Keto Buttermilk Biscuits and Sawmill Gravy

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📍 Where this dish comes from: Harlem, New York City · The Apollo Theater
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Keto Buttermilk Biscuits and Sawmill Gravy, plated and ready to serve

Biscuits and gravy is the dish that defines a Southern breakfast table, and the gravy is where most keto attempts fall apart — too thin, too flat. This version builds body from cream cheese and heavy cream instead of a flour roux, so the gravy still clings thick and peppery to a warm, flaky almond flour biscuit.

What You’ll Need

Ingredients for Keto Buttermilk Biscuits and Sawmill Gravy

Keto Buttermilk Biscuits and Sawmill Gravy

Flaky almond flour biscuits split and smothered in a peppery sausage gravy, made rich without the flour roux.
Prep Time: 15 minutes
Cook Time: 25 minutes
Total Time: 40 minutes
Course: Breakfast
Cuisine: American
Servings: 6 servings
Calories: 460kcal

Ingredients

  • 2 1/2 cups almond flour
  • 1 tbsp baking powder
  • 1/2 tsp salt
  • 6 tbsp cold butter cubed
  • 2 large eggs
  • 2 tbsp sour cream
  • 1 lb breakfast sausage crumbled
  • 3 tbsp butter
  • 4 oz cream cheese cubed
  • 1 1/2 cups heavy cream
  • 1/2 cup chicken broth
  • 1 tsp black pepper or to taste
  • 1/4 tsp cayenne pepper

Instructions

  • Preheat oven to 350°F (175°C). Line a baking sheet with parchment.
  • In a bowl, whisk together almond flour, baking powder, and salt. Cut in cold butter until pea-sized crumbs form.
  • In a separate bowl, whisk eggs and sour cream, then fold into the dry mixture until just combined.
  • Scoop dough into 6 biscuit mounds on the baking sheet. Bake 18–20 minutes, until golden. Cool slightly.
  • Meanwhile, brown sausage in a skillet over medium heat, breaking it apart as it cooks, about 6–7 minutes. Remove excess grease, leaving about 2 tbsp.
  • Add butter and cream cheese to the skillet, stirring until melted and smooth.
  • Pour in heavy cream and broth, whisking to combine. Simmer 5–6 minutes until thickened, seasoning generously with black pepper and cayenne.
  • Split warm biscuits and ladle gravy generously over top.

Nutrition

Serving: 1serving | Calories: 460kcal | Protein: 18g | Fat: 40g | Fiber: 3g
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Cooking Keto Buttermilk Biscuits and Sawmill Gravy in the kitchen

Health Benefits

  • Almond flour biscuits provide healthy fats and more fiber than a traditional wheat biscuit.
  • Cream cheese-thickened gravy avoids the carb load of a flour-based roux while staying rich.
  • Sausage adds protein and fat that help this dish hold satiety through a long morning.
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