20 Delicious Keto Ground Sausage Recipes for Low-Carb Lovers

Posted on April 8, 2025

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Are you following a ketogenic diet and looking for some inspiration to spice up your meals? Look no further! Ground sausage is a staple in many low-carb diets, and when combined with the right ingredients, can create some truly mouth-watering dishes. From breakfast to dinner, and even snacks in between, we’ve got you covered with these 20 delicious keto ground sausage recipes.

Whether you’re a seasoned cook or just starting out on your keto journey, our collection of recipes is sure to delight. From classic comfort foods to creative twists on old favorites, there’s something for everyone on this list. So what are you waiting for? Dive in and discover the perfect blend of flavor and nutrition with these amazing keto ground sausage recipes!

Keto Sausage and Cauliflower Rice Skillet

Keto Sausage and Cauliflower Rice Skillet
This hearty skillet dish combines juicy sausage with a flavorful cauliflower rice, all cooked to perfection in one pan. A quick and easy keto meal that’s perfect for a weeknight dinner.

Ingredients:

– 1 lb sweet Italian sausage
– 1 head of cauliflower
– 2 tbsp olive oil
– 1 onion, diced
– 2 cloves garlic, minced
– Salt and pepper to taste
– Optional: chopped fresh parsley or basil for garnish

Instructions:

1. Preheat oven to 400°F (200°C).
2. Remove sausage from casings and cook in a large skillet over medium-high heat, breaking up with a spoon as it cooks.
3. While sausage is cooking, pulse cauliflower in a food processor until it resembles rice.
4. Add olive oil, onion, and garlic to the skillet with the sausage. Cook until onion is translucent.
5. Add cauliflower “rice” to the skillet and stir to combine.
6. Transfer skillet to the preheated oven and cook for 15-20 minutes or until cauliflower is tender.
7. Season with salt and pepper to taste.
8. Garnish with chopped herbs, if desired.

Cooking Time: 30-35 minutes

Creamy Garlic Parmesan Sausage and Zoodles

Creamy Garlic Parmesan Sausage and Zoodles
Elevate your pasta game with this creamy and flavorful recipe that combines juicy sausage, zucchini noodles, and a rich garlic parmesan sauce.

Ingredients:

– 1 lb sweet Italian sausage
– 2 medium zucchinis
– 2 cloves garlic, minced
– 1/4 cup chicken broth
– 1/4 cup grated Parmesan cheese
– 2 tbsp butter
– Salt and pepper to taste
– Fresh parsley, chopped (optional)

Instructions:

1. Preheat oven to 375°F (190°C).
2. Cook sausage in a large skillet over medium-high heat, breaking it up with a spoon as it cooks, until browned and cooked through.
3. While sausage is cooking, spiralize zucchinis into “zoodles” and set aside.
4. In the same skillet, add butter, garlic, and chicken broth. Bring to a simmer and cook for 2-3 minutes or until garlic is fragrant.
5. Stir in Parmesan cheese until melted and smooth.
6. Add cooked sausage back into the sauce and stir to combine.
7. Toss zoodles with the sausage and sauce mixture. Season with salt and pepper to taste.
8. Serve hot, garnished with chopped parsley if desired.

Cooking Time: 25-30 minutes

Spicy Sausage Stuffed Bell Peppers

Spicy Sausage Stuffed Bell Peppers
Add a spicy twist to your bell pepper game with this flavorful and easy-to-make recipe! This dish is perfect for a quick weeknight dinner or a crowd-pleasing weekend meal.

Ingredients:

– 4 large bell peppers, any color
– 1 lb spicy sausage (such as Andouille or chorizo), casings removed
– 1 onion, finely chopped
– 2 cloves garlic, minced
– 1 cup cooked white rice
– 1 can (14.5 oz) diced tomatoes
– 1 tsp smoked paprika
– Salt and pepper to taste
– 1/4 cup shredded cheddar cheese (optional)

Instructions:

1. Preheat oven to 375°F.
2. Cut the tops off the bell peppers and remove seeds and membranes. Place them in a baking dish.
3. In a large skillet, cook sausage over medium-high heat until browned, breaking it up with a spoon as it cooks.
4. Add onion, garlic, cooked rice, diced tomatoes, smoked paprika, salt, and pepper to the skillet. Cook until heated through.
5. Stuff each bell pepper with the sausage mixture, filling to the top.
6. Cover baking dish with aluminum foil and bake for 30 minutes.
7. Remove foil and sprinkle with cheddar cheese (if using). Return to oven and bake an additional 10-15 minutes or until peppers are tender.

Cooking Time: 40-45 minutes

Keto Sausage and Egg Breakfast Muffins

Keto Sausage and Egg Breakfast Muffins
Start your day with a protein-packed breakfast that’s both delicious and convenient – Keto Sausage and Egg Breakfast Muffins!

Ingredients:

– 6 large eggs
– 1/2 cup almond flour
– 1/4 cup shredded cheddar cheese (low-carb)
– 1/4 cup cooked sausage, crumbled (look for a low-carb brand)
– 1/4 teaspoon salt
– 1/4 teaspoon black pepper
– 1 tablespoon butter, melted

Instructions:

1. Preheat oven to 375°F (190°C). Line a 6-cup muffin tin with paper liners.
2. In a bowl, whisk together eggs and a pinch of salt until well-beaten. Add shredded cheese and stir to combine.
3. Add the crumbled sausage and melted butter to the egg mixture; mix until smooth.
4. Divide the mixture evenly among the muffin cups.
5. Bake for 18-20 minutes or until the edges are golden brown.
6. Remove from oven and let cool in the tin for 5 minutes before transferring to a wire rack to cool completely.

Cooking Time: 18-20 minutes

Cheesy Sausage and Broccoli Casserole

Cheesy Sausage and Broccoli Casserole
A hearty, comforting casserole that combines the flavors of sausage, broccoli, and cheddar cheese. Perfect for a weeknight dinner or a weekend gathering.

Ingredients:
– 1 lb sweet Italian sausage, casings removed
– 3 cups broccoli florets
– 1 medium onion, chopped
– 2 cloves garlic, minced
– 1 cup shredded cheddar cheese
– 1/2 cup grated Parmesan cheese
– 1 can (10.5 oz) condensed cream of mushroom soup
– 1/2 cup milk
– 1 tsp dried thyme
– Salt and pepper to taste
– 6 slices of white bread, cubed

Instructions:

1. Preheat oven to 350°F.
2. Cook sausage in a large skillet over medium-high heat, breaking apart with a spoon, until browned, about 5 minutes.
3. Add broccoli, onion, and garlic; cook until tender, about 5-7 minutes.
4. In a separate bowl, combine cream of mushroom soup, milk, thyme, salt, and pepper.
5. In a greased 9×13-inch baking dish, arrange half the bread cubes.
6. Top with sausage mixture, then sprinkle with cheddar cheese.
7. Repeat layers, ending with cheese on top.
8. Bake for 25-30 minutes or until golden brown.

Cooking Time: 25-30 minutes

Low-Carb Sausage and Mushroom Stir-Fry

Low-Carb Sausage and Mushroom Stir-Fry
This recipe is a flavorful and quick solution for a low-carb meal that’s perfect for a weeknight dinner. With the savory flavor of sausage and earthy mushrooms, you’ll be hooked!

Ingredients:

– 1 pound sweet Italian sausage, casings removed
– 2 cups mixed mushrooms (such as cremini, shiitake, and button), sliced
– 1 tablespoon coconut oil
– 1 small onion, thinly sliced
– 2 cloves garlic, minced
– 1 teaspoon dried oregano
– Salt and pepper to taste
– Fresh parsley, chopped (optional)

Instructions:

1. Heat the coconut oil in a large skillet or wok over medium-high heat.
2. Add the sausage and cook, breaking apart with a spoon, until browned, about 5 minutes.
3. Remove the sausage from the skillet and set aside.
4. Add the mushrooms to the skillet and cook until they release their moisture and start to brown, about 3-4 minutes.
5. Add the onion and garlic to the skillet and cook for an additional 2 minutes.
6. Return the sausage to the skillet and stir in the oregano. Season with salt and pepper to taste.
7. Serve hot, garnished with chopped parsley if desired.

Cooking Time: 15-20 minutes

Keto Sausage and Spinach Stuffed Portobellos

Keto Sausage and Spinach Stuffed Portobellos
Elevate your low-carb game with this savory and flavorful dish, perfect for a quick weeknight dinner or weekend brunch. This recipe combines the earthy goodness of portobello mushrooms with the richness of sausage and spinach.

Ingredients:

– 4 large portobello mushrooms
– 1 lb sweet Italian sausage, casings removed
– 2 cups fresh spinach leaves
– 2 cloves garlic, minced
– 1/4 cup grated Parmesan cheese
– Salt and pepper to taste
– 1 tbsp olive oil

Instructions:

1. Preheat oven to 375°F (190°C).
2. Clean the portobello mushrooms by gently wiping them with a damp cloth.
3. In a large skillet, cook the sausage over medium-high heat until browned, breaking it up into small pieces as it cooks.
4. Add the spinach and garlic to the skillet; cook until wilted.
5. Stuff each mushroom cap with the sausage mixture, dividing it evenly among the four mushrooms.
6. Top each mushroom with Parmesan cheese and drizzle with olive oil.
7. Bake for 20-25 minutes or until the mushrooms are tender and the filling is golden brown.

Cooking Time: 20-25 minutes

Garlic Butter Sausage with Roasted Brussels Sprouts

Garlic Butter Sausage with Roasted Brussels Sprouts
Savor the rich flavors of garlic and butter wrapped around juicy sausage, paired with tender roasted Brussels sprouts.

Ingredients:

– 4 Italian-style sausages (such as sweet or hot Italian sausage)
– 1/2 cup unsalted butter, softened
– 3 cloves garlic, minced
– 1 pound fresh Brussels sprouts, trimmed and halved
– Salt and pepper to taste

Instructions:

1. Preheat oven to 400°F (200°C).
2. In a small saucepan, melt the butter over medium heat. Add the minced garlic and cook for 1-2 minutes or until fragrant.
3. Cook the sausages in a large skillet over medium-high heat, about 5-7 minutes or until browned.
4. Meanwhile, toss the Brussels sprouts with salt and pepper on a baking sheet. Roast for 20-25 minutes or until tender and caramelized.
5. Serve the garlic butter sausage with roasted Brussels sprouts.

Cooking Time: 30-40 minutes

Keto Sausage and Cheese Fat Bombs

Keto Sausage and Cheese Fat Bombs
Satisfy your cravings with these bite-sized treats that combine the savory flavors of sausage and cheese, perfectly balanced for a keto diet. These fat bombs are a great snack or addition to your favorite meals.

Ingredients:

– 1 pound keto-friendly sausage (such as chorizo or breakfast sausage), casings removed
– 8 ounces cream cheese, softened
– 1/4 cup shredded cheddar cheese
– 1 tablespoon butter
– Salt and pepper to taste

Instructions:

1. Preheat the oven to 375°F (190°C).
2. In a medium bowl, mix together the sausage, cream cheese, and shredded cheddar cheese until well combined.
3. Roll out the mixture into small balls, about 1 inch in diameter. You should end up with around 20-25 fat bombs.
4. Place the fat bombs on a baking sheet lined with parchment paper.
5. Dot the top of each fat bomb with butter and sprinkle with salt and pepper to taste.
6. Bake for 12-15 minutes, or until lightly browned.
7. Remove from the oven and let cool completely before serving.

Cooking Time: 12-15 minutes

Enjoy your delicious Keto Sausage and Cheese Fat Bombs!

One-Pan Sausage and Cabbage Hash

One-Pan Sausage and Cabbage Hash
A hearty and flavorful one-pan dish that’s perfect for a weeknight dinner or weekend brunch. This recipe combines juicy sausage, tender cabbage, and crispy potatoes in a single pan for an easy and satisfying meal.

Ingredients:

– 1 lb sweet Italian sausage, casings removed
– 1 medium onion, chopped
– 2 cloves garlic, minced
– 1 head of cabbage, thinly sliced
– 2-3 large potatoes, peeled and thinly sliced
– 1 tablespoon olive oil
– Salt and pepper to taste
– Optional: 1/4 cup shredded cheddar cheese

Instructions:

1. Preheat oven to 400°F (200°C).
2. In a large cast-iron skillet or Dutch oven, heat the olive oil over medium-high heat.
3. Add the sausage and cook until browned, about 5 minutes.
4. Add the onion and garlic; cook until the onion is translucent.
5. Add the cabbage and potatoes; cook for 10 minutes, stirring occasionally.
6. Season with salt and pepper to taste.
7. Transfer the skillet to the oven and bake for an additional 20-25 minutes or until the potatoes are crispy.
8. Remove from the oven and sprinkle with shredded cheese (if using).
9. Serve hot and enjoy!

Cooking Time: 40-45 minutes

Keto Sausage and Avocado Breakfast Bowl

Keto Sausage and Avocado Breakfast Bowl
Start your day with a creamy and savory breakfast bowl that’s not only delicious but also keto-friendly! This recipe combines juicy sausage, ripe avocado, and crunchy veggies for a satisfying morning meal.

Ingredients:

– 1 keto sausage (such as Chorizo or Italian-style), cooked and sliced
– 1 ripe avocado, diced
– 1 cup mixed greens (such as spinach, arugula, and lettuce)
– 1/2 cup cherry tomatoes, halved
– 1 tablespoon olive oil
– Salt and pepper to taste
– Optional: 1-2 tablespoons grated cheddar cheese for added flavor

Instructions:

1. Cook the sausage according to package instructions or grill until browned.
2. In a separate pan, heat the olive oil over medium heat. Add the mixed greens and cook until wilted (about 3-4 minutes).
3. Assemble the breakfast bowl by placing the cooked sausage on top of the wilted greens.
4. Add the diced avocado and cherry tomatoes around the sausage.
5. Season with salt and pepper to taste.
6. If using, sprinkle grated cheddar cheese on top.

Cooking Time: 15-20 minutes

Enjoy your keto breakfast bowl!

Bacon-Wrapped Sausage and Cream Cheese Bites

Bacon-Wrapped Sausage and Cream Cheese Bites
Elevate your snack game with these crispy, cheesy, and savory bites that combine the flavors of bacon-wrapped sausage and cream cheese. Perfect for parties or a quick weeknight treat.

Ingredients:

– 1 package of sausage (such as Andouille or Italian-style)
– 6 slices of bacon
– 8 oz cream cheese, softened
– 1 tablespoon chopped fresh parsley
– Salt and pepper to taste

Instructions:

1. Preheat oven to 400°F (200°C).
2. Cut the sausage into 1-inch pieces.
3. Wrap each piece of sausage with a slice of bacon, securing with a toothpick if needed.
4. Place the wrapped sausages on a baking sheet lined with parchment paper.
5. In a small bowl, mix softened cream cheese with chopped parsley and a pinch of salt and pepper.
6. Spoon about 1 tablespoon of cream cheese mixture onto each sausage bite.
7. Bake for 15-20 minutes or until the bacon is crispy and the cheese is melted.

Cooking Time: 15-20 minutes

Keto Sausage and Cauliflower Mac and Cheese

Keto Sausage and Cauliflower Mac and Cheese
Get ready to satisfy your comfort food cravings with this creamy, cheesy, and keto-friendly twist on a classic mac and cheese. This recipe combines the richness of sausage and cauliflower with a velvety cheese sauce.

Ingredients:

– 1 pound keto sausage (such as pork or chicken), sliced
– 2 medium heads of cauliflower, broken into florets
– 4 tablespoons butter
– 1 cup grated cheddar cheese (sharp or extra sharp work best)
– 1/2 cup heavy cream
– 1/2 teaspoon salt
– 1/4 teaspoon black pepper

Instructions:

1. Preheat oven to 400°F (200°C).
2. Cook cauliflower florets in a microwave-safe dish with 2 tablespoons butter for 3-4 minutes, or until tender.
3. In a large skillet, cook sausage over medium-high heat until browned, about 5 minutes. Remove from heat and set aside.
4. In the same skillet, add remaining 2 tablespoons butter. Whisk in heavy cream and bring to a simmer.
5. Add grated cheddar cheese and stir until melted and smooth. Season with salt and pepper.
6. Combine cooked cauliflower, sausage, and cheese sauce in a baking dish. Top with additional grated cheese if desired.
7. Bake for 15-20 minutes, or until the top is golden brown.

Cooking Time: 25-30 minutes

Spicy Sausage and Eggplant Lasagna

Spicy Sausage and Eggplant Lasagna
A twist on the classic Italian dish, this recipe combines spicy sausage with roasted eggplant for a flavorful and savory lasagna.

Ingredients:

– 1 lb sweet Italian sausage, casings removed
– 2 medium eggplants, sliced into 1/4-inch thick rounds
– 1 onion, chopped
– 3 cloves garlic, minced
– 1 cup marinara sauce
– 1 cup shredded mozzarella cheese
– 1/4 cup grated Parmesan cheese
– 8 lasagna noodles
– Salt and pepper to taste
– Fresh basil leaves, chopped (optional)

Instructions:

1. Preheat oven to 375°F.
2. Cook sausage in a skillet over medium-high heat, breaking up with a spoon, until browned, about 5 minutes.
3. Roast eggplant slices in the oven with olive oil, salt, and pepper until tender, about 30 minutes.
4. Cook lasagna noodles according to package instructions.
5. Assemble lasagna by layering cooked sausage, roasted eggplant, marinara sauce, mozzarella cheese, and Parmesan cheese between layers of lasagna noodles.
6. Top with chopped basil leaves (if using) and bake for 25-30 minutes or until golden brown.

Cooking Time: 45-50 minutes

Keto Sausage and Green Bean Almondine

Keto Sausage and Green Bean Almondine
Elevate your keto diet with this flavorful and nutritious dish that combines sweet sausage, crisp green beans, and toasted almonds. Perfect for a quick weeknight dinner or weekend brunch.

Ingredients:

– 1 lb sweet Italian sausage
– 2 cups fresh green beans, trimmed
– 1/4 cup sliced almonds
– 2 tbsp unsalted butter
– 1 tsp lemon zest
– Salt and pepper to taste

Instructions:

1. Preheat oven to 400°F (200°C).
2. Cook sausage in a skillet over medium-high heat, breaking apart with a spoon, until browned, about 5 minutes.
3. Meanwhile, toss green beans with butter, lemon zest, salt, and pepper on a baking sheet. Roast for 10-12 minutes or until tender.
4. In a separate pan, toast almonds over medium heat, stirring frequently, until fragrant and lightly browned, about 2-3 minutes.
5. Serve sausage and green beans with toasted almonds on top.

Cooking Time: 20-25 minutes

Low-Carb Sausage and Pepperoni Pizza Casserole

Low-Carb Sausage and Pepperoni Pizza Casserole
This casserole combines the flavors of sausage, pepperoni, and mozzarella cheese with a low-carb twist. Perfect for a quick weeknight dinner or weekend brunch.

Ingredients:

– 1 lb sweet Italian sausage, casings removed
– 8 oz pepperoni slices
– 1 cup shredded mozzarella cheese
– 1/2 cup grated Parmesan cheese
– 1 large egg
– 1/4 cup chopped fresh parsley
– 1/2 cup cream cheese, softened
– 1/4 cup almond flour
– Salt and pepper to taste

Instructions:

1. Preheat oven to 375°F (190°C).
2. Cook sausage in a skillet over medium-high heat, breaking up with spoon, until browned.
3. In a separate bowl, combine mozzarella cheese, Parmesan cheese, egg, parsley, cream cheese, and almond flour. Mix well.
4. Add cooked sausage to the cheese mixture and stir until combined.
5. Transfer mixture to a 9×13-inch baking dish and top with pepperoni slices.
6. Bake for 25-30 minutes or until golden brown.

Cooking Time: 25-30 minutes

Keto Sausage and Kale Soup

Keto Sausage and Kale Soup
This hearty soup is a perfect blend of rich sausage flavor and nutritious kale, all within a keto-friendly framework. It’s a quick and easy meal that’s sure to become a family favorite.

Ingredients:

– 1 lb sweet Italian sausage, casings removed
– 2 tablespoons olive oil
– 1 onion, chopped
– 3 cloves garlic, minced
– 2 cups kale leaves, stems removed and discarded
– 4 cups chicken broth
– 1 cup heavy cream
– Salt and pepper to taste

Instructions:

1. Cook the sausage in a large pot over medium-high heat, breaking it up with a spoon as it cooks, until browned and cooked through.
2. Remove the sausage from the pot and set aside. Leave any rendered fat behind.
3. Add the olive oil, onion, and garlic to the pot and cook until the vegetables are softened.
4. Add the kale to the pot and cook until wilted.
5. Pour in the chicken broth and bring to a simmer.
6. Stir in the cooked sausage and heavy cream. Season with salt and pepper to taste.
7. Simmer for 10-15 minutes, or until the soup has thickened slightly.

Cooking Time: 20-25 minutes

Cheesy Sausage and Jalapeño Stuffed Chicken

Cheesy Sausage and Jalapeño Stuffed Chicken
Elevate your chicken game with this spicy and savory recipe! Succulent chicken breasts are stuffed with a flavorful mixture of sausage, jalapeños, and melted cheese, making for a mouthwatering main course.

Ingredients:

– 4 boneless, skinless chicken breasts
– 1 lb sweet Italian sausage, casings removed
– 2 large jalapeños, seeded and chopped
– 1 cup shredded cheddar cheese
– 1/2 cup breadcrumbs
– 2 tbsp olive oil
– Salt and pepper to taste

Instructions:

1. Preheat oven to 375°F (190°C).
2. In a skillet, cook sausage over medium-high heat until browned, breaking it up with a spoon as it cooks.
3. Add chopped jalapeños and cook for an additional minute.
4. Stuff each chicken breast with the sausage-jalapeño mixture, leaving a small border around the edges.
5. Top each breast with shredded cheese and sprinkle with breadcrumbs.
6. Drizzle with olive oil and season with salt and pepper to taste.
7. Bake for 25-30 minutes or until cooked through.

Cooking Time: 25-30 minutes

Keto Sausage and Pumpkin Seed Pesto Pasta

Keto Sausage and Pumpkin Seed Pesto Pasta
Elevate your pasta game with this creamy, flavorful recipe that combines the richness of sausage with the nutty goodness of pumpkin seeds. Perfect for a quick weeknight dinner or a special occasion.

Ingredients:

– 8 oz zucchini noodles (zoodles)
– 1/2 cup keto pesto (homemade or store-bought)
– 4 Italian sausage links, casings removed
– 1/4 cup pumpkin seeds
– 1 tablespoon olive oil
– Salt and pepper to taste
– Grated Parmesan cheese (optional)

Instructions:

1. Cook zoodles according to package instructions.
2. In a large skillet, cook sausage over medium-high heat until browned, about 5-7 minutes.
3. Add pumpkin seeds and cook for an additional minute, stirring frequently.
4. Stir in keto pesto and olive oil.
5. Combine cooked zoodles with sausage mixture; season with salt and pepper to taste.
6. Top with grated Parmesan cheese (if using).
7. Serve immediately and enjoy!

Cooking Time: 15-20 minutes

Garlic Herb Sausage with Roasted Asparagus

Garlic Herb Sausage with Roasted Asparagus
Elevate your weeknight dinner with this flavorful and easy-to-make combination of savory sausage and tender asparagus.

Ingredients:

– 4 garlic herb sausages (such as Italian-style or Chorizo)
– 1 pound fresh asparagus, trimmed
– 2 tablespoons olive oil
– Salt and pepper to taste
– Optional: 1/4 cup grated Parmesan cheese

Instructions:

1. Preheat oven to 425°F (220°C).
2. Line a baking sheet with parchment paper.
3. Place the asparagus in a single layer on the prepared baking sheet.
4. Drizzle with olive oil and season with salt and pepper. Toss to coat.
5. Roast in the preheated oven for 12-15 minutes, or until tender and slightly caramelized.
6. Meanwhile, cook the sausages according to package instructions (usually about 10-12 minutes).
7. Serve the cooked sausages alongside the roasted asparagus. If desired, sprinkle with Parmesan cheese.

Cooking Time: 20-25 minutes

Summary

Get ready to spice up your low-carb diet with these mouth-watering keto ground sausage recipes! From breakfast muffins and casserole dishes to skillet meals and snackable fat bombs, there’s something for everyone. Try pairing sausage with cauliflower rice and garlic butter, or go all out with a cheesy spinach stuffed portobello mushroom. Whether you’re in the mood for spicy sausage bites or a hearty kale soup, these 20 keto recipes are sure to satisfy your cravings while keeping your carb count low.

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