Keto Sausage Balls Recipe

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You are going to fall in love with this Keto Sausage Balls Recipe. It’s so easy to make, full of flavor, and versatile as a keto appetizer or low carb breakfast. This one is kid-friendly and delicious!

This Keto Sausage Ball Recipe is a perfect low carb appetizer that comes together in minutes! Keto dieters will love this for breakfast or as a snack.

Keto Sausage Balls 

Sausage Balls make a fantastic appetizer or breakfast, but the ones I used to make were full of carbs. So, I started working on creating the perfect keto Sausage Ball Recipe. Most of the ones I tried were extremely dry, like give me a gallon of water right now before I can take another bite dry. So, I started experimenting from scratch to see if I could create a recipe that was both moist and flavorful.

My first attempt was a thumbs down. Then, I remembered my delicious keto biscuit recipe. I thought I might be able to tweak that recipe to make keto-friendly sausage balls. I was right! They turned out perfectly! Due to the added moisture content when using keto-friendly flours, they are more like Keto Sausage Ball Puffs than perfectly round balls, but the taste is spot on!

If you don’t love sausage, or want to try some variety, check out my Low Carb Cheesy Bacon Bites.

Are Sausage Balls Keto Friendly?

Traditional Sausage Balls are not keto-friendly, but this low carb version is perfect for a ketogenic or low carb diet.

What Kind of Sausage Do I Use?

Look for a breakfast sausage, which crumbles like ground beef when you brown it. Make sure to check the label and choose the lowest carb count you can find. Avoid the maple variety as it is generally higher in carbs.

Shopping List for Keto Sausage Balls:

  • Breakfast Sausage
  • Eggs
  • Butter
  • Coconut Flour
  • Baking Powder
  • Salt
  • Sour Cream
  • Salt

Kitchen Supplies You’ll Need:

white mixing bowl with melted butter and eggs

To start this recipe line a baking sheet with parchment paper and preheat the oven to 365 degrees.

Tip: Before combining the melted butter and eggs, make sure the melted butter is cooled a bit so that the heat from the butter doesn’t begin to scramble the eggs.


small bowl dumping coconut flour into larger bowl with eggs/melted butter

Keto Sausage Balls without Almond Flour

You’ll notice that the batter is very thick once you add the coconut flour. That is normal. It is very absorbent, so don’t be alarmed.

I use coconut flour in all my recipes because my oldest daughter is allergic to almonds. I don’t personally notice a coconut flavor, but if you are particularly sensitive to coconut, you can sub almond flour. They are not 1:1 substitutions for each other. Instead, the conversion is one part coconut flour equals four parts almond flour.


adding sausage to the mixing bowl for keto sausage balls

I’ve had several people ask why I precook the sausage. I have always preferred sausage balls this way, even before following a keto diet. Otherwise, I never felt like the sausage was cooked through when added to the batter raw.

keto sausage balls batter in a mixing bowl

You’ll want to chill your batter for a bit before baking if you want a rounder shape. They tend to be more or a Keto Sausage Ball Puff if the butter and sausage are still hot when added to the batter. Chilling the batter will help them not to flatten.


low carb sausage puffs on a platter

Tip: Since you aren’t rolling these out like more traditional sausage balls, I recommend using a cookie scoop.  It is super fast and works perfectly for this recipe. Plus, cleanup is much easier than using your hands to roll them into balls.


keto sausage balls recipe with coconut flour plated with bacon in the background

Make this delicious sausage balls recipe as a perfect make-ahead option for breakfast or an appetizer everyone will enjoy. This is such an easy recipe to follow; you’ll be amazed at how simple it is to make.

Variations to Keto Low Carb Sausage Balls:

  • Sub almond flour for coconut flour (4x as much as they are not interchangeable)
  • This recipe calls for cheddar cheese, but you could swap for another variety.
  • You can substitute cream cheese for the sour cream in this recipe. Both add a bit more moisture to the Keto Sausage Balls recipe
  • Instead of using a baking sheet lined with parchment paper, you could use a mini muffin pan instead.

Try these Keto Breakfast Recipes:

More Keto Appetizers:

If you want to try more great recipes like this one, check out my Keto Recipe Index. I also post a weekly keto meal plan for inspiration. Some of our favorite recipes are listed below! These make perfect appetizers for your next party. The best part? Nobody will realize they are keto-friendly!


How to Make Keto Sausage Balls Recipe:

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4.68 from 209 votes

Keto Sausage Balls Recipe {Low Carb}

You are going to fall in love with this Keto Sausage Balls Recipe. They are easy, cheesy, and delicious!
Prep Time15 mins
Cook Time17 mins
Total Time32 mins
Course: Appetizer, Breakfast, Snack
Cuisine: American, casual
Keyword: Keto Sausage Ball Recipe
Servings: 36
Calories: 89kcal
Author: Kasey Trenum


  • 1 lb breakfast sausage browned and drained (can use mild or hot)
  • 4 1/2 tablespoons of butter melted and cooled
  • 1/3 cup coconut flour
  • 2 tablespoons full fat sour cream
  • 4 eggs
  • 1/4 teaspoon salt
  • 1/4 teaspoon baking powder
  • 2 cups sharp shredded cheddar cheese shredded


  • Preheat oven to 365 degrees and grease a cookie sheet.
  • Combine melted butter (I cool mine by popping the bowl in the fridge for 10 min), eggs, salt, and sour cream, then whisk together.
  • Add coconut flour and baking powder to the mixture and stir until combined.
  • Add drained browned sausage.
  • Stir in cheese then refrigerate the batter for ten minutes. If your batter is still warm at all after 10 minutes the sausage balls will flatten when baked so you may need to refrigerate longer. They don't form perfect balls when they bake they are more like "puffs."
  • Drop batter by tightly packed spoonfuls on greased cookie sheet. I made 36.
  • Bake for 15-18 minutes or until tops are slightly brown.



Calories: 89kcal | Carbohydrates: 0.6g | Protein: 4g | Fat: 7g | Fiber: 0.3g
Tried this recipe?Mention @kaseytrenumblogger or tag #kaseytrenumblogger!

keto breakfast low carb sausage biscuits collage


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  1. 5 stars
    I made these are refrigerated overnight and turned them over after 8 minutes of baking. Made them a little more like traditional ones.

  2. 5 stars
    Baked these in silicon mini muffin tins. It helped them keep a puffier shape. Added some chives to half and some cayenne to the other half for a little extra kick. Thanks for the great recipe!

    1. Hey Sandy, glad you enjoyed them! Absolutely!! We freeze them all the time. They will stay good in the freezer for up to 4 months. We like to heat them in the microwave for a few seconds, then finish them off in the air fryer to give them a little crispiness.

    1. The nutritional information is provided per sausage ball puff so that each person can determine their own serving size.

  3. 5 stars
    These sound really good. I plan on making them with almond flour. I know the conversion from coconut flour but are any other adjustments needed to the wet ingredients – eggs, sour cream, butter?

    1. Hey Karen, the general formula is 4 to 1 almond to coconut. However, it is not an exact science, so you may need to tinker with it and see. I have not heard of folks having to adjust the wet ingredients, but I myself haven’t tried it.

    1. Hey Denise, sorry to hear about the new allergy. Allergies suck. My daughter is off the chart allergic to all nuts. Unfortunately, I have never made this recipe any other way than what is on the recipe card. Best of luck!!

    1. The nutritional information provided is per sausage ball so each person can determine their own serving size.

    1. Nutritional info may change with any substitutions. If you plug it into a nutrition tracker app, it should give you the macros.

  4. 5 stars
    I made these this morning. I used Turkey sausage and had to substitute 1 tbsp cream cheese and 1 tbsp cottage cheese for sour cream. I used less cheese as well. I also added some cayenne pepper to add some flavor. I was really impressed.

    1. So glad you enjoyed it! I think one of my hubby’s love languages is spicey peppers! loL!

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