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by Mary January 19, 2023
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This easy, keto sausage gravy recipe is a healthy spin on classic comfort food. With healthier swaps and substitutions, my version is paleo, low-carb, keto, gluten-free, and dairy-free, and has a nut-free option! From pan to biscuit in just 15 minutes, this recipe comes together in no time. Simple ingredients, minimal prep, and full of absolutely delicious flavor.
TABLE OF CONTENTS
What Makes This Recipe Great
Sausage gravy is the quintessential comfort food. Packed with sausage, milk, butter, and flour, and smothered over buttery biscuits, it’s a heavy dish. And it isn’t all that diet and lifestyle friendly either.
I wanted to make a lighter version that was gluten-free, dairy-free, paleo, low-carb, and nut-free (optional). The result is a creamy, flavorful keto sausage gravy that is as good as the original, but a little (okay a lot!) healthier. Simple ingredients and 15 minutes are all you need!
I like to use this gravy recipe with air-fried potatoes or this biscuit recipe for easy gluten-free biscuits and gravy. If you’re keto, use it over eggs, low-carb biscuits, veggies, and more! It would also be delicious over these Sheet Pan Southwest Breakfast Potatoes!
Ingredient Notes
- breakfast sausage: Look for no sugar if doing Whole30. I get mine from Butcher Box! If you have Celiac disease or a gluten intolerance, definitely look for a gluten free sausage brand. Some contain fillers and additives. Always read ingredients!
- ghee: or vegan butter for dairy free
- cassava flour: this is a gluten-free flour substitute that is also nut free. You’ll find it at local grocery stores and specialty markets in the baking aisle. It’s a nut-free flour alternative to almond flour.
- almond milk: or coconut milk for nut free.
- chicken broth: more if needed to thin out the gravy.I love Kettle & Fire brand.
- spices: dried sage, fennel seeds, dried thyme, garlic powder,
- salt and pepper: to taste.
Recipe Step by Step
- Heat a large skillet over medium heat. Add the sausage, sage, and fennel seeds and cook for 5-7 minutes, breaking up with a wooden spoon until cooked through. Remove from the pan using a slotted spoon.
- Leave 1 tbsp grease in the pan and add 2 tbsp ghee.
- Add in the cassava flour and whisk vigorously until smooth paste forms.
- Immediately add in the milk and chicken broth and continue whisking over medium heat until it begins to thicken.
- Add in the thyme and garlic powder. It may appear lumpy at first but I promise if you keep whisking, it will become smooth!
- Add the sausage back to the pan and continue stirring for a couple of minutes to let the flavors come together.
- Add salt and pepper to taste and serve immediately over keto biscuits, crispy air-fried potatoes, home fries, or gluten-free biscuits!
Mary’s Tips & Tricks
- How to Thicken your Gravy: If your gravy is too thin, feel free to add a teaspoon of arrowroot powder, tapioca starch, or xanthan gum. Stir for at least one minute before adding any additional thickener.
- How to Thin your Gravy: If your gravy is too thick, use the chicken broth (a little at a time) until your desired consistency is reached.
Ways to Serve Low-Carb Sausage Gravy
There are endless ways to eat this amazing gravy. Try one of these below or let me know in the comments how you enjoyed yours!
- Keto Biscuits and Gravy
- Eggs
- Omelettes
- Gluten-Free Biscuits and Gravy
- Air-Fried Potatoes
- Keto-Friendly veggies like broccoli, riced cauliflower, etc.
Storage Tips
- Store leftover keto sausage gravy in an airtight container for up to 5 days in the refrigerator. It will become thicker when stored, so reheat and give it a good stir before serving.
Recipe FAQs
Is sausage gravy high in carbs?
In the traditional recipe, the answer is yes. Regular flour and milk are high in carbs. In this keto version, there are just 4 grams of net carbs per serving.
Is cornstarch good for keto?
Cornstarch has a ton of carbs and is not keto-friendly. There are healthier alternatives to cornstarch that I love using, and they’re also low-carb! Tapioca starch, arrowroot, and xanthan gum are all keto-friendly thickening agents.In this recipe, the cassava flour thickens the sauce on its own. No need for a thickening agent!
Try These Healthy Comfort Food Recipes…
Healthy Tuna Noodle Casserole
Keto Shrimp and Cauliflower Grits
One-Pot Dairy-Free Beef Stroganoff
Keto Eggplant Parmesan
Easy Mississippi Chicken
Keto Egg Roll in a Bowl
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Easy Keto Sausage Gravy
Yield: 6 people
Prep Time: 5 minutes mins
Cook Time: 10 minutes mins
Total Time: 15 minutes mins
This keto sausage gravy is a healthy spin on classic comfort food. A paleo, low-carb version using breakfast sausage, cassava flour, almond milk, and ghee.
5 from 10 votes
Leave a Review »
Ingredients
- 1 lb breakfast sausage, Look for no sugar if doing Whole30. I get mine from Butcher Box!
- 1 tsp dried sage
- 1 tsp fennel seeds
- 2 tbsp ghee , or vegan butter for dairy free
- ¼ cup cassava flour
- 2 cups almond milk, or coconut milk for nut free
- ¾ cup chicken broth, more if needed to thin it out
- 1 tsp dried thyme
- ½ tsp garlic powder
- salt and pepper, to taste
Equipment
Instructions
Heat a large skillet over medium heat. Add the sausage, sage, and fennel seeds and cook for 5-7 minutes, breaking up with a wooden spoon until cooked through. Remove from pan using a slotted spoon.
Leave 1 tbsp grease in the pan and add 2 tbsp ghee. Add in the cassava flour and whisk vigorously until a smooth paste forms.
Immediately add in the milk and chicken broth and continue whisking over medium heat until it begins to thicken. Add in the thyme and garlic powder. It may appear lumpy at first but I promise if you keep whisking, it will become smooth!
Add the sausage back to the pan and continue stirring for a couple of minutes to let them flavors come together.
Add salt and pepper to taste and serve immediately over crispy air fried potatoes, home fries, or gluten free biscuits!
Notes
Mary’s Tips & Tricks
- How to Thicken your Gravy: If your gravy is too thin, feel free to add a teaspoon of arrowroot powder or tapioca starch to 1 tbsp of water and stir. This is called a slurry. Add it to the gravy and continue whisking until smooth.
- How to Thin your Gravy: If your gravy is too thick, use the chicken broth (a little at a time) until your desired consistency is reached. Continue whisking until smooth.
Storage Tips
- Store leftover keto sausage gravy in an airtight container for up to 5 days in the refrigerator. It will become thicker when stored, so reheat and give it a good stir before serving. You can reheat in the microwave or on the stove.
Nutrition
Serving: 1serving, Calories: 307kcal, Carbohydrates: 5g, Protein: 12g, Fat: 26g, Saturated Fat: 10g, Polyunsaturated Fat: 3g, Monounsaturated Fat: 11g, Trans Fat: 0.2g, Cholesterol: 68mg, Sodium: 699mg, Potassium: 204mg, Fiber: 1g, Sugar: 0.4g, Vitamin A: 65IU, Vitamin C: 1mg, Calcium: 123mg, Iron: 1mg
Course: Breakfast
Cuisine: American
Calories: 307
Author: Mary Smith
posted in: Breakfast, Dinners, Keto, Low Carb, Pork, Recipes, Sauces 18 comments
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Kelsey Fissella — Reply
I’m really looking forward to making this! If I was going to double the recipe, would any of your directions be different? Including the size pan, etc.? Thank you!
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Mary — Reply
I would use a 12 inch pan but otherwise the same!
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Felecia Buice — Reply
This is the best df sausage gravy I have tasted. It is even better with gf biscuits!
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Mary — Reply
Thanks Felecia!
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Megan — Reply
Delicious! My husband loves sausage gravy so I was so excited to try out this recipe! Winner for sure and we are making for dinner this week!
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Mary — Reply
So glad you all liked it!! Thanks!
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Sharon DeNardo — Reply
Yummmmmmm, this is absolutely delish!!! I make it with your biscuits and it makes you feel like you are being extra….Every now and then we need to be extra, right?!!! 😋😋😋
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Mary — Reply
ABSOLUTELY! So glad you enjoyed it!
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Meg — Reply
Amazing! So easy to make! I swapped Bob’s Red Mill 1 for 1 gluten free flour bc I was out of cassava. Perfect! Serving it over your air fried home fries! So delicious!! So thankful for gluten free and dairy recipes that taste so good!
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Mary — Reply
Sounds like an amazing combo! Thanks, you’re the best!
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Brandon Fields — Reply
This is incredible. Being from the South, I know real sausage gravy. This is A perfect dupe. Literally you would never know it was any different. Pair it with Mary’s biscuits and it is a true, down home Southern meal. Right up there with the shrimp and grits. THANK YOU!!!!
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Mary — Reply
Yay! Thank you Brandon!!
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Bailee R — Reply
Once again, so amazing Mary!! Made this tonight with your gluten free biscuits and even the non gluten free husband raved. Thank you!!
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Mary — Reply
So glad to hear it – thanks Bailee!
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Tiffany — Reply
This is hands down the best sausage gravy I’ve ever had!! I shouldn’t have doubted it, Mary’s recipes are always fantastic!!!
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Mary — Reply
Yay! Thanks Tiffany!!
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Jasmyn — Reply
Simple and delicious! I used almond flour because that’s what I had on head and thickened with a little xanthum gum. The whole family enjoyed!
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Mary — Reply
So glad you made it work for you!!
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