We begin by selecting a high-quality, keto-friendly ground sausage, ensuring it’s free from added sugars or fillers that could derail our low-carb goals. This choice sets the foundation for a savory and satisfying dish that’s perfectly suited to the keto lifestyle.

Next, we replace the traditional biscuit baking mix with almond flour or coconut flour, both of which are low in carbs and high in fiber and healthy fats. These alternatives not only provide structure to the sausage balls but also contribute a subtle nuttiness that complements the savory flavors of the sausage and cheese.

Speaking of cheese, we opt for full-fat cheddar cheese, ensuring maximum flavor and richness without the added carbs found in reduced-fat varieties. For those craving a bit of heat, we suggest experimenting with shredded pepper jack or habanero cheese to add a spicy kick to the sausage balls.

Once the ingredients are assembled, we mix them together thoroughly, incorporating any optional seasonings like garlic powder, onion powder, or smoked paprika to enhance the flavor profile. With everything combined, we roll the mixture into bite-sized balls and arrange them on a baking sheet, ready to be baked to golden perfection.

As the sausage balls bake in the oven, their enticing aroma fills the kitchen, promising a deliciously satisfying treat. After 20-25 minutes, we’re rewarded with perfectly cooked sausage balls—golden brown on the outside, juicy and flavorful on the inside.

Whether served as a crowd-pleasing appetizer at holiday gatherings or enjoyed as a convenient grab-and-go snack, these keto sausage balls are sure to impress. Packed with protein, healthy fats, and irresistible flavor, they offer a guilt-free indulgence that’s perfect for anyone following a ketogenic diet. So gather your ingredients, roll up your sleeves, and prepare to delight your taste buds with these savory, keto-friendly treats.


1 pound ground sausage (choose a keto-friendly option without added sugars or fillers)
2 cups almond flour or coconut flour
1 pound shredded cheddar cheese (opt for full-fat cheese for a richer flavor)
Optional: 1 teaspoon garlic powder, 1 teaspoon onion powder, 1/2 teaspoon smoked paprika for added flavor
Optional: Substitute some or all of the cheddar cheese with shredded pepper jack or habanero cheese for a spicy kick

Preheat the Oven: Preheat your oven to 350°F (175°C). Line a baking sheet with parchment paper or grease it lightly with coconut oil.
Prepare the Ingredients: In a large mixing bowl, combine the ground sausage, almond flour or coconut flour, and shredded cheddar cheese. If using, add the optional seasonings for extra flavor.
Mix Well: Using your hands or a sturdy spoon, mix the ingredients together until well combined. The mixture should be uniform and easily form into balls.
Shape the Balls: Roll the mixture into walnut-sized balls and place them on the prepared baking sheet, leaving about 2 inches of space between each ball.
Bake: Place the baking sheet in the preheated oven and bake for 20-25 minutes, or until the sausage balls are cooked through and golden brown on the outside.
Serve: Once done, remove the sausage balls from the oven and let them cool slightly before serving. Enjoy them warm as a delicious appetizer or snack.
Storage: Store any leftover keto sausage balls in a covered container in the refrigerator. They can be reheated in the microwave or oven for a quick and satisfying snack.