Keto Sausage Gravy

An iconic staple of Southern cuisine is biscuits and gravy. This keto sausage gravy has a full, rich flavor and is better than it’s carb-filled counterpart!

Southern-Style Keto Sausage Gravy

Sausage gravy is arguably the most Southern thing about the South. Any restaurant (ok, maybe not every single one…) that serves breakfast also serves their version of sausage gravy. Some are alright, some are good, and some are great.

The basis of gravy is very simple. It only takes milk, butter, and flour to make a basic gravy. Throw in some salt, pepper, and sausage, and you have a regular sausage gravy. Of course, the bad news is, flour and milk mean all kinds of carbs.

When I was younger, I learned to make ham gravy from my grandmother and sausage gravy from my mother. The key to any gravy is imparting the flavor of the meat to the rest of the mixture. With keto, that’s even easier because you don’t have to worry about the extra fats in the meat.

One day I decided to figure out how to make gravy without the carb-filled ingredients. I honestly wasn’t sure how well it would turn out, but to work I went. Somehow, I got really lucky with this recipe and was able to get it right the first time.

The taste is there; the texture is there; the gravy experience is all there. I consider that a definite win-win!

For anyone who has ever had sausage gravy before, this keto sausage gravy is as close to the real thing as you can get. Pair this recipe with some of our Low-Carb/Keto Biscuits and you’ll have a real deal Southern breakfast on your hands.

It doesn’t take too long to make, so you can have breakfast ready for the whole family in no time.

You know I always beg you to please take the time it takes to make our recipes. The truth is, most can be made in the amount of time it would have taken you (in your carb life) to drive to a drive-thru and back home.

Fresh and homemade is always better!

Be sure to leave us a comment and a ★★★★★ review!
Keto Sausage Gravy

Keto Sausage Gravy

Yield: 6 servings
Cook Time: 30 minutes
Total Time: 30 minutes
An iconic staple of Southern cuisine is biscuits and gravy. This keto sausage gravy has a full, rich flavor and is better than it’s carb-filled counterpart!



  1. In a large skillet, brown sausage
  2. Remove sausage from skillet and set aside
  3. Add the rest of the ingredients except xanthan gum to the skillet, and bring to a slow boil
  4. Add the xanthan gum and stir constantly for 1 minute
  5. Add the sausage back to the skillet and reduce heat
  6. Let the mixture simmer until a thick, gravy consistency is achieved
  7. Ladle out and enjoy!

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Nutrition Information
Yield 6 servings Serving Size 1/2 cup
Amount Per ServingCalories 450 Total Fat 35g Carbohydrates 3g Protein 10g
Nutrition facts are provided as a courtesy, sourced from an online food databse. All carbohydrate counts are calculated as net carbs instead of total. Net carb count excludes both fiber and sugar alcohols, because these do not affect blood sugar in most people. We try to be accurate, but feel free to make your own calculations.
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  1. Pre-Keto hubby and I LOVED my sausage gravy and hadn’t been able to find a recipe that came close enough but no more!! Made your gravy this past weekend and OMGOSH it was soooo good!!! Thank you for sharing this awesome recipe and giving us back our sausage gravy <3

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