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Keto Sausage Balls Holiday Recipe

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This Keto Sausage Balls recipe is a family favorite. If you visit our home during the holidays, you’re in for a treat.

I can’t wait for you to make this recipe. I am sharing it with you because I know how much you’re going to love it

This Christmas will be the second year without my mother-in-law.

If you have your mom and mother-in-law in your life please give them a big hug. Make sure the people in your life know you care for them.

I hate seeing negative family memes on Facebook. What I wouldn’t give to have squabbles with the family members we’ve lost. Don’t take the people in your life for granted!

Beverly was like a mom to me and this time of year is bittersweet. She loved Christmas.

One of the things I loved about spending the holidays with her was her cooking. She would make the most wonderful and delicious food.

She served a few traditional foods each year, and I grew to love those. They were foods that were not a tradition for me growing up.

A Family Recipe:

Keto diet friendly holiday recipes almond flour sausage balls.

Man, I would light up with excitement when I opened her fridge. There sat my gift, pistachio salad I didn’t have to share. Yep, she would make a dish just for me.

Look, when I say dish, I mean Tupperware bowl! 😉 She hooked me up!

I only had pistachio salad when she would make it for me. Every year I would forget about it, but she remembered.

Before she came into my life, I didn’t know what I was missing. Recipes like peanut butter balls, pig pickin’ cake, and sausage balls were new to me. They are a permanent part of my menu now.

I wish I could introduce you to Beverly. She was one of the greatest women I’ve known.

Today this recipe is in memory of her.

2020 Update:
Beverly would be proud. Our family has adopted this recipe as a holiday tradition!

That’s great news for anyone who plans to serve these at a party. If you loved the original Bisquick sausage balls will love this recipe!

📖 Keto Sausage Balls Variations:

Can’t eat Almond Flour? No problem! Try out Keto Coconut Flour Sausage Balls Recipe here!

Try with hot sausage or sage sausage for a different taste!

🥘 Ingredients:

  • 1 lb. Breakfast Sausage ( I love Jimmy Dean)
  • 1 Large Egg
  • 1 Cup Almond Flour
  • 8 Oz Cheddar Cheese
  • 1/4 Cup Grated Parmesan
  • 1 Tbsp Butter (or Coconut Oil)
  • 2 tsp Baking Powder
  • 1/4 tsp Salt

🔪 Instructions

  1. Preheat oven to 350
  2. Add eggs and spices to a large bowl. Then beat until the ingredients are combined
  3. Add all other ingredients to the egg mixture
  4. Using a cookie scoop and your hands roll sausage mixture into 20-25 sausage balls (I made 23)
  5. Place sausage balls on a cookie sheet
  6. Bake for 16-20 minutes
  7. Store in a sandwich bag or covered bowl in the fridge.

    These are best served at room temperature.
Raw ingredients on a pan

💭 Top Tips & FAQ:

  • Easily reheat in the microwave or oven (350 degrees for ten minutes).
  • These savory fat bomb recipes are great for holiday parties, baby showers, and potlucks!
  • Use parchment paper or aluminum foil for easy clean-up!
  • If you want to prep a large number of cooked sausage balls for a party it’s ok to freeze them.

Q: Why are my sausage balls too dry?

A: One reason may be the mixing.

My best tip is to make small batches. Mixing each batch separately is the easiest method. It gets more difficult to mix if you have too many ingredients.

If you used pre-shredded cheese, you may end up with dry balls (come on now, grow up!)

Q: Can you or should you pre-cook the sausage?

A: Do not pre-cook the sausage, it will change the entire recipe and not for the better.

Q: How long can I leave raw sausage balls in the fridge?

A: If you want to prep the recipe ahead of time without cooking, please freeze them! Freezing the balls is the safest option and will give you the best quality recipe!

Q: How do you make sausage balls without cheese?

A: You don’t! Just kidding! Just make the recipe without the cheese. Without cheese the sausage balls will be smaller, but still just as tasty.

Q: What are the best cheeses to use in sausage balls?

A: Sharp cheddar cheese, Parmesan, and mozzarella (for Italian-style), cream cheese

Q: What kind of sausage do you use in sausage balls? Or what’s the best sausage?

A: Mild Pork Sausage, Sage Pork Sausage, Hot Pork Sausage, Italian Pork Sausage

Q: Can you make these without baking powder?

A: Yes, I never saw a need for baking powder in this recipe.

Keto Paleo Gluten Free holiday side dish recipe.

Keto Sausage Balls Nutrition Information:

This is for 1 serving (1 sausage ball)

Calories: 124 | Total Fat: 11g |Protein: 6g | Carb Count: 1

These are high in both saturated fat and calories.

Please be careful with these.

They are easy to overindulge in. That’s one of the reasons I save them for the holidays. I know that I will have lots of people around to help me eat them.

gluten-free snack recipes
Yield: 25 Sausage Balls

Keto Sausage Balls

Keto sausage balls on a platter with holiday table cloth

This recipe is a new take on an old classic. Savory sausage balls are perfect for the holidays. There are so many ways to change these up and make them your own. If you are looking for a savory fat bomb to meet your macros, this recipe is perfect for you. This is a crowd-pleaser that is kid-friendly and keto-approved.

If you want to introduce your child to the world of cooking, but aren't sure where to start, I recommend this recipe. Kids love helping in the kitchen, and mine can make this one on their own now. The bonus is that I don't always have to make them, but always get to eat them! 😉

Prep Time: 10 minutes
Cook Time: 20 minutes
Total Time: 30 minutes


  • 1 lb. Breakfast Sausage (I like Jimmy Dean)
  • 1 Large Egg
  • 1 Cup Almond Flour
  • 8 Oz Cheddar Cheese
  • 1/4 Cup Grated Parmesan
  • 1 Tbsp Butter (or Coconut Oil)
  • 2 tsp Baking Powder
  • 1/4 tsp Salt


  1. Preheat oven to 350
  2. Add all ingredients in a large mixing bowl and mix until well combined.
  3. Using a cookie scoop and your hands roll sausage mixture into 20-25 sausage balls (I made 23)
  4. Place sausage balls on a cookie sheet
  5. Bake for 16-20 minutes
  6. Store in a sandwich bag or covered bowl in the fridge. My mother in law would leave them sitting out at room temp, but I just can't do that.


Refrigerate after serving. I place paper towels in the bottom of a bowl and then add the leftovers and seal it up good. They don't last long around here so I'm not sure how long they keep. We eat them within 2-3 days. You can also use a Ziploc bag to store them.

Don't forget to try new things (add hot sausage or sage) try a different cheese. There are so many awesome ways to eat sausage balls!

Nutrition Information:

Yield: 25 Serving Size: 1 Sausage Ball
Amount Per Serving: Calories: 133Total Fat: 11gSaturated Fat: 4gTrans Fat: 0gUnsaturated Fat: 6gCholesterol: 34mgSodium: 294mgCarbohydrates: 2gNet Carbohydrates: 1gFiber: 1gSugar: 0gProtein: 7g

📋Keto Holiday Recipes To Add Your Menu:

Do you have gluten-free family recipes you only eat for the holidays? Please share it here in the comments, I would love to try it!

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Sunday 12th of April 2020

First, these sausage balls are way better than the "original" way of making them. Thank you for making and sharing this recipe! And second...has nothing to do with the recipe but the beautiful words you said about your sweet MIL. It warms my heart to know that's the kind of relationship you both had. For me, I know that's the kind of MIL I hope to be one day when my babies grow up and start a family of their own; I hope they all feel like my daughters and I would be "mom" (and my hubby like "dad") to them too. :).


Monday 13th of April 2020

Thank you so much Stephanie. That is my hope as well. I never want my children's spouses to feel out of place in our home. I want them to know they are family. I hope you had a wonderful Easter weekend. Stay safe :)


Monday 24th of February 2020

I made these today and they taste awesome! But, my keto balls came out flat and look like Italian Sausage Keto Cookies! What did I do wrong?


Wednesday 4th of March 2020

Lol, love the description! I'm not sure, to be honest. I don't smash mine at all and just scoop them with a melon scooper or cookie scoop and they are always round.


Saturday 8th of February 2020

If you make them traditional size you’ll get closer to 50-60.

Lori foster

Thursday 23rd of January 2020

Thank you for such a great recipe. I changed it up a bit : half the cheddar and doubled the parmesan. I also used a small cookie scoop and cooked them in an air fryer 6 min. per basket at 370--- the perfect 2 bite appetizer for my upcoming party. 50 balls

Sherry Hanamean

Tuesday 12th of November 2019

Made these this morning and they’re almost gone. Did cut flour in half. These are now on my “to keep” list.

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