Blog Categories


Keto Sausage Gravy

Jump to recipe

IMG_0569 copy.jpg
Finding keto-friendly comfort food is crucial for a long-term keto dieter. Maybe you’re from the south and find yourself missing good old biscuits and gravy, or maybe you’re just a fan of rich and delicious food — either way, this recipe is bound to hit the spot.

Taking a peek at the nutritional information, you’ll see that each serving of this keto sausage gravy comes in at only two net carbs, with 9 grams of protein and 34 grams of fat.

You can enjoy it as a meal on it’s own, or paired with your favorite low-carb savory baked goods.

IMG_0568 copy.jpg

This sausage gravy recipe is:

  • Warm
  • Comforting
  • Delicious
  • Flavorful
IMG_0537 copy.jpg

The main ingredients in this keto gravy are:

  • Breakfast sausage
  • Butter 
  • Heavy cream

Optional additional ingredients:

IMG_0559 copy.jpg

Health Benefits of Keto Sausage Gravy

Low-Carb and High-Fat

Many gravy recipes come with sneaky sources of hidden carbs. With this ketogenic sausage gravy, however, you’re only getting two grams of carbs per serving. What’s more, there’s an abundance of healthy fats packed into each serving — 34 grams in fact, making this recipe as satisfying as it is delicious.


Another hidden ingredient you’ll often find in gravy recipes is all-purpose flour for thickening. This recipe skips the flour (and the gluten) altogether and opts instead for arrowroot powder. Arrowroot not only acts as an excellent thickener, but it is also a resistant starch that adds fiber[*].

Keto Sausage Gravy

How Do You Serve Keto Sausage Gravy?

This keto sausage gravy can be served as a meal all on its own. However, there are many ways to enjoy this recipe, including:

  • Serve with low-carb biscuits for keto biscuits and gravy
  • Mixed into some scrambled eggs for a keto breakfast option
  • As a topping to keto waffles or chaffles
  • Pour on top of cauliflower rice

How Do You Thicken Keto Sausage Gravy?

IMG_0555 copy.jpg

Traditionally, gravy is thickened with ingredients like milk and flour. In this keto version, however, you’ll be skipping the flour and opting for alternative thickening ingredients. This recipe calls for arrowroot, but you can also try using xanthan gum or almond flour if you have some on hand.

Alternatively, if you don’t want to add either arrowroot or xanthan gum, you can simply reduce the gravy over heat. Fair warning — this method will take a bit more time.

IMG_0561 copy.jpg

How To Prepare Low-Carb Sausage Gravy

Begin by heating your butter in a large skillet over medium heat. Add the sausage and cook until its browned on all sides.

IMG_0539 copy.jpg

Next, add in your chopped onion and cook for two to three minutes until it’s fragrant.

IMG_0542 copy.jpg

Then Stir in the broth, heavy cream, cream cheese, arrowroot powder, garlic powder, nutmeg, salt, and pepper.

IMG_0548 copy.jpg IMG_0550 copy.jpg

Let it simmer for about five to six minutes, stirring occasionally.

Finally, reduce heat to medium-low and cook for an additional 5 minutes until sauce is thickened.

IMG_0578 copy.jpg

Serve with biscuits using this low-carb biscuit recipe, or a dollop of sour cream.



Keto Sausage Gravy

keto sausage gravy

Keto sausage gravy is the ultimate comfort food to enjoy with low-carb biscuits, eggs, or muffins. It’s gluten-free and has only two net carbs per serving.

  • Author: Corina Nielsen
  • Prep Time: 5 minutes
  • Total Time: 20 minutes
  • Yield: 2 cups 1x



  1. Heat butter in a saucepan over medium-high heat.
  2. Add the sausage and cook until browned.
  3. Add the onion and cook for 2-3 minutes until fragrant.
  4. Stir in broth, heavy cream, cream cheese, arrowroot powder, garlic powder, nutmeg, salt and pepper.
  5. Simmer for 5-6 minutes, stirring constantly.
  6. Reduce heat to medium-low and cook for an additional 5 minutes until sauce is thickened.
  7. Serve with Fluffy Low Carb Keto Biscuits 


  • Serving Size: 1 cup
  • Calories: 418
  • Fat: 34g
  • Carbohydrates: 2g (Net: 2g)
  • Fiber: 0g
  • Protein: 9g

Join the Internet's largest keto newsletter

We'll send you articles, product guides, and exclusive offers customized to your goals.