Keto Salisbury Steak with Mushroom Gravy

keto salisbury steak

Enjoy this easy one pan, comfort food classic, keto Salisbury steak any night of the week. You will love this tender beef smothered in a rich and creamy gravy!



For Steak:

  • 1 pound ground beef
  • 2 tablespoons almond flour
  • 1 tablespoon sugar free ketchup
  • 1 tablespoon dijon mustard
  • 1 teaspoon salt
  • 1/4 teaspoon black pepper
  • 1 tablespoon avocado oil

For Gravy:

  • 2 tablespoons butter
  • 1 small onion (sliced)
  • 8 ounces cremini or bella mushrooms (sliced)
  • 2 cups beef bone broth
  • 1 tablespoon sugar free ketchup
  • 2 teaspoons worcestershire sauce
  • 2 tablespoons heavy cream
  • 2 tablespoons cream cheese
  • 1/2 teaspoon salt
  • Pinch of black pepper
  • Parsley for garnish


  1. Heat a large skillet over low-medium heat.
  2. Combine ground beef, almond flour, ketchup, mustard, salt, and pepper in a large bowl.  Using your hands, mix until ingredients are well incorporated.  Portion steaks and flatten into patties.
  3. Add oil to the pan and cook patties for 4-5 minutes per side.  When cooked through, remove from the pan and let rest.
  4. Add butter to the pan along with onions and mushrooms. Saute for 3-4 minutes until fragrant.  
  5. Stir in broth, ketchup, worcestershire sauce, cream, salt, and pepper to the pan.  Stir well and bring to a simmer.  Let sauce cook for 5-6 minutes and stir in heavy cream and cream cheese. 
  6. Return steaks to the pan and let simmer for an additional 5-6 minutes.  Adjust seasoning to taste if needed.
  7. Remove the steaks from the pan and garnish with fresh parsley to serve.


Keywords: keto salisbury steak