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Keto Sausage Balls with Almond Flour and Parmesan

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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).

Plate of Keto 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
Ingredients to make sausage balls on a counter top.

How To Make Keto Sausage Balls

  1. Begin by preheating the oven to 350 degrees Fahrenheit. Set a wire cooling rack inside a rimmed baking sheet.
  2. Place all of the ingredients in a large bowl and, using your hands, mix until well incorporated.
  1. 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.)
Unbaked sausage balls on a baking tray.
  1. Place the meatballs on the wire rack. Bake for 20 minutes or until golden brown.
Tray of cooked sausage balls.

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.

plate of sausage balls

Keto Sausage Balls with Almond Flour and Parmesan

5 from 2 votes
These keto sausage balls are made with almond flour, sharp Cheddar, and Parmesan instead of Bisquick. Great for breakfast or parties, with about 5g net carbs per serving (4 sausage balls)
Prep Time 10 minutes
Cook Time 20 minutes
Total Time 30 minutes
Servings: 6 servings
Course: Appetizers
Cuisine: American
Calories: 476

Ingredients
  

  • 1 pound bulk Italian sausage
  • 1 cup blanched almond flour
  • 1 cup shredded sharp cheddar cheese
  • ¼ cup grated Parmesan cheese
  • 1 large egg
  • 1 Tablespoon dried minced onions
  • 2 teaspoons baking powder

Method
 

  1. Preheat the oven to 350 degrees Fahrenheit. Set a wire cooling rack inside a rimmed baking sheet.
  2. Place all of the ingredients in a large mixing bowl and, using your hands, mix until well incorporated.
  3. Form the meat mixture into 1 ½ – 2-inch meatballs, making a total of 24.
  4. Place the meatballs on the wire rack. Bake for 20 minutes, or until golden brown.

Nutrition

Serving: 1Calories: 476kcalCarbohydrates: 7gProtein: 21gFat: 41gSaturated Fat: 14gPolyunsaturated Fat: 3gMonounsaturated Fat: 13gTrans Fat: 0.003gCholesterol: 107mgSodium: 761mgPotassium: 372mgFiber: 2gSugar: 1gVitamin A: 265IUVitamin C: 2mgCalcium: 287mgIron: 2mg

Video

Notes

Recipe excerpted from 30- Minute Ketogenic Cooking by Kyndra D. Holley, copyright 2018. Reprinted with permission. This recipe makes 6 servings (4 sausage balls each serving).

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

Can I serve these sausage balls at room temperature?

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.

What kind of sausage works best for this keto sausage balls recipe?

This is a personal preference. Use whichever brand/flavor is your favorite.

Can I use a different type of flour?

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.

Can you freeze sausage balls?

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.

Can I make sausage balls ahead of time?

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.

Gluten-free sausage balls on a platter.

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 cookbook cover.

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.

Salsa verde chicken in a dish.
Cheesy Salsa Verde Chicken Casserole (8 servings, each only 4g net carbs)

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.

Strawberry Spinach Salad.
Strawberry Spinach Salad (4 servings, each serving 3.8g net carbs)

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.

4 Comments

  1. 5 stars
    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.

    1. 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.

  2. 5 stars
    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!!

5 from 2 votes

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