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–+ servings
Skillet with creamy cabbage and sliced sausage dish, garnished with parsley, wooden spoon inside.
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4.91 from 55 votes

Keto Sausage and Cabbage Alfredo

Keto cabbage and sausage Alfredo is a quick 30-minute dinner that smothers cabbage noodles and Italian sausage with Alfredo sauce. This skillet meal is incredibly delicious yet completely low-carb, gluten-free, and family-friendly.
Prep Time10 minutes
Cook Time20 minutes
Total Time30 minutes
Course: Dinner
Cuisine: American
Servings: 6
Calories: 508kcal
Author: Jessica Haggard

Ingredients

For the skillet

  • 2 tablespoons butter divided
  • 1 pound Italian sausage links
  • 1 medium green cabbage approx 6 cups
  • ½ teaspoon salt
  • ¼ teaspoon ground black pepper
  • 1 tablespoon fresh parsley minced for garnish, optional

For the Alfredo sauce

  • 2 tablespoons butter
  • 2 cloves garlic minced
  • ⅔ cup heavy cream room temperature
  • 1 ½ cup Parmesan finely grated
  • ⅛ teaspoon ground nutmeg
US Customary - Metric

Instructions

  • Fry the sausage links in ½ tablespoon butter until crispy and golden brown on both sides. Remove from the pan and set aside.
    2 tablespoons butter, 1 pound Italian sausage links
  • Shed the cabbage into long thick strips, either by hand or with a food processor. Heat butter in a large skillet. Add cabbage and cook in 1½ tablespoon butter over medium heat for 10 minutes, occasionally stirring, until all soft. Season with salt and pepper halfway through the cooking time.
    1 medium green cabbage, ½ teaspoon salt, 2 tablespoons butter, ¼ teaspoon ground black pepper
  • Prepare the sauce (if not using ready-made/store-bought) while the cabbage cooks. Simmer the garlic in butter in a small saucepan for 2 minutes until fragrant. Mix in cream. Slowly add the parmesan and stir continuously until it's a thick, uniform sauce. Season with nutmeg. Remove from heat and set aside.
    2 tablespoons butter, 2 cloves garlic, ⅔ cup heavy cream, 1 ½ cup Parmesan, ⅛ teaspoon ground nutmeg
  • Slice the sausage into small ¼-inch rounds. Add it back to the pan with cooked cabbage. Pour the Alfredo sauce into the pan and toss until an even coat covers the cabbage and sausage.
    1 pound Italian sausage links
  • Plate and serve warm directly from the skillet. Garnish with optional parsley.
    1 tablespoon fresh parsley

Notes

There are more important notes and tips shared in the post above. I highly recommend you read the whole post before making the recipe!

Nutrition

Calories: 508kcal | Carbohydrates: 11g | Protein: 23g | Fat: 42g | Saturated Fat: 20g | Sodium: 1155mg | Fiber: 4g | Net Carbohydrates: 7g
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