Keto Sausage Balls

The Southern holiday favorite, made with almond flour in place of baking mix. Savory, cheesy, two-bite sausage balls with crisp edges and tender middles.

  • Net carbs2.7 g
  • Prep15 min
  • Cook22 min
  • Serves12
✓ Gluten-free
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Nutrition per serving

3 sausage balls
Net carbs
2.7g
Calories
260kcal
Protein
11g
Fat
23g
Total carbs
3.6 g
Fiber
0.9 g
79% fat 17% protein

Calculated from USDA FoodData Central values for each ingredient (optional ingredients excluded). Brands vary — check your labels if you track closely.

A low-carb swap for: wheat flour (23 g net per ¼ cup) . This recipe has 2.7 g per serving.

Ingredients

12 servings
Version

Estimated cost $9.28 for 12 servings ($0.77 each) · how we estimate

Instructions

  1. Heat the oven to 375°F (190°C) and line two sheet pans with parchment.

  2. Put everything in a large bowl and mix with your hands until completely combined, with no streaks of cream cheese or loose flour. The mixture will be sticky.

  3. Roll into 1-inch (2.5 cm) balls, about 1 tablespoon each; you should get about 36. Set them 1 inch apart on the pans.

  4. Bake 18–22 minutes, rotating the pans halfway, until browned and sizzling, and the center of a ball reads 160°F (71°C).

  5. Cool on the pans for 5 minutes, then serve warm with mustard, sugar-free BBQ sauce or ranch.

Tips for success

  • Cold mixture is easier to roll. Chill it for 15 minutes if it’s very soft, and dampen your hands between balls.
  • Pre-shredded cheese is coated in starch; shredding your own melts better and keeps the balls tender.
  • Hot breakfast sausage gives them a gentle kick without any extra seasoning.

Nice to have, not needed

  • A 1-tablespoon cookie scoop makes even balls in no time — a tablespoon measure and damp hands work too.

Storage & meal prepMeal-prep friendly

  • Keeps 4 days in the fridge
  • Freezes up to 3 months

Reheat: Reheat at 350°F (175°C) for 8–10 minutes.

Prep tip: Freeze unbaked balls on a tray, then bag them; bake from frozen, adding about 5 minutes, until they reach 160°F (71°C).

Refrigerate up to 4 days and reheat at 350°F (175°C) for 8–10 minutes. Freeze baked or unbaked balls up to 3 months; bake unbaked ones from frozen, adding about 5 minutes.

Variations

3 variations, each with its own ingredients and macros

Nut-free (coconut flour)

Diet

Coconut flour and an extra egg replace the almond flour, so these work for nut-free gatherings. The texture is a touch more cake-like.

  • blanched almond flour → coconut flour
  • + 1 large extra egg

2.6 g net · 223 kcal · 9.9 g protein · 19 g fat · ≈$0.64 per serving (−0.1 g net carbs vs the original)

Italian sausage & mozzarella

Flavor

Italian sausage with mozzarella, Parmesan and Italian herbs. They taste like little pizza meatballs and are great dunked in marinara.

  • bulk pork breakfast sausage → bulk Italian sausage
  • shredded sharp cheddar → shredded low-moisture mozzarella
  • + ½ cup grated Parmesan
  • + 2 tsp Italian seasoning

2.8 g net · 231 kcal · 11 g protein · 19 g fat · ≈$0.90 per serving (+0.1 g net carbs vs the original)

Chorizo & pepper Jack

Flavor

Spicy Mexican chorizo, pepper Jack and fresh jalapeño for a fiery version with a smoky chile flavor.

  • bulk pork breakfast sausage → fresh Mexican chorizo
  • shredded sharp cheddar → shredded pepper Jack
  • + 2 jalapeños

3 g net · 261 kcal · 13 g protein · 22 g fat · ≈$1.04 per serving (+0.3 g net carbs vs the original)

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