Easy Keto Sausage Gravy

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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 for a quick and delicious side dish.

» Here are more low-carb breakfast ideas and low-carb side dishes to try.

Keto Biscuits & Gravy

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.

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. Here are some other ways to substitute flour in gravy.

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.

sausage gravy

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.

sausage gravy

Keto Sausage Gravy FAQs

How many carbs are in keto sausage gravy?

This gravy has just 1 net grams of carbs per serving. If you serve it over a keto almond flour biscuit, that will add about 2 additional net grams of carbs.

What if the gravy doesn’t thicken?

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.

Can I make coconut flour sausage gravy instead?

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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sausage gravy

Keto Sausage Gravy

This low-carb sausage gravy is great on keto biscuits, chaffles, or poured over mashed cauliflower.
4.72 from 52 votes
Print Rate
Course: Breakfast
Cuisine: American
Keyword: Sausage
Prep Time: 5 mins
Cook Time: 10 mins
Total Time: 15 mins
Servings: 4 servings
Calories: 366kcal
Author: Laura



  • 1/2 lb ground sausage
  • 1 tbsp butter
  • 1 1/2 tbsp almond flour
  • 3/4 cup heavy cream
  • 1/2 cup water


  • 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.



Calories: 366kcal | Carbohydrates: 2g | Protein: 10g | Fat: 36g | Saturated Fat: 17g | Trans Fat: 1g | Cholesterol: 109mg | Sodium: 404mg | Potassium: 175mg | Fiber: 1g | Sugar: 1g | Vitamin A: 786IU | Vitamin C: 1mg | Calcium: 41mg | Iron: 1mg

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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Keto Sausage Gravy
Easy Keto Sausage Gravy

19 thoughts on “Easy Keto Sausage Gravy

  1. Andrea Metlika says:

    5 stars
    What a fabulous sausage gravy! My biscuits deserve this gravy and I can’t wait to taste it.

  2. Jessica Formicola says:

    5 stars
    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!

  3. Amber says:

    I couldn’t get this to thicken at all. I used standard almond flour (Kirkland brand, from skinned almonds…this is not almond meal). Maybe this recipe requires extra fine almond flour? I don’t even know where to get that.

    • Laura says:

      Sorry to hear that. It really has more to do with the cream that you add than the flour. If you use heavy whipping cream, it will thicken on its own without any almond flour.

  4. Mary Gallion says:

    I just made this gravy. OMGEEEEE game changer for my low carb life 🙂 turned out great. Thanks for sharing.

    • Angela says:

      Hi Sheila, you can freeze this gravy is you use cream. It won’t freeze well if you have used half and half or milk.

  5. Joe White says:

    4 stars
    Loved the recipe, came together so well and is so delicious. Not sure on the portion sizes though. It says serves 4, but it took a little over half the gravy to cover both halves of my large biscuits.

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