The aroma of baked cabbage mingled with creamy sauce wafts through the kitchen, immediately drawing your attention. This Keto Sausage Cabbage Alfredo recipe delivers a delightful combination of flavors in under an hour, making it a perfect weeknight dinner. It works beautifully because it transforms simple ingredients into a rich, comforting dish that’s low in carbs and high in taste.
This recipe is tailored for anyone on a keto diet or looking to enjoy a hearty meal without the carbs. It’s perfect for busy weeknights or when you need an easy but satisfying dinner option. Make it ahead of time and store it for quick reheat meals throughout the week.
Why You’ll Love This Recipe
- The creamy texture of the Alfredo sauce perfectly complements the crunchy cabbage.
- It’s ready in just under 45 minutes, including bake time.
- The combination of smoked sausage and garlic creates a deeply savory flavor.
- One simple baking dish means minimal cleanup.
What You’ll Need
Gather these ingredients for your delicious casserole:
For the Base
- 1 medium head of cabbage, chopped
- 1.5 cups heavy cream
- 6 oz cream cheese, softened
- 3/4 cup butter
- 1 tbsp minced garlic
- 1 tsp onion powder
- Salt & pepper (to taste)
For the Sausage
- 1.5 lbs smoked sausage, sliced
For Topping
- 1/2 cup grated Parmesan cheese
Use low-fat cream cheese for a lighter option.
Substitutions & Swaps
- Use chicken or turkey sausage instead of smoked sausage.
- Substitute cauliflower for cabbage if desired.
- Replace Parmesan with nutritional yeast for a vegan version.
- Coconut cream can replace heavy cream for a dairy-free alternative.
How to Make It
Follow these simple steps to create a creamy, delicious meal.
Prepare the base
In a baking dish, combine the chopped cabbage, heavy cream, softened cream cheese, butter, minced garlic, onion powder, salt, and pepper. Stir well to evenly distribute the ingredients.
Initial baking
Cover the dish and bake at 400°F for 30 minutes, allowing the cabbage to soften and the flavors to meld.
Cook the sausage
While the cabbage bakes, brown the sliced smoked sausage in a skillet over medium heat, then set aside.
Final bake
Remove the dish from the oven, stir in the browned sausage, and sprinkle Parmesan cheese over the top. Return to the oven for another 5-10 minutes, uncovered, until the cheese melts and forms a light crust.
Cool and serve
Take the dish out, let it cool slightly, and enjoy this creamy, cheesy keto casserole!
How to Store It
Fridge: Store for up to 4 days in an airtight container.
Freezer: Yes, for up to 2 months.
Reheat: Microwave for 2-3 minutes or until heated through.
Tips for Best Results
- Ensure the cream cheese is at room temperature for easy mixing.
- For extra flavor, add cooked bacon or Italian seasoning.
- Use a larger baking dish to promote even cooking.
- Don’t skip letting it cool slightly before serving for better consistency.
Serving Suggestions
- Pair with a light green salad for a balanced meal.
- Serve alongside keto-friendly garlic bread for a hearty option.
- Enjoy this dish at family gatherings for a comforting crowd-pleaser.




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