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–+ servings
keto sausage gravy in a bowl

Keto Sausage Gravy

Believe it or not sausage gravy on keto is doable! It's creamy and peppery just like you remember. Super hearty and filled with delicious sausage that goes great with any meat. Maybe even pair it with the classic keto biscuit for a tasty breakfast!
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Prep Time 5 mins
Cook Time 10 mins
0 mins
Total Time 15 mins
Course Breakfast
Cuisine American
Servings 2 servings
Calories 340 kcal


  • 4 ounces sausage
  • 1/4 cup chopped onion
  • 3/4 cup chicken broth
  • 1/4 cup heavy cream
  • 1/4 teaspoon salt
  • 1/4 teaspoon black pepper
  • 1 teaspoon arrowroot starch/flour (mix in 2TB water)
  • 1/4 teaspoon xanthan gum


  • Chop onion, mix water into arrowroot starch and break apart sausage
  • begin cooking sausge on medium to high heat. Brown each side don't cook through. If fat isn't rendering add in olive oil.
  • Toss in onion after sausage has browned
  • Pour in bone broth, reduce to simmer then pour in heavy cream
  • Add in salt and pepper
  • Continue cooking until sausage is done and onions have softened. Turn off heat.
  • Make sure gravy isn't boiling over and pour in arrowroot water mix
  • Mix around then sprinkle xanthan gum across the top. Continue mixing until sauce is thick. Sauce should thicken pretty quickly but give it 30 seconds to 1 minute before adding anything else in.


Helpful Recipe Tip

  • Do you have to use arrowroot starch/flour? No, but I recommend it. You can solely use the xanthan gum but the consistency will be different. I found mixing the two produced a better final result.
  • Beef broth can be used but chicken broth will give the most authentic flavor. I prefer chicken bone broth because the collagen helps with thickening.


Nutrition Facts
Keto Sausage Gravy
Amount Per Serving
Calories 340
* Percent Daily Values are based on a 2000 calorie diet.
Keyword keto sausage gravy
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