These Keto Sausage Balls are just like the traditional sausage balls grandma used to make. A great appetizer, perfect and quick snack, breakfast, or game day treat this is Southern finger food at its finest.

Sausage and Cheese…Yes, please! These Keto Sausage Balls are one of our all-time favorites. They remind us of childhood as they were present at any cookout, holiday, or church potluck.
Sausage balls, in our opinion, are the perfect finger food. What could be better than a mashup of meat and cheese that tastes a bit like bread? The answer is obviously nothing 😉 This easy recipe is just the perfect snack!
This great recipe is as simple as the classic Bisquick sausage balls, just with less sketchy ingredients and a lot fewer carbs. In addition to being keto-friendly, these are gluten-free as well. Baking them in our trusted cast-iron skillet for an ultimate crunchy exterior is the icing on the cake.
We think we just need to start making a batch of these on the weekend to have them on hand all week. They'd make an easy grab-and-go breakfast, what do you think? We love a good meal prep for keto recipes, it makes staying on track that much simpler.
We really love these warm but they're equally delicious served cold or at room temperature. You really can't go wrong with this Keto Sausage Ball Recipe!
Do you have about 25 minutes to spare and these ingredients? Read on to learn how to make a batch of your own today!
Jump to:
- Preparation and cooking overview
- Chef's note
- 🥘 Ingredients for this keto sausage balls recipe
- Ingredient substitutions
- Additional ingredients
- Cooking tools required
- Tools substitute options
- How to make Keto Sausage Balls: step-by-step guide
- Cooking methods
- Preparation steps
- Cooking instructions
- How to make the best sausage from scratch?
- What to serve with low carb sausage balls?
- How to make it healthier
- Time-saving tips
- What can I prepare ahead of time?
- Storage and reheating instructions
- Storage tips
- Reheating best practices
- Recipe wrap-up and conclusion
- Frequently asked questions
- 📖 Recipe
Preparation and cooking overview
In just 25-30 minutes, these easy keto sausage balls will be ready to rock your taste buds. Mix hot breakfast sausage, almond flour, baking powder, and sharp cheddar in a bowl. Form the mix into 28 savory balls, then bake them to golden perfection at 350°F. The result? A tantalizing treat that'll make your heart sing and your cravings dance!
Chef's note
Get ready to unleash your culinary creativity while making these keto sausage balls! Don't be afraid to experiment with different types of hot breakfast sausage, like spicy or maple-flavored, to add a delightful twist to the recipe. For a burst of flavor, add some diced jalapeños or green onions. And here's a pro tip: if you want to achieve an extra cheesy indulgence, sprinkle some additional shredded sharp cheddar on top before baking – it'll turn into a gooey, cheesy paradise!
🥘 Ingredients for this keto sausage balls recipe
Ingredient substitutions
Additional ingredients
Cooking tools required
To make this keto sausage balls recipe, you will need the following tools:
Tools substitute options
How to make Keto Sausage Balls: step-by-step guide
Cooking methods
Preparation steps
- Gather and measure all the ingredients.
- Shred the cheese.
Cooking instructions
- Preheat the oven to 350°F (180°C).
- In a large bowl, mix all of the ingredients until combined. Divide the mixture into 28 balls, place in a 10.5" cast iron skillet (or baking sheet if you don't have a skillet), and bake for 25-30 minutes until the sausage balls are golden and cooked through.
How to make the best sausage from scratch?
You'll need the following ingredients to make spicy sausage:
Simply mix all of the ingredients together in a large bowl or use a food processor for a quick blitz. Making your own sausage is also a great way to control the heat. Especially if you have kiddos at home who don't tolerate spicy foods.
Chef's pro tip
One common hiccup when making this recipe is ending up with dry sausage balls. Avoid overcooking these sausage balls. Keep an eye out around the 25-minute mark and aim for a golden, slightly firm texture. This way, you'll relish every bite of these delectable treats without a dry moment in sight!

What to serve with low carb sausage balls?
Here are some keto-friendly food pairings that go perfectly with these mouthwatering sausage balls:
How to make it healthier
Time-saving tips
Here are the best time-saving tips to make these delectable sausage balls quickly:
What can I prepare ahead of time?
Here are a couple of tips on what you can do in advance:
Storage and reheating instructions
Storage tips
Refrigerator: Cool the cooked sausage balls before storing them to prevent condensation. Store in an airtight container or a zip-top bag, and keep it in the fridge for 3-4 days.
Freezer: You can freeze the keto sausage balls in two ways:
Reheating best practices
Recipe wrap-up and conclusion
Share the joy of these Keto Sausage Balls with your friends and family – whether it's a laid-back brunch, a cozy game night, or a delightful appetizer for a gathering, these sausage balls will steal the show.
Let's make memories, one bite at a time. Cook them, devour them, and spread the love – because great food is even better when shared! Don't forget to tag us – we'd love to see your kitchen masterpiece and share it with our food-loving community!
Check out The Best Keto Appetizers For Any Occasion for more low carb appetizers and low carb recipes.
Frequently asked questions
📖 Recipe

Keto Sausage Balls
Ingredients
- 1 lb hot breakfast sausage we opt for pastured pork
- 1 ½ cups almond flour
- 1 teaspoon baking powder
- 2 cups shredded sharp cheddar
Instructions
- Preheat the oven to 350°F (180°C).
- In a large bowl mix together all of the ingredients until combined. Divide the mixture into 28 balls and place in a 10.5" cast iron skillet (or baking sheet if you don't have a skillet) and bake for 25-30 minutes until the sausage balls are golden and cooked through.
Cass says
What do you mean by Hot Breakfast Sausage?
Alex Lester says
Hi Cass, hot breakfast sausage is a style of sausage that typically has sage and red pepper flakes added to it. It can be found at most grocery stores or you can use any breakfast sausage you like.
Lona webb says
Can you substitute an eight of of Almond flower with coconut flower?
Cast Iron Keto says
We're not quite sure what you're asking but typically, no we don't recommend substituting flours as the recipes haven't been tested any other way than written.
Heidi says
Is that only 1.3 carbs per serving for 2 pieces? I love these!! I've made them before & will do it again soon. Great for breakfast & I might have even had them as a snack! LOL
Alex Lester says
Yes! 1.3 net carbs per serving which is 2 sausage balls.
Cindy says
Are these served hot or cold?
Alex Lester says
Either!
CTYonit says
These are going to rock our next church potluck! A handful of us at church do keto and this is just what we need to add to our (secret section) of the spread.
BTW if you ever have trouble finding pastured sausage, I use this gal's recipe (tweaked a bit for the ultimate keto sausage)
https://happymoneysaver.com/homemade-sausage-patties-recipe/
ALso just wanted to say--I love the name of your blog.
Keep On Keto-ing On!
Alex Lester says
Thanks for the link, glad to hear you are enjoying our recipes!
Sherry says
I made a batch of these (modified) for New Year's Eve - big hit! Nobody could hold at 2 sausage balls, but we survived the night if not the morning weigh-in!
Alex Lester says
Awesome to hear that!
Andrea says
Holy shit are these delicious!! I was looking for a keto sausage recipe that didn't contain eggs as I was out, and man-o-man did I hit the jackpot with this one! My entire family loved it and I like your idea of serving them for breakfast. Thank you!!
Alex Lester says
Thrilled you guys loved them!
Dirk A. says
Excellent. As a southerner, we're issued sausage ball recipes with our birth certificates. This really scratches the itch when I can't bring myself to eat eggs again. I do add a half teaspoon of garlic powder because I always have and I drop a little maple wood smoked onion hot sauce on them because my sausage wasn't very spicy. Great recipe. We'll be doing it for Super Bowl.
Alex Lester says
That hot sauce sounds awesome!
Susiewithkids says
Made these for Super Bowl. Only change was not spicy sausage since I can’t do nightshdes. Yummy! ? Will definitely make again. Thanks!
Nancy says
Can I substitute the shredded cheddar with a shredded cheese mix, or would it mess with it holding together? My husband recently brought home a HUGE bag of the shredded mix for my Keto diet (so sweet of him trying to be helpful!) but I am going to have to use it quickly or divide it up and freeze it.
Alex Lester says
Sure!
Lamr says
Sweet! I just got my hands on Penzeys Breakfast sausage seasoning. I am going to make two batches (ground pork & ground chicken) and freeze the leftovers.
Betty says
Yummy. Made these a few months ago, and made again today. They're going in the freezer for a pre-Thanksgiving snack. Love your recipes!
Keto On says
This recipe is better (yes, BETTER) tasting that the original Bisquick version!! I ate way more than two but who counts calories any more anyway?? Who would have thought that almond flour's infinite capacity to absorb liquids & fats would knock this one out of the park?
Ian Hicks says
I've made these more times than I can count at this point and I love them more with each bake! Can't beat how easy they are to whip up, either—always great to have on hand.
Dustin says
Actually I did pre-ground pork for a great lunch, it tasted great and was quite weird for the taste buds.
Nancy says
I love these sausage balls! I make them all the time.
nancy says
Yummy sausage balls.
Becky Vigus says
Could these be made in a cast iron pan on the stove? I only have a toaster oven and my pan doesn't fit. If not, I will use a cake pan. Thanks
Cast Iron Keto says
I would go the cake pan route and bake them in the toaster oven, hope this helps.
Kris. O says
used a mixture of vermont white and mild cheddar. Being a southerner ...these are a holiday staple. Having a member who is on a low carb diet, this was worth trying. Very very very close to my long time go to recipe. We will be making these again. I used hot breakfast sausage! yum