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Keto Sausage Balls

Prep Time 15 minutes
Cook Time 35 minutes
Total Time 50 minutes
Servings 18 Servings
Calories 308kcal


  • 3 Cups Almond Flour (Note 1)
  • 1 1/2 Tablespoons Baking Powder
  • 1/2 Teaspoon Kosher Salt
  • 1/2 Teaspoon Garlic Powder
  • 1 Teaspoon Oregano
  • 1 Pound Italian Sausage (Note 2)
  • 16 Ounces Sharp Cheddar Cheese grated
  • 1/2 Cup Heavy Cream


  • Prep. Preheat oven to 350 F, and prepare a rimmed baking sheet with parchment or cooking spray.
  • Combine. In a large bowl, combine the almond flour ( 3 cups), baking powder (1 1/2 tablespoons), salt (1/2 teaspoon), garlic powder (1/2 teaspoon), and oregano (1 teaspoon). Add the heavy cream (1/2 cup) and pork sausage (1 pound) and combine using your hands. Add the grated cheese (16 ounces ) a little at a time, again mixing with your hands until everything is well incorporated.
  • Shape + Bake. Use a cookie scoop or your hands to form 36 1 1/2-inch balls, and place them in a single layer on your prepared baking sheet. Bake until brown, about 30 to 35 minutes. Serve immediately, and enjoy!


  • Almond Flour. Using fine-grained almond flour will yield the most "flour-like" results. My favorite brands are Bob's Red Mill, Trader Joe's, or Costco brands.
  • Italian sausage. If you can't find sausage with the casing removed, use a sharp knife to remove the sausage from inside the casing.
  • Nutritional information is for 2 balls if you make 36 using this recipe. Does not include sauces:


Calories: 308kcal | Total Carbohydrates: 5g | Protein: 14g | Fat: 27g | Sodium: 385mg | Fiber: 2g | Sugar: 1g | Net Carbs: 3g

Delicious recipe from Lindsey Hyland // www.thelittlepine.com