My favorite weekend breakfast is without question this Keto Sausage Gravy served with biscuits. It is the kind of comfort food that never gets old. This company-worthy dish is one that everyone—even those not on a low-carb diet—will crave again and again.

Overhead photo of Keto Sausage Gravy on a Biscuit garnished with parsley and crushed red pepper flakes.

To me, a decadent breakfast will always involve biscuits and gravy. For years it is what I have served on holiday mornings.

I was skeptical that I could make a keto-friendly version that the whole family loved, but after many tries, I have. This Keto Sausage Gravy is nothing short of spectacular.

I've made this recipe no less than ten times, and every time I get a round of thanks from every family member. I love knowing that they are eating a healthier version of a favorite, and I love that I can stick to my health goals and feel my best.

This Southern classic tastes just as good as the original!

Ingredients

Butter: I typically use unsalted butter, but you could use salted if you like.
Breakfast Sausage: Turkey, beef, or pork breakfast sausage all work in this recipe.
Chopped Onion: I recommend yellow or white onion.
Broth: Helps create a flavorful base; use chicken, beef or vegetable broth as preferred.
Heavy Cream: If you are not keto, half and half works as weel.
Cream Cheese: Use full-fat cream cheese.
Xanthan Gum: This works as a keto-friendly thickening agent to achieve the desired consistency. Not keto? You could use a cornstarch slurry to thicken the gravy.
Garlic Powder: Infuses the dish with a subtle garlic flavor.
Salt: Kosher salt or table salt will also work.
Black Pepper: Freshly ground is best. White pepper may also be used.

Step-by-Step

Photo of breakfast sausage that has been browned in a saucepan.

First, heat butter in a saucepan over medium heat. Add the sausage and cook for 6 minutes, breaking it up with the back of a spoon.

Photo of onion that has been added to a pot of browned breakfast sausage.

Next, add the onion and cook for 2 minutes.

Photo of breakfast sausage, onion, cream, broth, and cream cheese in a pot.

After that, stir in broth, heavy cream, cream cheese, and xanthan gum.

Photo of seasonings that have been added to Keto sausage gravy.

Bring to a simmer, whisking constantly. Reduce to medium-low. Cook until the mixture thickens, about 5 minutes. Add in the garlic powder, salt, and fresh ground black pepper.

Photo of finished low carb sausage gravy in a saucepan.

Enjoy!

Frequently Asked Questions

Is gravy bad for keto?

While it is possible to make keto-friendly gravy, most traditional recipes are going to use flour to thicken, which makes them non-keto friendly.

Is milk keto?

No. Milk has a lot of sugar. One cup has a whopping 12 grams of carbohydrates! Unsweetened non-dairy milk is an option, but they will not make a thick and creamy gravy.

I have successfully used half cream, and half unsweetened macadamia nut milk in this recipe when I was trying to watch my overall calorie intake. If you do this, you may want to increase the xanthan gum by ⅛ of a teaspoon. Because the texture of nut milk can vary, I recommend making it and adding in more xanthan gum at the end only if you need it.

Serving Suggestions

My favorite way to serve this is over my Keto Biscuits.
For hearty appetites, they are fabulous on a Sausage, Gravy, and Egg Breakfast Sandwich. You can use any keto-friendly bread or bagel, or even chaffles.
Serve over sausage patties.
Drizzle over scrambled eggs.

Tips & Tricks

Use Quality Sausage: Opt for a high-quality breakfast sausage that's free from added sugars and fillers. This ensures the gravy remains keto-friendly and flavorful.
Brown the Sausage Well: Browning the sausage properly enhances its flavor and adds depth to your gravy. Make sure to break the sausage into smaller pieces as it cooks.
Don't Skip the Butter: Adding butter not only enriches the taste but also contributes to the creamy texture of the gravy. Choose unsalted butter to control the sodium levels better.
Thicken with Xanthan Gum: A pinch of xanthan gum works wonders as a thickening agent in keto recipes. Sprinkle it in slowly while whisking to avoid clumps and achieve the perfect gravy thickness.