Sausage Cabbage Alfredo is a rich, comforting dish that fits perfectly into a low-carb lifestyle. This hearty meal combines smoky sausage, tender cabbage, and a creamy Alfredo sauce for a dish that’s satisfying and keto-friendly.
Whether you’re looking for an easy weeknight dinner or a meal prep option, this recipe delivers bold flavors while keeping carbs low.
Why This Dish Works for a Keto Lifestyle
Finding keto recipes that are both filling and full of flavor can be a challenge, but this one checks all the boxes. It’s loaded with healthy fats from heavy cream, butter, and cheese, which help keep you full and support ketosis.
The cabbage is a nutritious, low-carb substitute for pasta that absorbs all the rich, creamy flavors of the sauce.
Sausage adds a smoky depth and a satisfying protein boost, making this dish perfect for those who want a balanced and flavorful meal without excess carbs. With only 5.2 net carbs per serving, it’s an ideal option for anyone following a keto lifestyle.
The Secret to an Amazing Alfredo Sauce
The Alfredo sauce in this dish is what ties everything together. Unlike traditional sauces thickened with flour, this version stays keto-friendly by using heavy cream, butter, and cream cheese.
These ingredients create a velvety texture and a rich, indulgent taste.
Adding garlic and Parmesan enhances the flavor even more, making every bite irresistible. The key to achieving the perfect consistency is simmering the sauce just long enough to thicken without separating.
The result is a smooth, cheesy coating that clings to every piece of sausage and cabbage.
Best Sausage Choices for This Recipe
Smoked sausage is a great choice because it brings a deep, savory flavor to the dish. However, not all sausages are created equal, especially when it comes to keto recipes.
Many store-bought options contain hidden sugars or fillers that can increase carb counts.
For the best results, look for sausage with minimal ingredients—ideally just meat, salt, and spices. Andouille, kielbasa, or chorizo can also work well if you want to experiment with different flavors.
If you prefer to make it even healthier, opt for a high-quality, nitrate-free sausage. This ensures you’re avoiding unnecessary additives while still getting the delicious smoky taste that makes this dish so satisfying.
Substitutions & Modifications
One of the best things about this dish is its versatility. Whether you have dietary restrictions or just want to switch things up, here are a few ways to modify the recipe:
- Dairy-Free Option: Replace the butter with ghee and use full-fat coconut milk instead of heavy cream and cream cheese. Nutritional yeast can add a cheesy flavor without dairy.
- Extra Protein Boost: Add cooked chicken or shrimp along with the sausage for an even more protein-packed meal.
- Spicy Twist: If you love heat, try adding crushed red pepper flakes or using a spicier sausage like chorizo.
- Low-Sodium Version: Use unsalted butter and a low-sodium sausage to control the salt content while still enjoying all the flavors.
Meal Prep & Storage Tips
This dish makes an excellent meal prep option because it reheats well without losing its creamy texture. Here’s how to store it properly:
- Refrigerator: Store leftovers in an airtight container for up to 4 days. Reheat in a skillet over low heat to maintain the creamy consistency.
- Freezer: While the sauce may separate slightly when frozen, you can store this dish in freezer-safe containers for up to 2 months. Thaw overnight in the fridge and reheat gently on the stove while stirring to bring the sauce back together.
Serving Suggestions
Sausage Cabbage Alfredo is a complete meal on its own, but you can pair it with simple keto-friendly sides for even more variety. Some great options include:
- A fresh green salad with olive oil and vinegar dressing
- Roasted Brussels sprouts or asparagus for added fiber
- A side of cauliflower mash for a comforting, mashed potato-like texture
This recipe proves that following a keto lifestyle doesn’t mean sacrificing flavor or satisfaction. With its creamy Alfredo sauce, smoky sausage, and perfectly cooked cabbage, it’s a dish that delivers both comfort and nutrition.
Keto Sausage Cabbage Alfredo Recipe
Ingredients
- 1 medium head of cabbage chopped
- 1.5 lbs smoked sausage sliced
- 1.5 cups heavy cream
- 6 oz cream cheese softened
- 3/4 cup butter
- 1/2 cup grated Parmesan cheese
- 1 tbsp minced garlic
- 1 tsp onion powder
- Salt & pepper to taste
Instructions
- Prepare the base: In a baking dish, combine the cabbage, heavy cream, cream cheese, butter, garlic, onion powder, salt, and pepper. Stir well to evenly distribute the ingredients.
- Initial baking: Cover the dish and bake at 400°F for 30 minutes, allowing the cabbage to soften and the flavors to meld.
- Cook the sausage: While the cabbage bakes, brown the sliced smoked sausage in a skillet over medium heat, then set aside.
- Final bake: Remove the dish from the oven, stir in the browned sausage, and sprinkle Parmesan cheese over the top. Return to the oven for another 5-10 minutes, uncovered, until the cheese melts and forms a light crust.
- Cool and serve: Take the dish out, let it cool slightly, and enjoy this creamy, cheesy keto casserole!
Notes
- This recipe works best when baked in a cast iron skillet for even heat distribution.
- For added texture, sprinkle crushed pork rinds on top before the final bake.
- Try swapping smoked sausage for grilled chicken or bacon for variation.
- Store leftovers in an airtight container in the fridge for up to 3 days.
Nutrition
Davin is a jack-of-all-trades but has professional training and experience in various home and garden subjects. He leans on other experts when needed and edits and fact-checks all articles.