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Recipe updated 12/16/15.
Sausage gravy over biscuits is one of my family’s favorite meals. Unfortunately, the traditional version is a colossal combination of carbs and fats, plus a bunch of junky ingredients. The very thought makes my stomach churn…
I posted a sausage gravy recipe a while back that I liked, but unfortunately some other people who tried it didn’t like it nearly as much as I did. So this sausage gravy recipe has been on the “remake” list for awhile now, and since I’m working on cookbook recipes these days, I thought I’d pull this one out again and do it over. This time I feel that I was much more successful. My 6 year old brother even liked it, and that’s saying a lot. He cleaned his plate and proclaimed, “This girl can experiment!”
Sausage gravy is meant to be served over biscuits. I made some low-carb biscuits, hoping to post them with the gravy recipe; but the results were not blog-worthy. Yet. I’m going to keep working on them. There are lots of low-carb bread options out there, though, so you should be able to find something relatively easily. I know there are some options in the book Trim Healthy Mama as well as the new THM cookbook, and of course if you Google “low carb biscuits” you’ll probably find more recipes than you know what to do with. I’ve heard lots of good reviews about this recipe, so you might want to give it a try.
Update: try this gravy over these Parmesan Herb Biscuit Muffins! I’ll have a cheddar drop biscuit recipe in my cookbook as well.
Hey, I bet this gravy would be great over my Sour Cream Cornbread!
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You can find this recipe in my cookbook, Necessary Food.

- 2 lb. sausage of choice (I like pork)
- 2 cups unsweetened almond milk (or carton coconut milk for a nut free option)
- ½ cup heavy whipping cream
- 6 T oat fiber (use gluten free if necessary)
- ¼ cup grated parmesan cheese (the kind from the green shake container)
- ½ tsp. black pepper
- ½ tsp. onion powder
- ⅛ tsp. xanthan gum, slightly rounded
- Fry the sausage in a nonstick skillet. Drain the grease off if there's a lot there. You can leave a little for flavor. Return the sausage to the skillet.
- Add all the other ingredients except for the xanthan gum and stir until smooth. Sprinkle the xanthan gum into the gravy a little at a time while stirring to prevent clumping. Let the gravy simmer for ten minutes at least, then serve over low carb biscuits. Yields 8-10 servings.
- Feel free to thin the gravy down with more almond milk/cream if desired (you may wish to add more oat fiber and xanthan gum as well).
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Love the sausage gravy. My whole family enjoys this.
Ok, yum!
My only concern is, how do you stop yourself from eating this all up. I halved the recipe and then consumed half of the half recipe as it was super delicious. Another winning recipe. Thank you so much
I was wondering if I can sub regular cow milk for the almond milk?
That would probably work (unless you’re following Trim Healthy Mama or a low-carb diet, in which case cow’s milk is off-plan). 🙂
Do you think rice milk would work in this? We cannot have nuts or coconut. Thanks!
I’ve never used rice milk so I’m afraid I don’t know the answer to that question! If that’s what you usually use in place of milk, I’m pretty sure it would work.
Why oh why have I not tried this before? It is sooooo good! Thank you for this wonderful recipe!
I will have to try this sometime just for myself. My family is very particular about their sausage gravy. If I deviate the slightest bit they will ask me what I did different. I would love to be able to make a healthy version. We are actually having biscuits and gravy for dinner tomorrow, but it will have to be the family traditional version for now. Thanks for working on this and sharing with us.
What brand of pork sausage is on plan? Every one I see has added sugar. I have the same problem with ham for sandwiches.
I’m actually not sure what brand my mom buys (I actually don’t do much of the shopping). I’m sorry I can’t be of more help!
I normally buy unseasoned ground pork, and season it up myself. I’ve never found sausage without sugar in it.
I don’t know what your other version tasted like, but this was SO good!! Next time, I will serve it to the whole family (I really don’t think they would be able to tell the difference from the real thing!). Thank you for a wonderful recipe!
I’m so glad you liked it! We loved it too.
Could Gluccie be used instead of xantham? Thank you and looking forward to making this gravy.
That should be fine. 🙂
Yeah! Last week we had brinner and my husband made off-plan gravy…but this will be our next adventure! I made the first on-plan biscuits that we both liked. They were delicious slathered with butter, Polaner’s blackberry spread, and enjoyed with scrambled eggs! The recipe is from http://www.healthyindulgences.net. It may be a starting place for your biscuit making! Thanks for all your recipes – May the Lord richly bless you as you study and grow in His Word.
Thanks for the tip!
Well, Brianna you have definitely hit my weak spot here. I’ve been working on this sausage gravy thing on and off since I’ve been on this diet. Here’s a pretty good imitation of a biscuit (low carb, microwave variety) that I found and have used, http://turtlehull.blogspot.com/2014/12/biscuit-sandwiches.html. I have been working on a breakfast post where gravy is involved and it just consists of chicken broth heated with (salt if using the purchased broth) and xanthan plus cream. It is very good when mixed with the sausage, but I really like the looks of this one better and I love the addition of the cottage cheese! I might have to borrow it, with credit to you of course, for this upcoming breakfast post. You are a wonderful resource for THM recipes, thanks!
Hi Teresia, you’re welcome to use a picture and link to my recipe in your post, but please refrain from actually posting the recipe itself. Thanks. 🙂
Will do! Thanks Brianna.
Briana ~ I am so proud of you and thank you for “simplifying” a lot for me! I’ve heard a lot of good about you and what you’ve helped people with about THM at your age! Sorry, you’ve probably heard that a lot, but, it is good because I think I make things to hard sometimes and try to overthink things instead of just thinking I’m making a lifestyle change! Thank you! By the way, how did your Mom do on Trim Healthy Mama?
Thanks, Tamara. 🙂 My mom lost a good bit of weight on Trim Healthy Mama but still has some she’d like to lose.
Our family loves sausage gravy too! I just use one pound of loose sausage to 8 oz of cream cheese. Its super easy and if it needs loosened up, I add almond milk.