the richness of the cream and sausage.
Uncovered simmering: Allowing the pan to remain uncovered during simmering helps the liquids reduce to the perfect gravy consistency. This step concentrates the flavors and ensures a thick gravy.
Whisk for creaminess: After adding the heavy cream, use a whisk: This will help to achieve a smooth, creamy sausage gravy. Whisking evenly distributes the cream and flour and prevents lumps, resulting in a velvety texture.
How to best store your Keto Sausage Gravy
Use an Airtight Container:
To store your keto biscuit gravy properly, start by transferring it to an airtight container. Ensure that the container is clean and dry before adding the gravy. Airtight containers help prevent air exposure, which can lead to flavor loss and spoilage.
It's important to seal the container tightly to maintain freshness and prevent any unwanted odors from affecting the gravy. You could also store the gravy in sealed Ziploc bags.
Refrigeration is Key:
For short-term storage, place the airtight container with your leftover sausage gravy in the refrigerator. Leftover sausage gravy can be refrigerated for 3-4 days.
Our recommendation is to let the gravy cool to room temperature before refrigerating it; putting hot food in the fridge may promote bacterial growth and can raise the appliance’s internal temperature, potentially compromising other items.
Freezing for Long-Term Storage:
If you want to store your keto sausage gravy for an extended period, the freezer is your best option. Freezing can help preserve the gravy for up to 2-3 months without significant loss of quality.
Before freezing, make sure the gravy has cooled completely, as hot food can create condensation inside the container, leading to freezer burn.
Transfer the cooled gravy into an airtight container, leaving some space at the top to accommodate for expansion during freezing. If you prefer, you can portion the gravy before packing it up.
How to reheat your leftover Low Carb Sausage Gravy
The ideal method is to use a saucepan or a coated non-stick skillet on the stovetop. Add a small dollop of butter to "grease" the saucepan prior to adding the gravy to prevent sticking. Warm over medium heat while covered until the internal temperature reaches 165 F (75 degrees C).
If you have portioned your gravy into single servings a microwave can be used in short bursts (30-40 seconds) on medium power to reheat. Remove sausage gravy from the Ziplock bag, plastic container, or any storage container that is not microwave safe prior to reheating. Stir the gravy as it begins to soften, as microwaving heats the outside, not the center.
It is best to allow your frozen keto sausage gravy to defrost in the refrigerator overnight prior to reheating.
Keto Biscuits and Gravy
Nothing goes together better than biscuits and gravy! If you like this low carb sausage gravy recipe, you need to try it with our almond flour biscuits.
Our low carb biscuits are soft, fluffy, and full of flavor. They’re the perfect breakfast dish and they are also totally gluten-free!

Is Sausage Gravy Keto?
The wheat flour and milk in traditional sausage gravy make this dish high in carbs and therefore not keto friendly.
Wheat flour is a carbohydrate-rich thickening agent, and milk contains lactose, a natural sugar. On a strict keto diet, it's essential to keep your daily carb intake low to maintain a state of ketosis, where your body burns fat for fuel instead of carbohydrates
Traditional sausage gravy is a favorite comfort food, there is no doubt about that! However, it's a no-go for those following a keto diet due to its high carbohydrate content
Consuming traditional sausage gravy could easily derail your keto efforts, as it can pack a hefty carb punch. That is why we have developed this low-carb sausage gravy recipe suitable for a keto lifestyle!
FAQs
How many carbs are in this Keto Sausage Gravy recipe?
This low carb gravy contains 2 net carbs per serving.
Is breakfast sausage OK for keto?
Yes, breakfast sausage without added sweeteners is keto friendly. We recommend opting for an uncured high quality product. For a list of keto friendly sausage products, see this article.
Can I use almond flour to thicken gravy?
Yes, you can. Use superfine almond flour so that the result isn’t too grainy.
Other Keto recipes that pair well with our Low Carb Sausage Gravy
Keto Chicken Fried Steak - If you're on the hunt for a comforting low carb dinner idea, look no further than this Keto Fried Chicken Steak. Coated in a crispy Parmesan and pork rind crust and smothered in sausage gravy, you won't believe how filling and delectable this chicken fried steak is.
Keto Cornbread - A corn-free, low carb keto cornbread that is tender, flavorful and it actually tastes like cornbread. For anyone who is missing a good cornbread you are going to love how easy and delightful this keto cornbread recipe is.
Low Carb Stuffing - Low carb stuffing using almond flour that is bursting with flavor and simple to make. This keto stuffing recipe has a vegetarian option, vegan option, and a dairy-free option. You are going to love how easy this low carb stuffing recipe is.
Keto Gravy - If you are looking for a more traditional gravy, look no further. This Keto Gravy only takes five minutes to make, has less than 1 carb per serving, and can be made with beef, chicken, turkey, or veggie broths, meat drippings, or bouillon cubes. You are going to love how quickly this savory, thick low carb gravy comes together.
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Keto Sausage Gravy
Made with only a handful of simple ingredients in less than 30 minutes, this keto sausage gravy is silky, savory, and comforting. You will love how this sausage gravy pairs with your favorite breakfast items.
Ingredients
- 1 lb ground pork breakfast sausage
- ½ cup onion, diced
- 2 cloves garlic, minced
- 1 ½ cups heavy cream
- 2 Tablespoons of finely ground almond flour
- Salt and pepper to taste
Instructions
- Cook the sausage. Place a large skillet over medium heat. Add the ground sausage, breaking it up into small pieces with a spatula or spoon, until it is browned and cooked thoroughly. This should take about 5-7 minutes. Once the sausage is cooked, use a slotted spoon to remove it from the pan, allowing any excess fat to drain, and transfer it to a plate. Set it aside.
- Cook the Onion and garlic. In the same pan with the remaining sausage fat, add the diced onion and minced garlic. Sauté them over low heat until they become softened and translucent. This should take about 3-4 minutes.
- Add in the almond flour. Sprinkle the almond flour over the onion and garlic mixture and add the butter. Whisk everything together and allow it to simmer for about 2 minutes. This will help thicken the gravy.
- Add the cream and seasoning. Pour in the heavy cream and season with salt and pepper to taste. Stir the mixture thoroughly to combine all the ingredients.
- Finish off the creamy gravy. Increase the heat slightly to bring the mixture to a gentle boil, stirring occasionally. Once it starts boiling, reduce the heat to low and let the gravy simmer for about 1 minute. This will allow the flavors to meld. Return the cooked sausage to the pan with the gravy. Stir everything together and let it cook for another minute or so, ensuring the sausage is evenly coated with the gravy. If you prefer a thinner gravy, you can gradually add 1 tablespoon of water at a time until it reaches your desired consistency. Stir well after each addition to ensure it is mixed evenly.
Notes
You can use turkey or chicken sausage in this recipe.
Use heavy cream and superfine almond flour for a thick and silky gravy.
Whisk ingredients to blend thoroughly.
Do not overcook your sausage.
Pour this sausage gravy over our almond flour biscuits
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Nutrition Information:
Yield: 8 Serving Size: 1Amount Per Serving: Calories: 348Total Fat: 32gSaturated Fat: 15gTrans Fat: 1gUnsaturated Fat: 15gCholesterol: 99mgSodium: 511mgCarbohydrates: 3gNet Carbohydrates: 2gFiber: 1gSugar: 3gProtein: 12g
The nutrition information for this recipe is an approximate total per serving. Please double check the nutrition information for your exact ingredients and brands.
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