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Home › Recipe

Published on May 15, 2025 by Liz Marek Liz Marek · This post may contain affiliate links ·

Keto Sausage Gravy

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I LOVE this keto sausage gravy because it's just my regular sausage gravy, but without any flour as a thickener. It's perfect over my keto biscuits. Or if you're not into keto, this still goes perfectly with my flaky buttermilk biscuits!

The first time I made this keto sausage gravy for my partner, he was blown away. He couldn't believe it was keto. I really think it's the spices that take this gravy over the top. And if you're not keto? Well, I still think you will love this recipe. My kids sure do!

What's In This Blog Post

  • Ingredients
  • How To Make The Sausage Gravy
  • FAQ
  • Other Recipes You Might Love

Ingredients

The secret to this thick and creamy sausage gravy is the cream cheese. The perfect ingredient (in my opinion) to thicken and cream a sauce with no added carbs.

If you don't have any cream cheese on hand, you can always thicken your gravy with some tapioca flour or arrowroot powder. Two common ingredients used in keto recipes for thickening.

I'm using oregano, sage, and thyme for my spices, but you can really use anything you like. Fresh or dried also works.

How To Make The Sausage Gravy

close up of cooking sausage with spices
  1. Preheat a medium frying pan over medium heat.
  2. Once the pan is hot, add some avocado oil to the pan.
  3. Add your sausage with the salt, pepper, garlic powder, chili flakes, onion powder, thyme, sage, and oregano.
  4. Brown your breakfast sausage and break it up into pieces with your spatula as it cooks.
  5. Once your sausage is done cooking, add in the cream and the cream cheese in small pieces.
  6. Bring the mixture to a simmer and whisk gently to break up the cream cheese.
  7. The gravy will thicken as it cools.
  8. Serve the gravy over my fluffy keto biscuit recipe and top with fresh green onions.

FAQ

Can you eat almond flour on keto?

Yes! Almond flour is low in carbs and high in healthy fats. It's a popular substitute for traditional flour in baking and cooking, allowing keto dieters to enjoy many baked goods and dishes

What are other ways to thicken gravy without flour

You can make a rich, thick gravy that's keto by using flour alternatives such as coconut flour, almond flour, flaxseed meal, and sunflower seed flour, xanthan gum, heavy cream, sour cream, or cream cheese.

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Recipe

close up of sausage gravy on biscuits

Keto Sausage Gravy

Thick and flavorful sausage gravy that's low carb and keto! Pairs perfectly with my keto biscuits.
Print Recipe Pin Recipe
Prep Time: 5 minutes minutes
Cook Time: 12 minutes minutes
Total Time: 17 minutes minutes
Course: Breakfast
Cuisine: American
Servings: 4 cups
Calories: 1011kcal
Author: Elizabeth Marek

Ingredients

  • 1 pound breakfast sausage
  • 1 Tablespoon butter
  • 1 Tablespoon avocado oil
  • 1 teaspoon salt
  • 1 teaspoon pepper
  • ¾ teaspoon garlic powder
  • ¾ teaspoon onion powder
  • ¼ teaspoon oregano
  • ¼ teaspoon thyme
  • ¼ teaspoon sage
  • ½ teaspoon chili flake optional
  • 2 ½ cups heavy cream
  • 4 ounces cream cheese
US Customary - Metric

Instructions

  • Preheat a medium frying pan over medium heat.
  • Once the pan is hot, add some avocado oil to the pan.
  • Add your sausage to the pan with the salt, pepper, garlic powder, chili flakes, onion powder, thyme, sage, and oregano.
  • Brown your breakfast sausage and break it up into pieces with your spatula as it cooks.
  • Once your sausage is done cooking, add in the cream and the cream cheese in small pieces.
  • Bring the mixture to a simmer and whisk gently to break up the cream cheese.
  • The gravy will thicken as it cools. Serve the gravy over my fluffy keto biscuit recipe!

Video

https://youtu.be/RYxcBOAYslg

Notes

No cream cheese? You can use other things to thicken the gravy like xantham gum or arrowroot powder! 

Nutrition

Serving: 1cup | Calories: 1011kcal | Carbohydrates: 7g | Protein: 23g | Fat: 100g | Saturated Fat: 52g | Polyunsaturated Fat: 7g | Monounsaturated Fat: 33g | Trans Fat: 0.4g | Cholesterol: 286mg | Sodium: 1459mg | Potassium: 486mg | Fiber: 0.4g | Sugar: 5g | Vitamin A: 2825IU | Vitamin C: 2mg | Calcium: 145mg | Iron: 2mg
Tried this recipe?Let us know how it was!

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Hi, I'm Liz! I'm passionate about creating reliable, foolproof recipes that don't just tell you how to cook, but why things work - so you can skip the guesswork and confidently make the best sweet and savory dishes of your life.

More about me →

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