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4.75 from 4 votes

Sausage Breakfast Casserole

My Keto Breakfast Casserole with Sausage is such a popular breakfast in our house. Tons of yummy flavor and protein to start your day! It is an ideal make ahead breakfast recipe since it reheats beautifully!
Prep Time10 mins
Cook Time20 mins
Total Time30 mins
Course: Breakfast
Cuisine: American
Keyword: Keto Breakfast Casserole
Servings: 12
Calories: 262kcal
Author: Kasey Trenum


  • 1 lb breakfast sausage browned and drained (can use mild or hot)
  • 4 1/2 tbsp melted butter
  • 1/3 cup coconut flour
  • 2 tbsp full fat sour cream
  • 4 eggs
  • 1/4 tsp salt
  • 1/4 tsp baking powder
  • 2 cups shredded monterrey jack cheese


  • Preheat oven to 375 and grease a 9 X 13 casserole dish.
  • Combine melted butter (I cool mine by popping the bowl in the fridge for 5 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 and shredded cheese.
  • Stir until combined then pour batter in the casserole dish.
  • Bake for 20-25 minutes until it starts to brown a little around the edges.
  • Enjoy!


Calories: 262kcal | Carbohydrates: 2g | Protein: 12g | Fat: 22g | Fiber: 1g