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Low Carb Sausage Gravy

Keto Country Gravy – Low Carb Sawmill Gravy Recipe

Low Carb Sawmill Sausage Gravy Recipe

Nothing says comfort food like creamy, velvety sausage gravy. It’s at home sitting on top of most anything – biscuits, toast, meat, eggs, even avocados. My Low Carb Country “Sawmill” Sausage Gravy recipe is sure to please the whole family.

I use a small amount of xanthan gum to thicken the gravy but if you’re averse, it can be omitted by doubling the amount of cream cheese.

Keto Sausage Gravy Recipe

Low Carb Sausage Gravy

5 from 1 vote
Recipe by Wes Shoemaker – Highfalutin’ Low Carb Course: Breakfast, SidesCuisine: AmericanDifficulty: Easy


Prep time


Cooking time




Total Carbs




Net Carbs



This low carb sausage gravy is great with keto biscuits for breakfast. It also makes delicious country “sawmill” gravy for meat and eggs.


  • 1 lb ground pork breakfast sausage

  • 2 oz cream cheese

  • 3/4 cup heavy cream

  • 3/4 cup water

  • 1 tbsp bacon fat

  • 1 tsp xanthan gum* (optional, see note)

  • 1 tsp garlic powder

  • 1 tsp onion powder

  • salt

  • pepper


  • In a large skillet, brown the sausage in the bacon fat. Add the garlic powder, onion powder, salt and pepper and mix well.
  • Add the water and heavy cream, stirring over medium heat.
  • When it reaches a simmer, add the cream cheese and xanthan gum. Mix well to prevent lumps.
  • Allow to simmer for a few minutes to thicken.

Recipe Video


  • Xanthan gum is optional. If you omit it, double the amount of cream cheese.

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Nutrition Facts

6 servings per recipe

  • Amount Per ServingCalories294
  • % Daily Value *
  • Total Fat 33.9g 53%
    • Total Carbohydrate 3.5g 2%
      • Dietary Fiber 0.5g 2%
    • Protein 14.6g 30%

      * The % Daily Value tells you how much a nutrient in a serving of food contributes to a daily diet. 2,000 calories a day is used for general nutrition advice.

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