Keto sausage gravy is a beloved comfort food for followers of the ketogenic diet. It’s a dish that delivers savory satisfaction without compromising on flavor or your daily macros. For those new to the keto lifestyle or seasoned veterans, this guide will ensure you create the quintessential keto-friendly sausage gravy every time.

Keto Sausage Gravy

Understanding Keto Sausage Gravy

For the uninitiated, keto sausage gravy is a low-carb, high-fat variation of the classic Southern staple. The gravy replaces flour with a keto alternative, often using almond or coconut flour, resulting in a creamy and velvety texture that pairs perfectly with crispy, seasoned sausage. This hearty dish is a breakfast favorite that will keep you fueled and satisfied all morning.

Ingredients You Will Need

To create a batch of keto sausage gravy, make sure your pantry is stocked with these essentials:

  • 1 pound of ground pork sausage (look for sugar-free or homemade to keep the carb count low)
  • 2 tablespoons of keto-friendly flour (almond or coconut flour works well)
  • 1 cup of unsweetened almond milk or heavy cream
  • Salt, black pepper, and any other preferred seasonings

Optional but highly recommended:

  • A sprinkle of xanthan gum, a keto-thickening agent that is tasteless and low in carbs
  • A pinch of red pepper flakes for those who like a little heat

Step-by-Step Cooking Instructions

Step 1: Preparing the Sausage

Start by cooking the sausage. Crumble the sausage into a skillet, ensuring it’s broken up into small pieces. Cook over medium heat until it’s browned and cooked through.

Step 2: Adding the Flour

Once the sausage is cooked, reduce the heat and sprinkle the flour over the sausage. Stir well to combine. The flour will absorb the fat from the sausage and create a roux, the base for your gravy.

Step 3: Pouring in the Liquid

Slowly pour in the almond milk or heavy cream, stirring constantly to avoid lumps. Keep the heat at a simmer and continue to stir until the mixture thickens. This will take around 5-7 minutes.

Step 4: Seasoning to Perfection

Season the gravy with salt, pepper, and any additional preferred seasonings. Taste as you go, adjusting the seasonings to your preference.

Step 5 (Optional): Thickening Further

If the gravy isn’t as thick as you’d like, you can gently sprinkle in some xanthan gum and stir vigorously until the gravy reaches your desired consistency.

Nutritional Information

Understanding the nutritional value of your keto sausage gravy is essential for staying on track with your diet. Here’s an estimation of what a serving of this gravy might contain:

  • Calories: 200
  • Fat: 18g
  • Protein: 8g
  • Carbs: 2g (net carbs after subtracting fiber)

This breakdown will vary based on the ingredients you choose and the specific serving size you portion out.

Tips and Variations

  • Use freshly ground pork for a moister and more flavorful sausage than pre-packaged ground pork.
  • Play around with the type of sausage you use. Italian sausage can add a different flavor profile, or you can even make a batch of your own breakfast sausage seasoning.
  • Keep a watchful eye on your gravy as it simmers after adding the liquid. You want it to thicken nicely without burning, so lower the heat if necessary.
  • Serve this hearty gravy over keto-friendly biscuits, and cauliflower rice, or scramble up some eggs and have a classic "biscuits and gravy" breakfast with a keto twist.


At the intersection of indulgence and a healthy keto lifestyle is this keto sausage gravy. It's not just a delicious breakfast option; it's a testament to the variety and integrity of the keto diet. Enjoy the process of creation, and relish the creamy, warm spoonfuls that await. Happy cooking, and happy (keto) eating!

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