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Keto sausage gravy

Try this satisfying keto sausage gravy recipe for breakfast, you won't regret it. This low carb and gluten-free dish consists of just a few ingredients and pairs well with delicious keto biscuits.
Prep Time5 mins
Cook Time15 mins
Total Time20 mins
Course: Breakfast
Cuisine: American
Keyword: Gluten-free breakfast, Keto breafast, Sausage gravy
Servings: 6 servings
Calories: 349kcal


  • Large (11-inch/28cm) non-stick skillet


  • 1 batch Almond flour biscuits
  • 1 lb. 450g ground Italian sausage
  • 1 clove garlic minced
  • ½ teaspoon xanthan gum
  • 1 cup 230ml chicken stock
  • 1 cup 230ml heavy cream
  • 1 tablespoon white wine vinegar
  • Salt and black pepper to taste
  • 2 tablespoon olive oil for frying


  • Heat the olive oil in a large non-stick skillet over a medium-high heat.
  • When hot, add the sausage and cook until browned (for 3 minutes) or until browned a little bit. Then, mix and cook for 3 extra minutes (Italian sausage may stay pink, it doesn’t mean it’s uncooked). Remove onto a clean plate and drain the fat from the skillet.
  • To the same skillet, add the garlic and cook until golden. Deglaze with vinegar.
  • Add the chicken stock and bring to a simmer. Cook until reduced by a third. Then, sprinkle the xanthan gum and mix until thickened.
  • Add the heavy cream and cook until reduced and thickened to the desired consistency. Add the black pepper to taste.
  • Return the cooked sausage to the skillet and mix with gravy. Taste and add extra salt if needed. If the gravy is still too runny, cook for an additional 3-5 minutes to thicken further. Or add a splash of water and cook for half a minute if the gravy is too thick.
  • Serve right away with almond flour biscuits!



Nutrition information is for gravy only. Click here >> Almond flour biscuits to see nutrition information for biscuits.
NET CARB: 2g (gravy only)


Serving: 1serving | Calories: 349kcal | Carbohydrates: 2g | Protein: 13g | Fat: 31g | Potassium: 264mg | Fiber: 1g | Vitamin A: 585IU | Calcium: 35mg | Iron: 1mg