Looking for a keto-friendly twist on the classic Southern favorite of Bisquick Sausage Balls? Say hello to a recipe that delivers the same delicious flavors without compromising your keto lifestyle. How, you ask? Swap out the Bisquick for almond flour for a keto-friendly version, and enjoy every bite guilt-free. Just make sure to buy filler-free sausage to keep it keto-approved. These low-carb sausage balls will surely be a hit at any gathering, especially when paired with some delicious dipping sauces!

Ingredients Needed for Keto Sausage Balls (Makes 24)
2 cups self-rising almond flour (or add 2 tsp baking powder to the 2 cups almond flour)
2 1/4 cups cheddar cheese (shredded)
2 tsp Italian seasoning
1 tsp garlic powder
1 lb ground sausage meat
5 – 6 oz cream cheese (at room temperature)
Step-by-Step Recipe Instructions
Step 1: Preheat oven to 400°F. Line a baking sheet with parchment paper.
Step 2: Combine self-rising almond flour, shredded cheddar, and seasonings in a large bowl.

Step 3: Add in the cream cheese and sausage until combined—use your hands and avoid over-mixing.

Step 4: Shape 1-inch balls with a spoon and arrange on the baking sheet.

Step 5: Bake for 8 minutes, rotate the balls to prevent sticking, then bake for an additional 8 minutes until nearly cooked. Finish by broiling for two more minutes until browned.

Tips for Perfect Keto Sausage Balls
- While the baking powder is not 100% necessary, it does help to make the sausage balls nice and fluffy, so don’t skip it!
- Make sure the cream cheese is room temperature, or it’s a real pain to mix in evenly.
- Overmixing can cause the sausage meat to get a bit rubbery, so try not to work the mixture too hard.
Nutritional Information (Per One Sausage Ball)
| Nutrition Facts | Amounts per serving |
| Calories | 78.25 |
| Fat | 6.75g |
| Protein | 3.25g |
| Total Carbs | 1.25g |
| Net Carbs | 1g |
| Fiber | 0.25g |
| Sugar | 0.25g |
Serving Suggestions and Pairings
To serve your keto sausage balls, consider trying a variety of delicious dips. One popular choice is keto honey mustard, which can be made with sugar-free keto honey or keto sweetener. Other good options include keto ranch dressing, sugar-free BBQ sauce, or chimichurri sauce, which provides a fresh and herby alternative.
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FAQs
Yes, you can freeze them. Once they have cooled down completely, place them in a single layer on a baking sheet to freeze initially. After they are frozen, transfer them to an airtight container or freezer bag. They can be stored in the freezer for up to three months.
Absolutely! They are perfect for meal prep. You can make a large batch ahead of time and store them in the fridge for up to a week. They are easy to reheat in the microwave or oven, making them a convenient option for a quick snack or meal.
For Keto Sausage Balls, it’s best to use high-quality sausage that doesn’t contain added sugars or fillers. Look for sausages labeled as “all-natural” or “organic,” and check the ingredients list to ensure there are no hidden carbs.
Yes, you can make keto sausage balls without cheese if you are lactose intolerant or prefer a dairy-free option. You can substitute the cheese with nutritional yeast or vegan cheeses. The texture might be slightly different, but they will still be delicious.

Keto Sausage Balls
Ingredients
2 cups self-rising almond flour (or add 2 tsp baking powder to the 2 cups almond flour)
2 1/4 cups cheddar cheese (shredded)
2 tsp Italian seasoning
1 tsp garlic powder
1 lb ground sausage meat
5 – 6 oz cream cheese (at room temperature)
Instructions
Step 1: Preheat oven to 400°F. Line a baking sheet with parchment paper.
Step 2: Combine self-rising almond flour, shredded cheddar, and seasonings in a large bowl.
Step 3: Add in the cream cheese and sausage until combined—use your hands and avoid over-mixing.
Step 4: Shape 1-inch balls with a spoon and arrange on the baking sheet.
Step 5: Bake for 8 minutes, rotate the balls to prevent sticking, then bake for an additional 8 minutes until nearly cooked. Finish by broiling for two more minutes until browned.




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