Gather these items before you begin:
- Large mixing bowl
- Measuring cups and spoons
- Baking sheet
- Parchment paper
- Small cookie scoop (optional, for uniform size)
- Preheat Oven
Set your oven to 375°F (190°C). Line a large baking sheet with parchment paper.
- Combine Ingredients
In a large bowl, combine the ground pork sausage, softened cream cheese, shredded cheddar cheese, almond flour, psyllium husk powder (if using), garlic powder, and onion powder.
- Mix Thoroughly
Use your hands to mix the ingredients until they are fully combined. Be careful not to overmix, as this can make the sausage balls tough.
- Form Balls
Roll the mixture into 1-inch balls. A small cookie scoop can help make them uniform in size. Place the balls on the prepared baking sheet.
- Chill (Optional but Recommended)
For best results, chill the formed sausage balls in the refrigerator for 30 minutes. This helps them hold their shape while baking.
- Bake
Bake for 20-25 minutes, or until they are golden brown and cooked through.
- Serve
Let them cool for a few minutes before serving. They are best served warm.
- Calories:310
- Total Carb:5 g
- Net Carb:3 g
- Fiber:2 g
- Fat:27 g
- Protein:14 g
- Sugar:1 g
Irresistible Keto Sausage Ball Recipe for Golden Bites

This keto sausage ball recipe delivers savory, satisfying morsels perfect for any occasion. Before we learn how to make keto sausage balls, let’s look at the story behind this beloved dish.
The Story Behind a Southern Kitchen Staple
Sausage balls are a familiar sight at gatherings across the American South. They appeared as a simple, three-ingredient wonder. Cooks combined pork sausage, sharp cheddar cheese, and a popular all-purpose baking mix. The result was a batch of savory, tender bites that could be made quickly.
These treats were perfect for holiday parties, family get-togethers, or game-day snacking. Their appeal was in their simplicity and comforting flavor. The original recipe was a testament to making something wonderful from a few pantry staples. It created a tradition that many people cherish.
The evolution of this dish saw small changes. Some added spices or different types of cheese. But the core of the recipe, the baking mix, remained. This key ingredient is what gives the traditional sausage ball its familiar, soft texture. It is also the main reason the original recipe is not suitable for a low-carb diet.
Why Traditional Sausage Balls Don’t Fit a Low-Carb Plan
The classic recipe for sausage balls presents a clear conflict with a ketogenic lifestyle. The problem is the main binding and bulking agent: all-purpose baking mix. This mix is made almost entirely of refined wheat flour, a simple carbohydrate.
When you eat these kinds of carbs, your body quickly converts them into glucose. This process raises blood sugar and, more importantly for keto followers, it stops ketosis. A single serving of traditional sausage balls can contain enough carbohydrates to undo the metabolic state that a keto diet works to maintain.
The goal of a ketogenic diet is to shift the body’s fuel source from carbohydrates to fats. Eating high-carb foods like wheat flour directly opposes this goal. Therefore, to create sausage keto balls, the flour must be completely replaced. This is the biggest challenge in making a truly keto-friendly version of the dish.
Reimagining a Classic for a Healthful Lifestyle
Creating a recipe for keto sausage balls is about more than just removing carbs. It is about building a new foundation that provides great taste and texture while supporting your health goals. This version is full of flavor and fits perfectly within a low-carb, high-fat eating plan.
The benefits are clear. By removing the flour, you remove the source of the carb-heavy impact. Instead, this recipe uses nutrient-dense, low-carb ingredients. These sausage balls become a satisfying snack that provides steady energy from fats and protein, not a quick spike from sugar.
This makes them an ideal choice for appetizers, a quick breakfast, or a protein-rich snack. You can enjoy the familiar savory taste without worrying about hidden carbs. This recipe for keto sausage balls without flour lets you enjoy a classic comfort food while staying true to your keto journey.
Smart Swaps for a Perfect Keto Texture
The key to a great keto sausage ball recipe lies in the ingredients used to replace the traditional baking mix. The swap is not just about using a low-carb flour. It is about creating the right structure and moisture for a tender, delicious result.
The most common and effective replacement is super-fine almond flour. Unlike wheat flour, almond flour is low in carbs and high in healthy fats and protein. It gives the sausage balls a pleasant, slightly nutty flavor and a tender crumb. It does not have the gluten that helps bind traditional recipes, so it needs some help.
This is where cream cheese comes in. It is the secret to some of the best keto sausage balls. Cream cheese acts as a binder, holding the sausage and almond flour together. It also adds a significant amount of fat and moisture. This prevents the sausage balls from becoming dry, a common issue with low-carb baking. The slight tang of the cream cheese also deepens the overall flavor, complementing the savory sausage and sharp cheese.
The Science of a Better Binder
For an even better texture, a small amount of psyllium husk powder can be added. While cream cheese provides moisture and binding, psyllium husk offers structural support. It is a type of fiber that absorbs water and forms a gel.
In this recipe, it helps mimic the structure that gluten provides in wheat flour. This addition helps the sausage balls hold their shape during baking. It prevents them from spreading out and becoming flat. The result is a batch of perfectly round, firm, yet tender sausage keto balls. This small addition makes a big difference in the final product.
Choosing Your Sausage and Cheese
The type of sausage you choose has a big impact on the final flavor. A standard roll of breakfast sausage works well for a classic taste. For a bit of a kick, try a hot or spicy Italian sausage. Just be sure to check the ingredients for any added sugars or fillers that could add hidden carbs.
The cheese also offers a chance to customize your recipe. Sharp cheddar is the traditional choice and provides a great flavor. But you can experiment with other low-moisture, flavorful cheeses. Smoked Gouda can add a deep, smoky taste, while a Monterey Jack with peppers can add a little heat. Mixing different cheeses can create a more complex flavor profile for your simple keto sausage balls.
Your Guide to Flawless Keto Sausage Balls

This section answers some common questions to help you make the perfect batch of keto sausage balls every time.
How Do I Keep My Sausage Balls From Being Dry?
The key to moist sausage balls is fat. Do not use lean sausage for this recipe; a higher fat content is necessary for a tender result. The addition of cream cheese is also very important, as it provides both fat and moisture. Be careful not to overbake them. Bake just until they are golden brown and cooked through. Overbaking will dry them out quickly.
Why Did My Sausage Balls Flatten Out?
This is a common problem, and it usually happens for two reasons. First, the mixture might be too warm. Sausage and cheese that are at room temperature will soften and spread in the oven’s heat. To prevent this, chill the mixture. After you form the balls, place them on a baking sheet and put them in the refrigerator for at least 30 minutes before baking. This helps them firm up and hold their shape. Second, not having enough binder can cause spreading. If you find your sausage balls are still spreading, adding a teaspoon of psyllium husk powder can provide the extra structure they need.
What Are the Best Keto-Friendly Dips?
These keto sausage balls are delicious on their own, but a good dip can make them even better. A simple sugar-free marinara sauce is a great option. For a creamy choice, mix sour cream with some chopped chives and a little garlic powder. A spicy brown mustard or a keto-friendly ranch dressing also pairs very well with the savory flavors of the sausage and cheese.
Can I Make These Ahead of Time?
Yes, this is a great recipe to make ahead. You can prepare the sausage balls and store them uncooked in an airtight container in the refrigerator for up to two days. When you are ready, just bake them as directed. You can also freeze them. Place the unbaked sausage balls on a baking sheet in a single layer and freeze until solid. Then, transfer them to a freezer bag. They can be stored in the freezer for up to three months. You can bake them directly from frozen, just add about 5-10 minutes to the cooking time.














