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Keto Sausage Gravy | Peace Love and Low Carb

Keto Sausage Gravy

  • Author: Kyndra Holley
  • Total Time: 25 minutes
  • Yield: 4 cups 1x
  • Diet: Gluten Free


This Keto Sausage Gravy recipe is so easy to make and is incredibly flavorful. Mild Italian sausage, cooked with onions and garlic, in a rich and creamy gravy made with heavy cream and parmesan cheese. It comes together in less than 30 minutes and only dirties one pan. (Low carb, keto, gluten free)


Units Scale
  • 2 tablespoons butter
  • 1 small onion, diced (about 1/2 cup)
  • 4 cloves garlic, minced
  • 1 pound ground Italian breakfast sausage
  • 1 teaspoon sea salt
  • 1/2 teaspoon ground black pepper
  • 1 1/2 cups heavy cream
  • 1/2 cup finely grated Parmesan cheese, plus extra for garnish
  • 2 tablespoons chopped fresh flat-leaf parsley
  • 2 tablespoons finely chopped fresh chives, for garnish
  • 1/2 teaspoon smoked paprika, for garnish


  1. Heat the butter in a large skillet over medium heat. Once the butter is melted, add the onion and cook until soft and translucent. Add the garlic and cook until fragrant.
  2. Add the sausage, salt, and pepper to the pan and cook until browned. Using a slotted spoon, remove the cooked sausage and onions from the pan. Drain all excess grease from pan. This is important or the gravy will be oily.
  3. To the pan, add the heavy cream, parmesan and parsley. Increase the heat to medium-high and bring to a boil. Once the gravy begins to boil, reduce the heat to low and simmer. Once the gravy begins to thicken, add the sausage back to the pan and mix in. 


  • Net carbs per serving: 1g
  • Storage: Store leftover keto sausage gravy in the refrigerator for up to 5 days.
  • Reheating: I recommend reheating in a pan on the stovetop. Adding a little extra cream or even some chicken broth with help the gravy come back to life. 
  • Omit the sausage: Leave out the pork sausage and you have a delicious version of white gravy, also known as country gravy.
  • Change the protein: This keto gravy is also delicious made with ground beef, chicken, or even turkey.
  • Prep Time: 10 minutes
  • Cook Time: 15 minutes
  • Category: Sauce Recipes
  • Method: Saute
  • Cuisine: American


  • Serving Size: 1/4 cup
  • Calories: 255
  • Fat: 24g
  • Carbohydrates: 2g
  • Fiber: 1g
  • Protein: 8g

Keywords: keto sausage gravy, low carb sausage gravy, gluten free sausage gravy, keto white gravy, low carb white gravy, keto country gravy, low carb country gravy, how to make low carb gravy