Sausage & Egg Keto Breakfast Casserole: A Hearty, High-Fat Morning Meal


Looking for a satisfying, protein-packed breakfast that keeps you full until lunch without kicking you out of ketosis? This Sausage & Egg Keto Breakfast Casserole is about to become your new go-to dish. Loaded with savory sausage, fluffy eggs, creamy cheese, and optional veggies, this baked casserole delivers all the comfort of a classic brunch plate—without the toast, hash browns, or carb-heavy sides.

Perfect for meal prep, weekend breakfasts, or feeding a hungry family, this one-dish wonder comes together quickly and reheats beautifully throughout the week.

In this comprehensive guide, we’ll walk you through how to make the best Keto Breakfast Casserole with Sausage & Eggs , offer variations for different dietary needs, share storage and prep tips, and answer all your most common questions.


🥓 Why You’ll Love This Sausage & Egg Casserole

Here’s why this recipe deserves a spot in your weekly rotation:

  • Keto-friendly macros : High in healthy fats, moderate in protein, and nearly zero carbs.
  • Flaky & fluffy texture : Combines soft eggs with crispy edges from baking.
  • Customizable flavor base : Add spinach, mushrooms, bell peppers, or jalapeños for variety.
  • Easy to make ahead : Perfect for busy mornings or large groups.
  • Crowd-pleasing : Loved by both keto dieters and carb-lovers alike.
  • One-pan convenience : Minimal cleanup and maximum flavor.

It’s breakfast made healthy—and it hits all the right notes!


🧾 Ingredients Needed (Serves 6–8)

For the Base:

  • 1 lb breakfast sausage (or ground pork/chicken sausage)
  • 10 large eggs
  • ½ cup heavy cream or unsweetened almond milk
  • Salt and pepper to taste
  • Optional: ½ cup chopped spinach, bell peppers, or onions

For the Topping:

  • 1 cup shredded cheddar or mozzarella cheese
  • Optional: Crushed pork rinds or almond flour for extra crunch
  • Fresh herbs like parsley or chives for garnish

🔪 Step-by-Step Instructions

Making this Sausage & Egg Keto Breakfast Casserole couldn’t be easier—even if you’re short on time or kitchen tools.

Step 1: Preheat the Oven

Preheat oven to 375°F (190°C). Grease a 9×9-inch or 9-inch cast iron skillet.


Step 2: Cook the Sausage

In a skillet over medium heat, cook crumbled sausage until browned and cooked through. Drain excess fat if desired.

Tip: Use mild or spicy sausage depending on your taste!


Step 3: Prepare the Egg Mixture

In a large bowl, whisk eggs with heavy cream, salt, and pepper. Add any optional veggies at this stage.


Step 4: Assemble the Casserole

Transfer cooked sausage to the prepared pan. Pour egg mixture over the top. Stir gently with a spatula to combine ingredients slightly.


Step 5: Bake Until Set

Sprinkle shredded cheese evenly over the top. Bake for 25–30 minutes or until the center is set and golden brown around the edges.

Let cool slightly before slicing into squares or wedges.


Step 6: Serve & Enjoy

Garnish with fresh herbs or a sprinkle of hot sauce. Serve warm or cold—either way, it’s delicious!


🍽️ Serving Suggestions

Make your Sausage & Egg Casserole shine with these great pairing ideas:

  • Avocado slices or guacamole
  • Smoked salmon or fried eggs on top
  • Side salad with olive oil vinaigrette
  • Bacon-wrapped bites for extra fat
  • With a dollop of sour cream or Greek yogurt

🥣 Nutritional Information (Per Serving Approx., based on 8 servings)

NutrientAmount
Calories~300
Protein~18g
Fat~25g
Carbs~2g
Fiber~0g
Net Carbs~2g
Sugar~1g
Sodium~400mg

Note: Values may vary depending on sausage brand and added vegetables.


🧀 Why Use Eggs & Sausage for Keto?

Eggs and sausage are two of the most keto-friendly foods around—and they work together beautifully:

Eggs

  • One of the most nutrient-dense foods available
  • Rich in B vitamins, choline, and healthy fats
  • Supports satiety and brain function

Sausage

  • Packed with flavor and fat—ideal for ketosis
  • Adds savory depth and helps stretch meals
  • Choose sugar-free, uncured varieties when possible

Together, they create a breakfast that’s not only satisfying but also supports long-lasting energy and mental clarity.


💡 Expert Tips for the Best Results

  1. Use room-temperature eggs – Ensures even cooking and a smoother texture.
  2. Drain sausage well – Prevents sogginess and enhances flavor.
  3. Add moisture with cream – Heavy cream gives a custardy texture without dryness.
  4. Don’t overbake – Remove just before fully set; residual heat will finish cooking.
  5. Press down gently – Helps everything settle and slice cleanly.

🥣 How to Store & Meal Prep Your Breakfast Casserole

This casserole is ideal for meal prepping and makes excellent grab-and-go breakfasts or snacks.

Refrigeration:

  • Keep covered in the fridge for up to 5 days
  • Reheat in the microwave, oven, or toaster oven

Freezing:

  • Wrap individual portions in foil and store in freezer-safe bags
  • Thaw overnight and reheat gently

Meal Prep Ideas:

  • Slice into portions and refrigerate for quick breakfasts
  • Layer in mason jars with avocado or coleslaw for portable meals
  • Pack in thermos-style containers for work or travel

❓ Frequently Asked Questions (FAQ)

Q: Can I use chicken or turkey sausage?

A: Yes! Any unprocessed, low-sugar sausage works well in this recipe.

Q: Is this casserole keto-friendly?

A: Yes—if using low-carb ingredients and avoiding starchy fillers.

Q: Can I add spinach or other greens?

A: Absolutely! Greens add fiber and nutrients without affecting the keto balance.

Q: What can I substitute for heavy cream?

A: Full-fat coconut milk or unsweetened almond milk work well as lighter alternatives.

Q: Can I make mini muffin versions?

A: Yes! Scoop into greased muffin tins and bake for 15–18 minutes.


🧁 Variations for Different Diets

This recipe is easily customizable to suit various dietary preferences:

Vegan Sausage & Egg Casserole

  • Replace eggs with scrambled tofu or flaxseed “egg”
  • Use plant-based sausage and vegan cheese
  • Add nutritional yeast for cheesy flavor

Paleo Version

  • Use pastured eggs and grass-fed sausage
  • Skip cheese or use raw dairy cheese
  • Replace heavy cream with coconut milk

Protein-Packed Version

  • Stir collagen peptides into the egg mixture
  • Add cottage cheese or ricotta for extra protein
  • Top with smoked salmon or hard-boiled eggs

Cheesy Crustless Quiche Style

  • Omit sausage for a vegetarian version
  • Add broccoli, mushrooms, or olives
  • Bake in a pie crust (keto) or directly in a cast iron skillet

🌐 The Rise of Keto Breakfast Casseroles

Breakfast casseroles have long been a staple in American households, especially for church potlucks, holiday brunches, and meal prep routines. With the rise of the ketogenic diet , traditional recipes have been reimagined using natural fats, clean meats, and minimal starches to keep things within macro limits.

Today, Keto Breakfast Casseroles are featured across blogs, fitness sites, and even restaurant menus—proving that breakfast can still be indulgent while staying healthy and low-carb.


🧑‍🍳 Final Thoughts

This Sausage & Egg Keto Breakfast Casserole proves that eating keto doesn’t mean sacrificing bold, comforting flavors. With its rich texture, savory meat, and creamy cheese topping, it’s a total winner for anyone following a ketogenic lifestyle—or simply craving something hearty and satisfying.

Whether you’re meal prepping for the week, hosting friends, or just looking for a filling way to start your day, this recipe delivers every time.

So go ahead—crack those eggs, fry that sausage, and enjoy a modern twist on a beloved morning classic.

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Sausage & Egg Keto Breakfast Casserole: A Hearty, High-Fat Morning Meal


  • Author: WAFA LI
  • Total Time: 1 hr

Description

This dish is a delightful blend of savory sausage, creamy eggs, and fresh greens.


Ingredients

🥬 3 cups fresh spinach leaves
🧅 4 scallions, sliced (white and green parts separated)
🌿 ¼ cup chopped fresh parsley
🌭 16 ounces breakfast sausage
🥚 12 large eggs
🥛 ¾ cup heavy cream
🧄 ½ teaspoon garlic powder
🧂 ½ teaspoon kosher salt
🌶️ ¼ teaspoon freshly cracked black pepper
🧀 2 cups freshly shredded cheddar cheese


Instructions

Preheat oven to 375° Fahrenheit. Lightly grease baking dish, then layer spinach leaves, white parts of scallions, and chopped parsley in bottom of baking dish. Set dish aside.
In large skillet over medium heat, cook breakfast sausage until browned and crumbled. Stir often while cooking and break sausage into small pieces with spatula or wooden spoon.
While sausage cooks, whisk together eggs, heavy cream, garlic powder, salt, and pepper in large mixing bowl. Once ingredients are fully combined, gently fold in shredded cheddar cheese.
Layer cooked sausage on top of spinach leaves in baking dish. Pour egg mixture over sausage, making sure to distribute mixture as evenly as possible across baking dish.
Place baking dish in preheated oven and bake 20 to 25 minutes or until casserole is firm and eggs are cooked through. Remove from oven and slice into 12 squares. Garnish with green parts of scallions and additional shredded cheese if desired, then serve warm.

  • Prep Time: 15 mins
  • Cook Time: 45 mins

Nutrition

  • Serving Size: 12
  • Calories: 317
  • Fat: 27g
  • Carbohydrates: 2g
  • Protein: 17g

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