
This keto crack sausage balls recipe transforms classic comfort food into a guilt-free indulgence perfect for low-carb lifestyles. The combination of savory sausage, cheese, and bacon creates irresistible flavor bombs that disappear quickly at any gathering.
I created these sausage balls when hosting a game day party with friends following different diets. Even my non keto guests kept returning to the appetizer table for more these savory bites disappeared faster than any other dish.
Ingredients
- Natural ground breakfast sausage: Creates the perfect savory base choose high quality with no added sugars
- Almond flour: Replaces traditional bisquick for a perfect keto friendly binder
- Green onions: Add fresh flavor and subtle bite use both white and green parts
- Shredded cheddar cheese: Select a block and grate yourself for better melting
- Chopped bacon: Adds smoky depth and irresistible flavor
- Cream cheese: Softened adds richness and helps bind everything together
Step-by-Step Instructions
- Preheat the Oven:
- Set your oven to 400 degrees Fahrenheit. Using the right temperature ensures your sausage balls cook through properly while developing a beautiful golden exterior without drying out.
- Combine Ingredients:
- Add all ingredients to a large mixing bowl. Make sure your cream cheese is properly softened to room temperature to ensure even distribution throughout the mixture. Use your hands for the most effective mixing technique getting everything thoroughly incorporated.
- Form the Sausage Balls:
- Scoop the mixture and roll between your palms to form 24 evenly sized balls about 1½ inches in diameter. Consistent sizing ensures even cooking throughout. Place them on a baking sheet lined with parchment paper or a silicone baking mat with about an inch between each ball.
- Bake to Perfection:
- Bake for 18 minutes in your preheated oven. Look for a golden brown exterior and ensure they reach an internal temperature of 160°F. The sausage should be fully cooked with no pink remaining inside.
- Cool and Serve:
- Allow the sausage balls to cool on the baking sheet for 5 minutes before transferring to a serving plate. This resting period helps them set up and develop their final texture.

These sausage balls were inspired by my southern grandmother's classic recipe that always featured at family gatherings. The traditional version uses Bisquick but this keto adaptation maintains all the nostalgic flavors while fitting perfectly into a low carb lifestyle. The magic is in the combination of three different forms of pork breakfast sausage cream cheese and bacon creating layers of savory goodness.
Storage Solutions
These keto sausage balls store beautifully in an airtight container in the refrigerator for up to 4 days. For longer storage freeze the cooled sausage balls on a baking sheet until solid then transfer to a freezer bag where they'll keep for up to 3 months. Reheat from frozen in a 350°F oven for about 10 minutes or until heated through. The texture remains nearly identical to fresh making them perfect for meal prep.
Easy Variations
While this recipe is perfect as written you can easily customize these keto sausage balls to suit your taste preferences. Try adding a teaspoon of garlic powder and a pinch of red pepper flakes for a spicy version. For an Italian twist use Italian sausage instead of breakfast sausage and substitute mozzarella for the cheddar. You can even add finely chopped bell peppers for extra color and nutrition. The base recipe is incredibly forgiving and adaptable.
Serving Suggestions
These versatile sausage balls shine in multiple settings. Serve them as a protein packed breakfast alongside scrambled eggs and avocado. For a party appetizer offer them with a side of sugar free barbecue sauce or ranch dressing for dipping. They also make excellent keto lunchbox additions or midnight snacks. My family particularly enjoys them broken up over a salad with ranch dressing for a complete meal.

Enjoy these irresistible keto sausage balls knowing they fit seamlessly into your low-carb lifestyle.
Frequently Asked Questions
- → Can I make these keto sausage balls ahead of time?
Yes, you can prepare the mixture and form the balls up to 24 hours in advance. Store them covered in the refrigerator before baking. You can also fully bake them, cool completely, and refrigerate for up to 3-4 days. Reheat in a 350°F oven for 8-10 minutes.
- → Can I freeze these keto sausage balls?
Absolutely! These freeze beautifully. Either freeze them before baking (on a baking sheet until solid, then transfer to freezer bags) or after baking and cooling completely. When ready to enjoy, bake frozen uncooked balls at 400°F for 22-25 minutes, or reheat cooked frozen balls at 350°F for 10-12 minutes.
- → What can I serve with these keto sausage balls?
These are delicious on their own, but pair wonderfully with a variety of dipping options like sugar-free BBQ sauce, ranch dressing, spicy mayo, or a simple mustard dip. They also work well alongside a fresh green salad or vegetable crudités for a complete low-carb meal.
- → Can I substitute the almond flour with something else?
For a keto-friendly alternative, you can use coconut flour, but you'll need to reduce the amount to about 1/4 cup as coconut flour is more absorbent. Ground pork rinds can also work as a 1:1 substitute for the almond flour for an ultra-low carb option.
- → How do I know when the sausage balls are fully cooked?
The sausage balls should be golden brown on the outside and reach an internal temperature of 160°F. If you don't have a meat thermometer, cut one open - the meat should be completely cooked through with no pink remaining.
- → Can I add different seasonings to these sausage balls?
Absolutely! Try adding garlic powder, onion powder, Italian seasoning, red pepper flakes, or even a dash of cayenne pepper for extra kick. The basic recipe is wonderfully adaptable to your flavor preferences.