This savory keto sausage gravy is creamy and packed with flavor. It’s perfect for pouring over keto biscuits for a low-carb breakfast or serving over mashed cauliflower.
Coming from someone who loves Biscuits & Gravy for breakfast, this keto sausage gravy was an absolutely must for me. Making a breakfast like this, with creamy country sausage gravy is comforting and makes me satisfied with my diet.
Looking for more low-carb breakfast ideas? See our list of favorites here.

You’ll love how easy this is to make. It’s pretty similar to the method I used to make sausage gravy with wheat flour. I’ve just substituted it with almond flour. The result is nearly the same. It’s smooth and creamy, and packed with sausage flavor.
You can use whatever sausage you like for this recipe. I gravitate to Jimmy Dean sausage. I like the sage sausage, but hot and Italian are also good. Do take a look at the carbs in the sausage that you buy. Jimmy Dean has 1 grams of carbs per ounce.
How to Make Keto Sausage Gravy
Start by browning the ground sausage and breaking it up into small pieces. When the meat is cooked through, add the butter and almond flour to the pan and whisk it all together.

I’ve seen many variations of gravy recipes. Others include things like cream cheese or mascarpone cheese, almond milk, chicken broth, and xanthan gum. This recipe just uses butter, almond flour and heavy cream + water. I don’t find that you need xanthan gum to make the gravy creamy.
Add the heavy cream and water and whisk it all together. Season with salt and pepper, to taste. As the gravy bubbles, it will get thicker. The longer you cook it, the thicker it gets, so it’s best to serve it as soon it’s ready.
If you can’t serve it right away, you may need to add additional water to it to thin it back down before serving.

Keto Sausage Gravy FAQs
This gravy has just 1 net grams of carbs per serving. If you serve it over a keto biscuit, that will add about 2 additional net grams of carbs.
We had a reader mention that her gravy never got thick. I believe this is most likely due to the type of almond flour you’re using. The finer the flour, the better. If you’re using almond meal, it might not thicken as much.
You also need to use full-fat cream in this recipe, which will thicken on its own without any almond flour. Adding the almond flour should just give it a little more body and texture.
If you’re worried about thickening, pour the water in slowly, bit by bit, so you can decide how much to add. If it’s not needed, don’t add it.
Yes, you can use coconut flour instead of almond flour in this recipe, if you wish. Keep in mind that there will be a strong coconut flavor to your gravy. You also don’t need to use as much. It will take only 1 tsp of coconut flour to thicken the gravy.
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Keto Sausage Gravy
Equipment
- Pan
Ingredients
- 1/2 lb ground sausage
- 1 tbsp butter
- 1 1/2 tbsp almond flour
- 3/4 cup heavy cream
- 1/2 cup water
Instructions
- Start by browning the ground sausage in a large skillet over medium-high heat. Break the sausage into small pieces as it browns.
- When the meat is cooked through, add the butter and almond flour to the pan and whisk it.
- Add the heavy cream and whisk constantly until well combined. Season with salt and pepper, to taste. Turn the heat down to medium low, add the water as needed to thin out the gravy, and whisk. Simmer for 3-5 minutes, until thickened.
Video
Nutrition
The information shown is an estimate provided by an online nutrition calculator. It should not be considered a substitute for a professional nutritionist’s advice.
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Laura is an avid home cook and recipe creator. She shares her favorite low-carb recipes here that are both easy to make and full of flavor, so you don’t even miss the carbs.
I miss gravy so much! This was delicious and my entire family loved it.
Never thought to use almond flour to thicken sausage gravy — the perfect addition! Yum!
What a fabulous sausage gravy! My biscuits deserve this gravy and I can’t wait to taste it.
So great to have a keto version of sausage gravy! Love it.
Love this keto version of gravy – my husband loved it!
This looks wonderful – with just a few ingredients! Cannot wait to try it.
I can think of so many things to put this on! Yum!
So hearty and creamy!
Hmmm yum! My sons will love this Keto Sausage Gravy , for sure!
I love sausage gravy, so I’m glad to have found a keto recipe! Thanks so much for sharing- I can’t wait to try it!
This gravy is was so amazing, you would never know it’s Keto!!
So glad you liked it! It’s