If you’ve been missing classic breakfast sausage gravy since going low-carb, this rich and creamy keto version is about to become a favorite. Made with simple ingredients and cooked in one skillet, it delivers all the comforting flavor you expect—without any flour or starches.
Perfect for slow weekend mornings or busy weekdays, this hearty gravy is both filling and satisfying. Serve it over eggs, omelets, or your favorite keto bread for an easy breakfast the whole family will love.
This rich sausage gravy pairs perfectly with my Keto Cheesy Biscuits for a comforting, low-carb breakfast or brunch.
Ingredients
- ½ lb ground breakfast sausage
- 4 oz cream cheese
- ½ cup heavy whipping cream
- ¼–½ cup almond milk (to thin to desired consistency)
- ½ tsp garlic powder
- ½ tsp onion powder
- ½ tsp salt
- ½–1 tsp black pepper (to taste)
- 2 tbsp of butter
Instructions
- In a skillet over medium heat, brown the ground sausage until fully cooked. Break it up into small crumbles as it cooks.
- Lower the heat slightly and add the cream cheese. Stir until completely melted and combined with the sausage.
- Pour in the heavy whipping cream and butter and stir until smooth.
- Add almond milk a little at a time until the gravy reaches your desired thickness.
- Stir in garlic powder, onion powder, salt, and pepper.
- Simmer gently for 2–3 minutes, allowing the flavors to meld and the gravy to thicken slightly.
- Taste and adjust seasoning as needed. Serve warm.
📖 Nutrition Information
Serving Size: 1 cup
Servings Per Recipe: 3
| Nutrient | Amount |
|---|---|
| Calories | 490 |
| Fat | 44 g |
| Protein | 16 g |
| Total Carbs | 4 g |
| Fiber | 0 g |
| Net Carbs | 4 g |
Disclaimer: Nutrition information is an estimate only and may vary based on brands used, portion sizes, and substitutions.
Serving Suggestions
- Spoon over scrambled eggs or fried eggs
- Use as a filling for omelets
- Serve over toasted Keto Chaffles or Keto Biscuits
- Pair with crispy bacon or breakfast sausage patties
This gravy also reheats beautifully and thickens as it cools—just add a splash of almond milk when reheating if needed.
Tips & Notes
- For a thinner gravy, add almond milk slowly—this gravy thickens quickly as it simmers.
- If you have half a pound of sausage leftover, it’s perfect for my Keto Meatloaf Recipe, which uses both ground beef and sausage for extra flavor.
- If your sausage is already salty, start with less added salt and adjust at the end.
- Freshly cracked black pepper gives the best flavor here.
If you’re building a rotation of fast, filling breakfasts, you’ll love my 15-minute keto breakfasts collection for easy options to mix and match.
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Final Thoughts
This keto breakfast sausage gravy proves that comfort food doesn’t need flour to be rich, satisfying, and full of flavor. It’s quick to make, endlessly versatile, and perfect for everything from eggs to keto bread. Whether you’re easing into low-carb eating or just looking for a hearty breakfast the whole family will enjoy, this gravy is one recipe you’ll want to keep on repeat.