Keto Macaroni and Cheese with Sausage
Indulge in a creamy, cheesy comfort food classic reimagined for low-carb living with this Keto Macaroni and Cheese with Sausage recipe. Featuring keto-friendly pasta options like shirataki or zucchini noodles, this dish pairs perfectly with savory, browned slices of sugar-free sausage. A rich, velvety cheese sauce crafted from heavy cream, buttery cream cheese, sharp cheddar, and Parmesan delivers a depth of flavor, while garlic and onion powder add irresistible aroma. Ready in just 40 minutes, this keto-friendly twist on a family favorite offers a satisfying, guilt-free option that’s perfect for weeknight dinners or meal prep. Garnish with extra Parmesan for a finishing touch that will delight your taste buds.
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Recipe Information
Ingredients
- 12 ounces Keto-friendly pasta (e.g., shirataki noodles or zucchini noodles)
- 1 tablespoon Olive oil
- 12 ounces Sausage, sliced (sugar-free and keto-approved)
- 2 tablespoons Butter
- 1 cup Heavy cream
- 4 ounces Cream cheese, cubed
- 2 cups Cheddar cheese, shredded
- 0.5 cup Parmesan cheese, grated
- 0.5 teaspoon Garlic powder
- 0.5 teaspoon Onion powder
- 0.5 teaspoon Salt
- 0.25 teaspoon Black pepper
Instructions
Prepare the keto-friendly pasta according to the package instructions. For shirataki noodles, rinse them thoroughly under cold water and boil for 2-3 minutes. Drain well and set aside.
Heat olive oil in a large skillet over medium heat. Add the sliced sausage and cook until browned, about 5-7 minutes, stirring occasionally. Remove from the skillet and set aside.
In the same skillet, melt the butter over medium heat. Add the heavy cream and cream cheese, stirring continuously until the cream cheese has fully melted and the mixture is smooth.
Gradually add the shredded cheddar cheese and grated Parmesan cheese to the skillet, stirring until fully melted and the sauce is creamy. Adjust the heat to low to prevent the cheese from burning.
Stir in the garlic powder, onion powder, salt, and black pepper. Mix until well combined.
Add the cooked keto-friendly pasta and browned sausage into the cheese sauce, stirring until everything is evenly coated with the sauce.
Cook for an additional 2-3 minutes to heat through, adjusting the seasoning as needed.
Serve hot, garnished with additional grated Parmesan cheese if desired.
Nutrition Facts
Calories |
3657 | ||
|---|---|---|---|
% Daily Value* |
|||
| Total Fat | 326.5 g | 419% | |
| Saturated Fat | 176.9 g | 885% | |
| Polyunsaturated Fat | 2.0 g | ||
| Cholesterol | 907 mg | 302% | |
| Sodium | 6635 mg | 288% | |
| Total Carbohydrate | 28.9 g | 11% | |
| Dietary Fiber | 7.3 g | 26% | |
| Total Sugars | 8.1 g | ||
| Protein | 132.3 g | 265% | |
| Vitamin D | 3.0 mcg | 15% | |
| Calcium | 2271 mg | 175% | |
| Iron | 8.1 mg | 45% | |
| Potassium | 1242 mg | 26% | |
*The % Daily Value tells you how much a nutrient in a serving of food contributes to a daily diet. 2,000 calories a day is used for general nutrition advice.
