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Keto Sausage Gravy: Gluten-Free & Low-Carb

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Low-Carb Country Comfort Cookin’ never tasted so good. But wait, there’s more- This old favorite is now low carb!

That’s right, you can still enjoy grandma’s sausage gravy on a low carb diet! Don’t let the title fool ya. Everyone at your table will love this keto sausage gravy. 


Sausage Gravy- Just Like Grandma Used To Make But Keto Friendly

Two things southerners love and that is biscuits and gravy. It is almost considered blasphemy to mess with a comfort food recipe like this, but I did. I had too. My granny’s recipe wouldn’t cut it with our new low carb way of eating and I couldn’t stand the thought of never eating it again. 

The best part about this recipe? It only uses 3 ingredients. That’s right 3. Not 5 or 10, just 3 ingredients standing between you and this amazing low carb sausage gravy. 

Is Cornstarch Ok on Keto?

Cornstarch is forbidden on Keto, with a whopping 116g of net carbs per cup. Which is enough carbs to knock you out of ketosis.

However, if you’re looking for a gluten free sausage gravy and not a keto sausage gravy recipe, then it’s perfectly fine to substitute cornstarch for flour.

If that is the case, you would want to substitute the xanthan gum in our recipe with two tablespoons of cornstarch.

Xanthan Gum Explained

Xanthan Gum is a polysaccharide with a wide variety of uses, including as a common food additive. It is a powerful thickening agent, and also has uses as a stabilizer to prevent ingredients from separating.

It’s generally agreed upon in the scientific community that it is safe to consume up to 15 grams of xanthan gum per day.

Now that I had a low carb and keto-friendly thickening agent, would my coveted sausage gravy taste the same? The answer is an astounding YES. 

What Is The Best Sausage for Keto ?

You’ll be happy to know that sausage is very low-carb and keto friendly- thankfully! Although not all sausage is created equal, you can feel confident in adding it to your keto recipes without adding to your carb intake.

Sausage Carbs Per Serving (3.5 oz.)

  • Andouille sausage: 3 grams
  • Beef sausage: 0 grams
  • Bratwurst: 3 grams
  • Breakfast sausage links (pork or turkey): 1 gram
  • Chicken sausage: 4 grams
  • Chorizo: 2 grams
  • Italian sausage: 4 grams
  • Pork sausage: 0 grams
  • Salami: 6 grams
  • Turkey sausage: 3 grams
  • Vienna sausage: 2 grams

I used seasoned pork sausage in this recipe (like my sausage spicy), but you can use any ground sausage you like. 

For more information about sausage, continue reading Is Sausage Keto? A guide to carbs in sausage.

Keto Sausage Gravy Recipe

8 servings
297 calories and only 3 net carbs (depending on the sausage you use)


  • 16 oz. ground pork sausage (we use hot sausage)
  • 1 Cup Milk or Heavy Whipping Cream
  • 1 tsp of Xanthan Gum


  1. Brown sausage in a large skillet over med heat.
  2. Using the spatula, break the meat up into little bits as you cook. 
  3. Reduce heat to low, add the xanthan gum and stir
  4. Slowly add the milk or heavy whipping cream a little at a time. 
  5. Each time you add the milk, let it get thick. Stir, and add more milk. 
  6. Repeat the process until you get the desired thickness. 
  7. Serve up your delicious gravy on some low carb biscuits, scrambled eggs or country fried steak.   

Low-Carb, Gluten-Free, & Keto

Are you on the hunt for some more recipes that fit your way of eating? We have tried and tested our recipes with the whole family and they’ve all received a thumbs up!

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