Keto Sausage Casserole Recipe (2024)

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For an absolutely delicious comfort dish the whole family can enjoy, this easy keto sausage casserole is hard to beat! It combines ground meat with mock potato slices in a buttery cream sauce.

Keto Sausage Casserole Recipe (1)
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You are going to love this easy keto breakfast recipe! It combines ground pork sausage with daikon radish slices and plenty of shredded cheese.

The radish tastes so much like potatoes that I thought about calling it a sausage potato casserole, but that's a little misleading. Although the radish does taste like potato, technically it's not.

No matter what you call it, this low carb breakfast casserole is sure to please even the pickiest eaters. In fact, I served it to my family and they didn't even suspect it was a dish low in net carbs.


Let's take a look at what you need to make this keto breakfast casserole with sausage.

Keto Sausage Casserole Recipe (2)

Here's the ingredients you'll need for the recipe:

  • Bulk ground sausage - It's best to use a ground pork breakfast sausage. But you can change up the flavor for lunch and dinner by using Italian sausage.
  • Minced onions - Either dried or fresh can be used. I tend to use dry minced onion as it's always in my pantry.
  • Butter gives a nice buttery flavor to the sausage breakfast casserole.
  • Xanthan gum is a low-carb thickener used to thicken up the cream sauce.
  • Heavy cream adds flavor and creaminess to the sauce.
  • Keto milk is any milk that is low in carbs. I like to use coconut milk in the carton but unsweetened almond milk is another great option.
  • Daikon radish is one of the best keto potato substitutes. But if you can't find it you can use another mock potato like cauliflower, turnip, or rutabaga.
  • Cheddar cheese is my favorite shredded cheese to use. However, feel free to use your favorite type. Monterey jack cheese is a good alternative.
  • Seasoning - I just use a little salt & ground black pepper to taste but a little garlic powder is a nice add.

If you want more of a traditional keto breakfast casserole, the xanthan gum can be replaced with a couple eggs or more.


Just follow these step-by-step directions to make the gluten free breakfast casserole.

Cook sausage

Preheat oven then cook sausage while the oven is warming up. ground sausage is cooked with onion in a large skillet.

Keto Sausage Casserole Recipe (3)

Prepare sauce

To save time, the sauce can be prepared while the meats cooks. The creamy sauce is a made by blending melted butter with cream, low carb milk, and xanthan gum.

Keto Sausage Casserole Recipe (4)

Assemble casserole

Once the sauce is prepared, about ⅓ of it is spread at the bottom of a small casserole dish. Then half of the peeled and thinly sliced daikon is then arranged on top.

Keto Sausage Casserole Recipe (5)

Half of the browned sausage mixture is then sprinkled over the top of the daikon slices.

Keto Sausage Casserole Recipe (6)

Then, half the shredded cheddar cheese is sprinkled on top.

Keto Sausage Casserole Recipe (7)

Next, another third of the cream sauce is spread over the cheese layer. The layers are repeated ending with the remaining third of sauce drizzled over the top.


After assembling all the layers of the sausage breakfast casserole, the baking dish is covered with foil. It's than baked for 30 minutes at 350°F.

The foil cover is removed after the initial 30 minute baking time. Then the casserole is returned to the oven to bake for an additional 25-30 minutes. At this time, the top should be browned and the radish should be tender.

Keto Sausage Casserole Recipe (8)

Quick tips

  • Cut radish into slices with the same thickness. It's best to use a mandoline slicer to get the radish sliced evenly.
  • Use eggs. For more of a breakfast casserole, replace the xanthan gum with 2-4 eggs.
  • Change the sausage. Pork breakfast sausage is preferred when serving this as a keto breakfast. But other types of sausage can be used, especially if serving for lunch or dinner.
  • Add cream cheese. For a little bit of tang, stir in some softened cream cheese into the cream sauce. It's also a great thickener so you can omit the xanthan gum.

️ Serving suggestions

This sausage cheese casserole is perfect for a keto breakfast! But it's hearty enough to be served as the main dish for lunch or dinner.

If serving the keto casserole as the main dish, add in a side dish of steamed vegetables or a side salad. It can also be served as an alternative potato dish for a big holiday dinner.

Keto Sausage Casserole Recipe (9)

If you like this keto sausage breakfast casserole recipe, you may want to try a few more casserole and mock potato dishes.

  • Squash casseroleadds in zucchini and summer squash.
  • Paleo breakfast casserole is great for those avoiding dairy.
  • Corned beef and cabbage casserole is a great way to use up St. Patrick's Day leftovers.
  • Creamed cabbage casserole is another dish with a delicious cream sauce.
  • Keto clam chowder is another recipe using radish as a mock potato.
  • Roasted radishes are a perfect low-carb alternative to roasted potato!

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Keto Sausage Casserole Recipe (10)

Keto Sausage Casserole

4.67 from 15 votes

An easy casserolerecipe with ground sausage and mock potato slices in a buttery cream sauce. It's a delicious casserole that's low-carb, keto, and gluten-free.

Prep Time:10 minutes mins

Cook Time:1 hour hr

Total Time:1 hour hr 10 minutes mins

Course: Main Course

Cuisine: American

Print Pin Review Recipe Save Recipe

Servings: 9 people

Calories: 248



  • 1 pound bulk sausage
  • 2 teaspoons dried minced onion or fresh equivalent
  • 2 tablespoons butter melted
  • 1 teaspoon xanthan gum see note
  • ¾ cup heavy cream
  • ¾ cup coconut milk unsweetened in carton or almond milk
  • salt & pepper to taste
  • 1 large daikon thinly sliced
  • 1 cup cheddar cheese shredded

US Customary - Metric


  • Preheat oven to 350 degrees. Spray or butter a medium baking dish.

  • Brown sausage in a large skillet with minced onion.

  • Whisk together butter, xanthan gum, cream, and milk until blended. Season with salt and pepper to taste.

  • Spread a third of the cream sauce at the bottom of the baking dish. Top with half of the sliced daikon. Sprinkle half the sausage over the daikon and top it with half the cheese. Add another third of the sauce then repeat the layers. Top at last with the last of your cream sauce.

  • Cover baking dish with foil and bake for 30 minutes. Remove the foil and bake for an additional 25-30 minutes until daikon is tender.


It's best to use a mandoline slicerto get the radish sliced evenly.

For more of a breakfast casserole, replace the xanthan gum with 2-4 eggs.

Pork breakfast sausage is preferred when serving this as a keto breakfast. But other types of sausage can be used, especially if serving for lunch or dinner.

For a little bit of tang, stir in some softened cream cheese into the cream sauce. It's also a great thickener so you can omit the xanthan gum.

Low Carb Sweeteners | Keto Sweetener Conversion Chart


Serving: 1slice | Calories: 248 | Carbohydrates: 1g | Protein: 13g | Fat: 18g | Saturated Fat: 10g | Cholesterol: 90mg | Sodium: 173mg | Potassium: 56mg | Vitamin A: 600IU | Calcium: 140mg | Iron: 0.2mg

Additional Info

Net Carbs: 1g | % Carbs: 1.8% | % Protein: 23.9% | % Fat: 74.3% | SmartPoints: 9

Notes on Nutritional Information

Nutritional information for the recipe is provided as a courtesy and is approximate only. We cannot guarantee the accuracy of the nutritional information given for any recipe on this site. Erythritol carbs are not included in carb counts as it has been shown not to impact blood sugar. Net carbs are the total carbs minus fiber.


© - Unauthorized use of this material without written permission is strictly prohibited unless for personal offline purposes. Single photos may be used, provided that full credit is given to along with a link back to the original content.

Post updated in on May 24, 2022. Originally published November 2010.

Keto Sausage Casserole Recipe (2024)
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