Keto Sausage Balls with Almond Flour and Parmesan
These Keto Sausage Balls with Almond Flour and Parmesan are everything you love about classic sausage balls, without the Bisquick. Savory Italian sausage, sharp Cheddar, and salty Parmesan come together with almond flour for a cheesy, bite-sized snack at about 5 grams of net carbs per serving (4 sausage balls).

They’re perfect as a party appetizer, a grab-and-go breakfast, or a protein-packed snack, and they’re so good that no one will guess they’re low-carb. My favorite part is the Parmesan, which gives them a salty, savory kick you won’t find in regular sausage balls. And there’s no cream cheese or baking mix needed, just a handful of simple ingredients.
The recipe comes from 30 Minute Ketogenic Cooking: 50+ Mouthwatering Low-Carb Recipes to Save You Time and Money by Kyndra Holley and is shared here with permission.
Why You’ll Like These Sausage Balls
- They’re a keto-friendly twist on traditional sausage balls.
- They are easy to make and the whole family will love them!
- You can enjoy them as breakfast food or even a quick snack. An extra bonus? They are grab-and-go friendly!
- They’re the perfect low-carb appetizer for game day or your next party. (We love to bring them to family get-togethers.)
- They’re made with common ingredients – you probably have most of the ingredients on hand (and if you don’t, they’re all easy to find!)
- They will last for several days in the fridge, so you can enjoy these sausage balls more than once!
Ingredients
For this cheesy, meaty keto appetizer, you need the following ingredients:
- Italian sausage
- blanched almond flour
- shredded sharp cheddar cheese
- grated Parmesan cheese
- egg
- dried minced onions
- baking powder

How To Make Keto Sausage Balls
- Begin by preheating the oven to 350 degrees Fahrenheit. Set a wire cooling rack inside a rimmed baking sheet.
- Place all of the ingredients in a large bowl and, using your hands, mix until well incorporated.
- Form the sausage mixture into 1 ½ – 2-inch meatballs, making a total of 24. (You can use a small cookie dough scoop to help make uniform-sized balls.)

- Place the meatballs on the wire rack. Bake for 20 minutes or until golden brown.

If you love these savory bites, you’ll want to try a few more keto-friendly favorites. Keto Pretzel Bites are soft and chewy perfection, and Keto Cheddar Bay Biscuits are buttery, cheesy, and perfect alongside any meal. Building a low-carb party spread? Add a bowl of Oven-Roasted Salted Pecans and my Buffalo Chicken Dip served with celery sticks. And when you need something warm and comforting, try Neena’s Instant Pot Chicken Soup.

Keto Sausage Balls with Almond Flour and Parmesan
Ingredients
Method
- Preheat the oven to 350 degrees Fahrenheit. Set a wire cooling rack inside a rimmed baking sheet.
- Place all of the ingredients in a large mixing bowl and, using your hands, mix until well incorporated.
- Form the meat mixture into 1 ½ – 2-inch meatballs, making a total of 24.
- Place the meatballs on the wire rack. Bake for 20 minutes, or until golden brown.
Nutrition
Video
Notes
Tried this recipe?
Let us know how it was!Substitutions & Variations
- Egg substitute can be used instead of egg in these sausage balls if that is your preference/dietary need. Just be sure to check the container of the egg substitute that you use to make sure that the correct amount is substituted.
- If you are dairy free, a vegan cheese substitute can be used in this recipe.
- If you don’t like the taste of Italian sausage, use your favorite pork sausage.
- To add a bit of heat to your sausage balls, use Pepper Jack cheese.
Storage
These keto sausage balls will last in the fridge for up to four days if stored in an airtight container. To reheat refrigerated sausage balls, put them in the oven at 350 degrees for 10 minutes or until warm.
FAQs
Yes, these sausage balls can be served at room temperature. If used as an appetizer, these can be left out for up to 2 hours. Just be sure to keep them refrigerated and covered until you are ready to serve.
This is a personal preference. Use whichever brand/flavor is your favorite.
Almond flour works best here. Coconut flour absorbs much more moisture, so it can’t be swapped 1:1, and all-purpose flour or Bisquick will make these no longer keto. If you’re not following a keto diet, classic Bisquick sausage balls are a great alternative.
Freeze cooked sausage balls in an airtight container for up to 2 months. (If you use a freezer bag, be sure to squeeze out excess air for best results.) When you are ready to serve them, bake them at 400° for about 10-15 minutes.
Yes. Form the sausage balls, place them on a plate or baking sheet, cover tightly, and refrigerate for up to 1 day. Bake them straight from the fridge, adding a few extra minutes if needed. You can also freeze them unbaked: freeze them in a single layer until firm, then transfer them to a freezer bag for up to 2 months. Bake from frozen at 350°F, adding about 10 minutes.

This recipe comes from 30 Minute Ketogenic Cooking, another standout keto cookbook by Kyndra Holley—the creative force behind Peace, Love, and Low Carb. If you appreciate keto recipes that respect your time and your taste buds, this book delivers.

30 Minute Ketogenic Cooking focuses on quick, low-carb meals you can realistically pull off on busy days. With 50+ recipes spanning breakfast through dessert, it’s the kind of compact cookbook you’ll actually reach for instead of letting it collect dust on a shelf.
Some standouts include hearty, family-friendly dishes like Cheesy Salsa Verde Chicken Casserole (8 servings at just 4g net carbs each) and lighter options like Strawberry Spinach Salad (4 servings, 3.8g net carbs per serving). The variety makes it easy to mix things up without blowing your carb budget.

Beyond the recipes, Kyndra shares smart, practical kitchen tips—everything from organization and efficiency to meal prep and planning. She also highlights time-saving tools and appliances and offers clever ways to repurpose leftovers, which is always a win in my book.
To make things even more approachable, the cookbook includes two full weeks of meal plans complete with shopping lists. Less thinking, fewer grocery store laps, and more dinners that actually happen—yes, please.

In case you missed it, I shared Kyndra’s Pork Egg Roll in a Bowl from Craveable Keto, another delicious keto cookbook by Kyndra. For even more delicious recipes from Kyndra, visit Peace, Love and Low Carb.
Last Bite
If these Keto Sausage Balls made it into your snack rotation, I’d love to know! Leave a star rating (it helps other cooks find the recipe) and tell me in the comments: do you serve them for breakfast, as a party appetizer, or both? And don’t forget to pin this recipe, because it’s one you’ll make again and again.



I make these for breakfast for my kiddos sometimes. These with a little fruit give them nourishment that tides them over well for the morning!
One thing I’d like to know – can these be refrigerated overnight BEFORE they are baked? Or can the batter/dough be refrigerated overnight and then made into balls in the morning? I’m worried it might dry out. So far, I just brown the sausage the night before, but I’d love to find a way to prep them right up to the point of baking, ahead of time.
Thanks for the comment, Mae. I am not sure if they can be made ahead or not. If you try it, I would recommend that you cover the sausage ball dough(?) tightly with plastic wrap.
Wow this looks delicious! Can’t wait to try it.
Thanks for the tip!
Have a great day.
Priyanka
Loved the recipe!!! I actually featured it on my blog (Fatboy Food Follies) as my pick of the week!! I’ll keep your page bookmarked!!