Name: Keto Sausage with Creamy Basil Sauce
Prep time: 5 min
Cook time: 40 min
Total time: 45 min
Ingredients: 2-3 lb Italian sausage (chicken, turkey, or pork); 8 oz cream cheese; 1/4 cup basil pesto; 1/4 cup heavy cream; 8 oz mozzarella

Jump to Recipe

If you are looking for an easy dinner idea, my Baked Keto Sausage with Creamy Basil Sauce should be on the menu. With only five ingredients and a five-minute prep, it is perfect when you are crunched for time. This easy recipe is low carb, keto, gluten-free, grain-free, sugar-free, and Trim Healthy Mama friendly.

Free Guide! Feed a Family on a Low Carb Diet

In this free 5-day email series learn all my tips for incorporating a low-carb lifestyle into the life of your family.

One of my standard easy meals is dumping a pack of sausage into the crockpot and pouring in some pasta sauce. But, two of my children don’t love for dinner. I wanted to come up with a meal that was just as easy that everyone would enjoy. This was the first time we had dinner sausage that my son willingly asked for seconds and then wanted leftovers for lunch the next day.

This Keto Sausage with Creamy Basil Sauce is as easy as baking the sausage, smearing with the sauce, covering it with cheese, and cooking a few minutes more.

This recipe feeds a lot of people. Mostly because it is rich and filling. My husband served himself a generous portion and could only eat half of it. Give this super simple and straightforward sausage dinner a try. Skip the same old dinners you are used to and try something new and different with your sausage. I know for us this dish was surprisingly an instant family favorite!

How to Make Keto Sausage Casserole

With just 5 ingredients anyone can make this! I use my homemade nut-free basil pesto in this dish but store-bought works just as well. Another great choice is using a sundried-tomato pesto.

First Step: Grab a sturdy casserole dish and spray it down with cooking spray to help prevent sticking. Then preheat your oven!

Second Step: As your oven is preheating lay your sausage into the pan, and bake for thirty minutes. You want to start working on getting your sausage cooked. As it is baking, you will want to start making your creamy sauce.

Third Step: Mix your cream cheese, pest, and heavy cream together. Use a whisk to help remove any clumps.

Expert Tip: Make sure you are using room temperature cream cheese. Cream cheese is very stiff, and if you go to trying to make a sauce with hard cream cheese it is impossible to mix. If you forgot, toss it in the microwave and heat for 10-second intervals and then try to stir it in between each session. As it warms up, it will begin to soften.

Fourth Step: Remove sausage from the oven. Spread the pesto sauce over the sausage and top with mozzarella cheese. Bake for around 10 minutes or until the sausage reaches the correct temperature listed below.

Expert Tip: If you want a more golden topping on your keto sausage bake just broil for a minute or two at the end. Just watch it closely so it doesn't burn.

Can I Add Vegetables to Keto Sausage

If you are looking to make your sausage bake a whole meal in one go for it. Feel free to toss in some cauliflower, broccoli, or even asparagus or diced tomatoes. This can make it a complete dinner dish, that is hearty, wholesome, and will give you a boost to get through the rest of the day.

Best Sausage to Use For Keto

This is all about preference here. Whether you enjoy a sweet Italian, spicy Italian, or maybe want a turkey sausage. Reach for what fits your taste buds in terms of sausage. You could even use a chicken sausage if you would like. This creamy sauce pairs with all the types of sausage, and you use the brand you and your family prefer. The one thing you have to do it read labels for added sugar.

If you don't have any sausage links, you can always use ground sausage that has been cooked in a skillet. We prefer links, but I am sure in a pinch ground would taste just as good!

Sides to Pair With Baked Sausage

I get asked about which sides to eat with my entrees a lot. We just rotate between the same four or five most nights. Our standards are raw veggies and dip (the kids’ favorite), non-starchy veggies (broccoli, cauliflower, green beans, Brussel sprouts, zucchini), and salad (normally Caesar salad). Sometimes if I make a side that is less kid-friendly (spinach salad with blue cheese and pecans, for example), I will also put out raw veggies and dip.

This sausage dinner is very rich. It does pair better with a lighter side like the roasted broccoli in my photos.

How to Reheat Baked Sausage

You have many options for reheating baked sausage. Whether you want to warm up a sausage or two in the microwave, or even stove top. If you cook on the stove top make sure to cook low and slow so you don't burn the sauce. If you are reheating in the microwave, ensure you have a cover to prevent splatter marks in the microwave.

Another option is warming up your sausage in the oven. If you go this route, place in a greased baking dish, and cover with aluminum foil. Then warm up at 350 degrees until the dish is warmed through. Keeping your sausage covered will help prevent it from drying out as it bakes.

If your sauce is a little thick, add a splash of milk or half and half to help thin it out as it bakes.

Best Way to Store a Sausage Casserole

What I like to do is create single serve containers for us to eat for lunches or quick dinners for the rest of the week. Or if you want to make this dinner another time later in the week, store in the same baking pan, or transfer into an airtight container. Either way, it refrigerates really nicely!

Like what you see? Follow me on Facebook! Love this recipe? Leave a comment & 5-star rating right here! Make sure you don’t miss new recipes by getting email updates!

📖 Recipe