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    Home » Recipes » Less than 10 carbs per serving

    Published: Jan 12, 2012 · Last Updated: Jul 11, 2022 by Kyndra Holley

    Caramelized Onion and Prosciutto Mac and Cheese

    This post may contain affiliate links

    Jump to Recipe·Print Recipe· 4.9 from 8 reviews

    This Caramelized Onion and Prosciutto Keto Mac and Cheese is the ultimate in low carb comfort food. The steamed cauliflower, scratch made cheese sauce, rich caramelized onions, and crispy prosciutto cheese are a match made in heaven.

    a bowl of keto Mac and cheese, made with cauliflower and topped with cheese, crispy prosciutto, and caramelized onion
    a bowl of keto Mac and cheese, made with cauliflower and topped with cheese, crispy prosciutto, and caramelized onion

    Ingredients

    • Cauliflower: For this keto Mac and cheese recipe, we are replacing the noodles with cauliflower in order to keep it low carb and gluten free. (Try these Roasted Cauliflower Steaks with Cheese Sauce)
    • Onion: You can use sweet onion or plain white onion. The caramelized onions ia richness to this dish with their subtle sweetness.
    • Prosciutto: The crispy prosciutto adds a nice salty element. If you cannot find prosciutto, you can also use bacon, pancetta, ham, or even salami. (Try this Prosciutto Chicken and Broccoli Sheet Pan Meal)
    • Cheese: For the rich, creamy cheese sauce on this ket Mac and cheese, I used sharp cheddar, goat cheese and parmesan. Some other good choices are cream cheese, American, smoked mozzarella, gruyere, fontina, and havarti. (Try this Keto Cheese Sauce)
    a bowl of keto Mac and cheese, made with cauliflower and topped with cheese, crispy prosciutto, and caramelized onion

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    Caramelized Onion and Prosciutto Mac and Cheese

    Caramelized Onion and Prosciutto Mac and Cheese


    5 Stars 4 Stars 3 Stars 2 Stars 1 Star

    4.9 from 8 reviews

    • Author: Kyndra Holley
    • Total Time: 45 minutes
    • Yield: 6 Servings 1x
    • Diet: Gluten Free
    Print Recipe
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    Description

    This Caramelized Onion and Prosciutto Keto Mac and Cheese is the ultimate in low carb comfort food. The steamed cauliflower, scratch made cheese sauce, rich caramelized onions, crispy prosciutto cheese are a match made in heaven.


    Ingredients

    Units Scale
    • 1 large head cauliflower, cleaned and trimmed (but left whole)
    • 1 tablespoon olive oil
    • 4 tablespoons butter, divided
    • 1 medium onion, diced
    • 3 cloves garlic, minced
    • 1 cup heavy cream
    • ½ cup grated Parmesan cheese, extra for garnish
    • 1 cup shredded sharp cheddar cheese, extra for garnish
    • ¼ cup goat cheese
    • ¼ teaspoon black pepper
    • 6 ounces prosciutto, diced and cooked crisp
    • fresh chopped parsley, for garnish

    Instructions

    1. Preheat oven to 350°F.
    2. In a large covered pot with 1 inch of water, steam the cauliflower on high heat until fork tender. About 15 minutes.
    3. Remove from heat, drain water and allow cauliflower to remain in the hot pot to draw out excess moisture. (This is important… Otherwise you might end up with mac and cheese soup)
    4. Place head of cauliflower in an 8 x 8 casserole dish. Using a fork, slightly mash the cauliflower to break it all apart.
    5. In a large sauté pan over medium heat, heat the olive oil and 2 tablespoons of the butter. Once the butter is melted, add the onions to the pan and sauté until they have a nice caramel color. Remove the onions from pan and set aside.
    6. To the same pan add remaining butter and garlic. Sauté until the garlic is fragrant. Add the heavy cream and Parmesan cheese. Stir continuously until the Parmesan is melted and the sauce begins to come to a boil. Mix in cheddar cheese, goat cheese and black pepper. Stir until cheeses are melted and well incorporated into the sauce. Reduce heat to low and allow the sauce to thicken as it simmers, about 5 minutes.
    7. Pour cheese sauce evenly over top of the cauliflower. Layer caramelized onions on top of sauce. Lastly, layer crispy prosciutto on top of the caramelized onions. Sprinkle with remaining cheese and bake for 15 minutes.
    8. Garnish with parsley before serving.

    Notes

    • net carbs per serving: 7g
    • Storage: Store leftovers in the refrigerator for up to 4 days. 
    • Reheating: I recommend reheating this in a pan on the stove top or in the oven. You may need to mix in  a little extra cream to help bring it back to life
    • Prep Time: 15 minutes
    • Cook Time: 30 minutes
    • Category: Side Dishes
    • Method: Baking
    • Cuisine: American

    Nutrition

    • Calories: 456
    • Fat: 38.1g
    • Carbohydrates: 10.2g
    • Fiber: 3.2g
    • Protein: 19.2g

    Did you make this recipe?

    Tag @kyndraholley on Instagram and hashtag it #peaceloveandlowcarb

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    Reader Interactions

    Comments

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      Recipe rating 5 Stars 4 Stars 3 Stars 2 Stars 1 Star

    1. Sarah says

      May 02, 2013 at 6:28 pm

      Made this tonight, so so good! I made the alfredo sauce the way you suggested since you can't get it pre-made here (Germany). Very nice!

      Reply
    2. Anonymous says

      January 01, 2013 at 8:21 pm

      This is the second recipe of yours that I have tried! Great! and you allow some room for substitutions! You really need to publish these. This is my second day on low carb. I'm having to decrease carbs slowly. This lunch kept me full. thanks for your excellent recipes!

      Reply
    3. Cami B says

      September 17, 2012 at 3:49 am

      I used bacon (the store was out of prosciutto!) and Dreamfields pasta. It was quite tasty, though next time I think I'll mix the pasta with the cheese mix before I put it into the pan, because some of the bottom pasta didn't get hit with sauce. Nice sized portions, even if you make make 6 servings out of it.

      Reply
      • Stephanie says

        November 18, 2018 at 12:56 pm

        Pasta is not on the Keto diet. That is why she used Cauliflower .

        Reply
      • Stephanie Feldman says

        November 18, 2018 at 1:05 pm

        There is no pasta in this recipe.. hence the name why it’s called low carb pasta. She uses cauliflower

        Reply
    4. mikiekozak says

      September 13, 2012 at 4:31 am

      This sounds amazing can't wait to try it. Do you know a place locally in Seattle to buy the Dreamfields pasta? I checked PCC and Whole Foods with no luck. Thanks for all your great recipes!

      Reply
      • Stephanie says

        November 18, 2018 at 1:02 pm

        I don’t see anywhere. On this menu that says pasta
        This is a low carb recipe no pasta required

        Reply
    5. Dinah says

      August 28, 2012 at 7:21 pm

      oh this sounds great! i think i'll use bacon tho, since i have a hard time finding prosciutto that I can afford. Is there a print button on here somewhere that I'm missing?

      Reply
    6. Debi Faulkner says

      July 09, 2012 at 5:08 pm

      I made this tonight, and it is now my new.favorite food! OMG! It is soooooo good!

      Reply
    7. Kyndra Holley says

      May 01, 2012 at 10:42 pm

      I think it would freeze just fine. However, I would recommend re-heating it in the oven.

      Reply
    8. potteryferret says

      May 01, 2012 at 6:25 pm

      do you think this would freeze well?

      Reply
    9. Holley says

      January 12, 2012 at 3:45 am

      Thanks! I plan to keep cranking out the recipes...

      Reply
    10. The Swan in.me says

      January 12, 2012 at 3:35 am

      please keep on with the recipes!! I have scrolled back thru and plan on making a bunch of them. 🙂

      Reply
    Newer Comments »

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    About Kyndra


    Kyndra
    Hey there! Welcome to my site! I am Kyndra Holley - International Best Selling Cookbook Author, and the face behind this blog. I am an avid lover of all things low carb, keto and gluten free. I focus on real, whole food ingredients that you can find at your local grocer. Read more about Peace Love and Low Carb...

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