Sausage Balls with Almond Flour are a gluten-free, low carb, keto friendly alternative that you’re going to LOVE. Great for game day, breakfast, parties, or any other occasion.

One more weekend of March Madness. So many of the games this year have been nail-biters but that doesn’t mean you don’t need some low carb, gluten free snacks to get you through. Keto sausage balls with almond flour are my favorite for breakfast but are also great for game day.
Since they’re made with almond flour, they’re low carb, gluten free and keto friendly, but I personally think they’re a great alternative to traditional sausage balls made with flour. The almond flour adds texture and they’re not as doughy. No fork is required which makes them a great appetizer for game day.

While an ideal appetizer, they’re awesome for breakfast . They’re a Christmas morning tradition at our house.

Why you’ll love this Keto Sausage Ball Recipe
- Quick and easy to throw together
- They’re not greasy
- Almond flour adds a great flavor
- They’re good warm and at room temperature
- Great if you’re eating low carb or need a gluten free option
What you’ll need for Low Carb Sausage Balls
- Breakfast sausage – Anytime you make sausage balls you want to try to use the best sausage you can find since that’s the main ingredient. The better the quality, the less grease there’s going to be. My favorite is Neese’s hot sausage but if you’re not from this area, I really like the breakfast sausage from Whole Foods.
- Almond Flour – I use Bob’s Red Mill. You want to use almond flour and not almond meal.
- Cheese – If you can, don’t use the pre-shredded cheese, it will not melt as well. If you’re using a food processor, shred the cheese first and save some clean up.
- Baking powder and an egg.
How to make Keto Sausage Balls
With only 5 ingredients, they’re just as easy to make as regular cheesy sausage balls . You can use a food processor, mixer or your hands.
- Dump all the ingredients into a bowl and mix with your hands until it’s well combined. If you have a food processor, it will mix it even better than your hands, but I’ve made this for years before I thought of trying the food processor. So it’s not necessary, just less messy. A mixer will work just as easily as a food processor.

2. Use a small ice cream scoop to help keep them the same size which will give you evenly cooked sausage balls. Roll them with your hands to form uniform balls.

3. Bake them on a rack or directly on parchment paper. Baking on a rack makes them less greasy.

You can eliminate some of the grease by baking them on a rack in a rimmed baking sheet. They’re best eaten while still warm, but I’ll make a batch and freeze them. Then in the morning, I just take out a couple and heat them up.
At the time of this post my team is still in it. Hopefully they can make it to the Final Four. If not, I’ll try to appease myself with more March Madness appetizers. We still have one more weekend of college basketball!

Storing Keto Sausage Balls with Almond Flour
Store sausage balls in an airtight container in the refrigerator, or once cooled they can be frozen. To re-heat- let them thaw, sprinkle with water and warm in the oven at 350º for about 5 minutes. Microwaving sausage balls will make them rubbery.
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Keto Sausage Balls with Almond Flour
Ingredients
- 1 lb Sausage
- 1 egg
- 1 cup almond flour
- 8 ounces cheddar cheese shredded
- 2 teaspoons baking powder
Instructions
- Preheat oven to 350º. Line a rimmed baking sheet with parchment and place a wire rack inside.
- Combine all ingredients in a large bowl. Using your hands, mix well.
- If using a food processor, grate the cheese first and add almond flour, baking powder and process until combined. Add half of the sausage and process, then add the rest of the sausage and the egg and process until well combined.
- Using a small ice-cream scoop, form into balls about 11/2 to 2 tablespoons in size.
- Bake for 18-20 minutes until slightly browned. Remove to wire rack to cool slightly.
Video
Barbara’s Tips + Notes
- You can use a food processor, mixer, or your hands to combine the ingredients.
- You a small ice cream scooper to make the balls all the same size.
- Use the best quality sausage you can find for less greasy sausage balls.
- Don’t over bake, take them out as soon as they are slightly browned.





Lindsey M says
I thought these were really good-I never think low carb options are better but I agree with you that these are better than the ones with bisquick. Thanks for a great recipe.
Barbara Curry says
So glad you liked them, I would love to hear of other low-carb recipes you like.
Charles Moore says
Where can I get the nutritional facts for this recipe $
Barbara Curry says
Here’s my best calculation per sausage ball assuming you make 40 of them.
Nutrition Facts
Servings: 40
Amount per serving
Calories 79
% Daily Value*
Total Fat 6.6g 8%
Saturated Fat 2.4g 12%
Cholesterol 20mg 7%
Sodium 122mg 5%
Total Carbohydrate 0.8g 0%
Dietary Fiber 0.3g 1%
Total Sugars 0.1g
Protein 4.4g
Vitamin D 1mcg 5%
Calcium 60mg 5%
Iron 0mg 2%
Potassium 66mg 1%
Tami says
So How many would you say for each? I can’t eat 40 to know I’d get 78 calories LOL ????
Barbara Curry says
These are low carb but not low in calories, it would be about 78 calories for each ball.
Laura Lyons says
Switched to organic, spicy chicken sausage and baked directly on parchment. Used stand mixer with batter hook to blend ingredients. Didn’t find that there was excess grease with the chicken sausage, and they turned out perfectly! Delicious, and great for my ketogenic lifestyle.
Barbara Curry says
I’m so glad you liked them. You might also like Cheesy Muffins, https://www.butterandbaggage.com/cheesy-muffins-almond-flour/
Leslie Farmer says
I have been gluten free for about five years but have recently been eating keto. I made this tonight for guests we have coming this weekend. I had to try one (of course), and it was delicious! Sausage balls have always been a favorite so it’s nice to try a recipe using almond flour.
Barbara Curry says
Leslie,
So glad these worked for you. You might also like this recipe for Focaccia made with almond flour. https://www.butterandbaggage.com/focaccia-almond-flour/
Rachael says
Great recipe. I substituted 1/4 cup of coconut flour instead of almond flour (it was all I had on hand). I added 1/4 cup of parmesan cheese. I did have to add another egg as the mixture was dry. I baked them on the rack and added 5 minutes because I’m at high altitude. They came out fantastic!
Barbara Curry says
Great to know they will work with Coconut flour.
Marci says
Judt amazing, added a touch extra sage. Dipped in a small tad of sf maple syrup!
Barbara Curry says
It’s crazy how good these are!
Mj says
These are fantastic!! I was getting really bored with eggs, bacon, sausage etc. These so made me feel like I was cheating!!!!!
Barbara Curry says
You might also like Cheesy Muffins with Almond Flour. They are a real treat. https://www.butterandbaggage.com/cheesy-muffins-almond-flour/
Erika says
These are so good! How many are in a serving? I dont know if you stated and I over looked it. Just want to make sure I don’t eat too many 🙂
Barbara Curry says
The recipe makes about 40 sausage balls at 75 calories a piece. The nutrient information is in the recipe card. Hope this helps.
rebecca says
How do you reheat! Making second batch! Delish!!
Barbara Curry says
The microwave makes them a little rubbery, but will do in a pinch. I prefer to cover them with foil and place in the toaster over for a couple of minutes. If I know I’m going to be reheating them, I will not cook them quite so long the first time. Glad you like them.
Cheryl says
Can these be made (not cooked) & frozen and then cooked at a later date?
Rita says
Not as good as I hoped. I think I will try again with a spicer more flavorful sausage.
Barbara Curry says
The sausage really makes a difference. In my area, I like Hot Neese’s sausage. https://neesesausage.com/
Melissa says
My little super picky 3 year old will not eat the ones with Bisquick and LOVES these!!! This is the highest compliment because she will literally ONLY eat chick fil a nuggets and fruit so to have something else to add to the list is truly a Christmas Miracle!!!????????????
Barbara Curry says
Melissa, you made my day! I remember those days well. My picky eaters, while in graduate school now, want these every time they come home.
Mai says
Can you make this with ground turkey?
Barbara Curry says
I’m not sure that ground turkey will have enough fat to keep them together. Let me know if you try it!