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    Home » Keto Dinner Ideas » Cheesy Smoked Sausage Casserole

    Published: Nov 23, 2021 by Carolyn

    Cheesy Smoked Sausage Casserole

    This post may contain Amazon or other affiliate links. As an Amazon Associate I earn from qualifying purchases.

    4.3K shares
    Jump to Recipe Print Recipe

    This easy smoked sausage casserole is the perfect comfort food. Just pop everything into your slow cooker and in a few hours, you have a hearty side dish or a full keto meal. This post is sponsored by Cabot Creamery.

    Close up shot of smoked sausage cauliflower casserole in a white oval dish.

    I have a problem and this cheesy keto smoked sausage casserole is the perfect solution.

    Every year, right around this time, I get really caught up in creating delicious holiday recipes. So caught up, in fact, that I forget about feeding my family. 

    Wait, you mean they can’t just live off of keto Christmas cookies for a few months? They need some real food too?

    Okay, fine! Let’s just throw some cauliflower, chopped kielbasa, and some Cabot cheddar in the slow cooker and call it dinner. Now that’s a very good idea indeed!

    A white oval dish with smoked sausage casserole in front of a cutting board with cheddar cheese on it.

    Easy Dinner Inspiration

    I think it’s safe to say we can all use more easy keto dinner recipes during the holiday season. We’re all running around, prepping our Thanksgiving meals and shopping for loved ones. All while juggling work and family and other obligations.

    So a meal that practically cooks itself while you attend to other things? That’s absolutely priceless.

    Slow cooker smoked sausage casserole fits the bill perfectly. It’s what I like to call a “dump-and-run” recipe. Dump everything into your slow cooker, stir together, and walk away. That’s all you need to do.

    A wooden cutting board with Cabot Extra Sharp on top.

    Cabot for flavor!

    I make no bones about my love for Cabot cheddar. It is unparalleled for flavor, in my opinion, and I use it in everything from keto drop biscuits to keto cheese crackers.
     
    Their cheddar wins awards every year in all sorts of categories. But as anyone who has lived in the New England area knows, they are an exceptional company in a multitude of ways. As a cooperative, they are member-owned and member-controlled, so the farmers benefit directly.

    They also give back to the communities, and promote programs for volunteerism, fundraising, non-profits, and health and wellness.

    Is that why the cheese tastes so good? I can’t say for sure but I have my suspicions!

    Top down photo of the ingredients for smoked sausage casserole in the slow cooker.

    How to make cheesy smoked sausage casserole

    1. Chop the cauliflower into small pieces. I recommend less than 1 inch, which helps it cook through faster and more evenly. 
    2. Check the label on the smoked sausage. Some brands add a startling amount of sugar to kielbasa and other smoked sausage, but it really doesn’t need it. Look for sausage that has less than 2g of carbs per serving. 
    3. Use good sharp cheddar. Have I mentioned that I love Cabot???
    4. Toss everything together. Once you add all the ingredients into the slow cooker, give it a stir to mix it up.  
    5. Cook on low. It should only take 3 hours or so for the cauliflower to become tender. 
    6. Thicken the sauce. Since the cauliflower releases a fair bit of liquid, you can whisk in some glucomannan to thicken the sauce a bit. But this step is optional and it tastes delicious either way! 
    7. Add more cheddar at the end. You could mix in all the cheddar at the beginning but I love a delicious coating of gooey, melted cheese.
    A fork lifting out a bite of cheesy smoked sausage casserole, with gooey cheese strings.

    Frequently Asked Questions

    Can I make this in an Instant Pot?

    You can but pressure cookers tend to force vegetables like cauliflower to release a lot of excess moisture. To avoid this casserole being too soupy, I recommend on cutting the sour cream in half and being ready to add more glucomannan.

    I don’t like smoked sausage, can I use anything else?

    Sure! Any pre-cooked sausage would be great, as would cooked chicken. I recommend pre-cooked for both ease and food safety, but you can always cook it yourself before making the casserole.

    Can I use frozen cauliflower?

    I don’t recommend frozen cauliflower for this recipe. The freezing and thawing process makes the cauliflower more mushy.

    I don’t like cauliflower, can I use a different vegetable?

    I haven’t tried this recipe with anything else but broccoli would work well and radishes might be good. I don’t recommend something like zucchini because of the high moisture content.

    How do you store Smoked Sausage Casserole?

    The leftovers should be stored in the fridge in a covered container, and will last up to 5 days. I recommend re-heating them gently in the microwave or the oven.

    A bowl of keto smoked sausage casserole with a forkful being lifted out of it.
    A fork lifting out a bite of cheesy smoked sausage casserole, with gooey cheese strings.

    Keto Smoked Sausage Casserole Recipe

    This easy smoked sausage casserole is the perfect comfort food. Just pop everything into your slow cooker and in a few hours, you have a hearty side dish or a full keto meal.
    4.95 from 17 votes
    Print Pin Rate
    Course: dinner
    Cuisine: American
    Prep Time: 10 minutes
    Cook Time: 3 hours 30 minutes
    Total Time: 3 hours 40 minutes
    Servings: 8 servings
    Calories: 374kcal

    Ingredients

    • 24 ounces fresh cauliflower cut into small pieces (less than one inch)
    • 1 lb smoked kielbasa chopped
    • 8 ounces Cabot Extra Sharp grated, divided
    • ¾ cup sour cream
    • 2 tablespoon butter cut into small pieces
    • 2 cloves garlic minced
    • ¾ teaspoon salt
    • ½ teaspoon pepper
    • ½ teaspoon glucomannan optional
    • Chopped chives or parsley for garnish

    Instructions

    • Lightly grease a 4 to 6 quart slow cooker.
    • Add the cauliflower, kielbasa, 4 ounces of the cheddar, the sour cream, butter, garlic, salt, and pepper to the bottom. Toss to combine.
    • Cook on low for 3 hours. Stir to mix everything up well. If you want to thicken the sauce at this point, push the meat and cauliflower to one side and whisk the glucomannan into the liquid.
    • Sprinkle the remaining cheddar overtop and replace the lid. Cook another 30 to 60 minutes, until the cheese is melted and the cauliflower is fork tender.
    • Sprinkle with the chives or parsley and serve. You can serve it straight out of the slow cooker or transfer to another serving dish, as desired.
    Nutrition Facts
    Keto Smoked Sausage Casserole Recipe
    Amount Per Serving (1 cup, approximately)
    Calories 374 Calories from Fat 258
    % Daily Value*
    Fat 28.7g44%
    Carbohydrates 6.6g2%
    Fiber 1.7g7%
    Protein 15.8g32%
    * Percent Daily Values are based on a 2000 calorie diet.
    4.3K shares

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    Nutritional Disclaimer

    Please note that I am not a medical or nutritional professional. I am simply recounting and sharing my own experiences on this blog. Nothing I express here should be taken as medical advice and you should consult with your doctor before starting any diet or exercise program. I provide nutritional information for my recipes simply as a courtesy to my readers. It is calculated using MacGourmet software and I remove erythritol from the final carb count and net carb count, as it does not affect my own blood glucose levels. I do my best to be as accurate as possible but you should independently calculate nutritional information on your own before relying on them. I expressly disclaim any and all liability of any kind with respect to any act or omission wholly or in part in reliance on anything contained in this website.

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      Recipe Rating




    1. Marianne says

      January 21, 2023 at 5:51 pm

      I haven’t made this yet but have a deep love for your Cabbage and Kielbasa soup. I am wondering if this can be made with plant cheese. We are avoiding dairy but I am concerned that the long cooking time might destroy the cheese. Do you have any insights?

      Reply
      • Carolyn says

        January 22, 2023 at 9:26 am

        I honestly can’t say since I don’t know how well it melts.

        Reply
    2. Rebecca Miller says

      January 18, 2023 at 1:34 pm

      Is it possible to make this not in a slow cooker? Thanks! Looks delicious!

      Reply
      • Carolyn says

        January 22, 2023 at 3:04 pm

        Yes… search my recipes for the ham and cauli casserole. It goes in the oven and you could follow those instructions!

        Reply
    3. Martha says

      January 14, 2023 at 12:07 pm

      I am making this as I type this, I’m curious about the moisture or at this time, lack of because it mentions thickening it up later.
      Have I missed something as far as fluids to be added or does the cauliflower do that?

      Reply
      • Carolyn says

        January 14, 2023 at 6:25 pm

        Please read step 3 carefully. No added liquid, the cauliflower will produce plenty.

        Reply
    4. Anjala says

      November 12, 2022 at 3:07 pm

      Could I use frozen cauliflower instead? It’s easier for me to get that than fresh cauliflower.

      Reply
      • Carolyn says

        November 14, 2022 at 8:52 am

        I have a feeling it’s going to get too soft in the cooking process.

        Reply
    5. Marla Baker says

      August 22, 2022 at 3:06 pm

      Can I substitute arrowroot or xanthan gum for the glucomannon?

      Reply
      • Carolyn says

        August 22, 2022 at 3:53 pm

        Xanthan gum works.

        Reply
    6. Lynne Costello says

      May 14, 2022 at 11:11 am

      Great flavor but we wanted thicker sauce. Any ideas other than the glucomannan???

      Reply
      • Carolyn says

        May 14, 2022 at 1:14 pm

        More cheese, or even some cream cheese.

        Reply
        • Lynne Johnson says

          October 13, 2022 at 2:01 pm

          Can I use psyllium husk powder instead of glucomannan?

          Reply
          • Carolyn says

            October 13, 2022 at 7:20 pm

            Sorry, that’s not a good replacement.

            Reply
    7. Catherine says

      March 20, 2022 at 2:43 pm

      Can I cook this on high? Got dinner started late ????

      Reply
      • Jessica says

        March 22, 2022 at 7:38 pm

        5 stars
        I cooked mine on high earlier and it worked great!

        Reply
    8. Nikki Forster says

      February 24, 2022 at 7:54 am

      5 stars
      My daughter-in-law made this for us last night and it was delicious! There were no leftovers. This goes on my “definitely make again” list. Thank you Carolyn for all these great recipes!

      Reply
    9. Lisa A says

      February 07, 2022 at 7:13 pm

      5 stars
      I thought this was going to be good… but i was wrong! It was fabulous!!! Definitely going to be a regular!

      Reply
      • Carolyn says

        February 07, 2022 at 8:14 pm

        Now that makes me happy to hear!

        Reply
    10. Christine says

      January 22, 2022 at 12:24 am

      Just to remind: Instant Pot can slow cook, too.

      Reply
    11. Fatima says

      January 20, 2022 at 1:27 am

      5 stars
      I made this last night and we all had seconds!

      Reply
    12. Susan says

      December 21, 2021 at 9:05 pm

      5 stars
      Hey Carolyn, you really outdid yourself with this one. We had this for dinner tonight both really liked it. For me, comfort food is stuff that tastes really good, and this fills that bill. Plus it’s simple to put together. It’s especially good for cold weather dinners. I’ll be making it fairly frequently. Thanks for a real keeper recipe.

      Reply
    13. Jeffrey says

      December 21, 2021 at 3:14 pm

      4 stars
      I just made this last night. I added my own “tweaks” to it, but the base recipe was the same. I used a food processor to chop up an onion, some chilis, tomatoes, a jalapeno, and a few garlic bulbs. I also added black pepper, garlic powder, and onion powder. As for cheese, I put in two packs of white cheddar and a pack of cheddar jack. As for the sausages, I went with 8 Johnsonville chicken chipotle sausages. It was yummy!

      Reply
    14. Anna says

      December 14, 2021 at 8:16 pm

      5 stars
      So so good!! And easy! Thank you for saving dinner!

      Reply
    15. Lily says

      December 14, 2021 at 1:49 am

      5 stars
      This was so comforting and delicious, easy for any weeknight, we loved this recipe!

      Reply
    16. Melissa says

      December 13, 2021 at 9:50 pm

      5 stars
      Great recipe – easy to make a very filling!

      Reply
    17. Betsy says

      December 13, 2021 at 4:12 pm

      5 stars
      This is so easy and delicious!! LOVE, love, love Cabot cheese! Far and away one of the best cheese companies in the United States! I get it whenever I can because it’s so good. Love having it here in this casserole. Absolutely delicious! The whole thing is so delicious! 100%

      Reply
    18. Christy Thornton says

      November 29, 2021 at 2:50 pm

      Hi Caroline – I’m a huge fan – my blood sugar has greatly reduced thanks to your recipes. I’m now the proud owner of 3 ADIDAF cookbooks!!

      I don’t have a slow cooker – do you have a feel for the temp/time to oven cook this yummy sounding recipe? TYVM

      Reply
      • Carolyn says

        November 29, 2021 at 3:06 pm

        Follow the basic method in this recipe: https://alldayidreamaboutfood.com/keto-ham-and-cauliflower-casserole/

        Reply
        • Christy Thornton says

          December 10, 2021 at 4:40 pm

          Perfect – thank you!

          Reply
          • Isarma says

            July 06, 2022 at 2:04 pm

            As mentioned above, Instant Pots have a slow cooker setting as well, just don’t use the pressure settings or it brings out more moisture, as Carolyn mentioned.

            Reply
    19. Nic says

      November 27, 2021 at 10:50 pm

      5 stars
      I made this with leftover andouille from your jambalaya, and added Cajun spices and a bit of onion to make a spicier version! Cheesy deliciousness!

      Reply
      • Carolyn says

        November 28, 2021 at 9:32 am

        Well that’s brilliant! Yum!

        Reply
    20. Susan says

      November 23, 2021 at 12:00 pm

      You really got me with this one. It went directly into my recipe app, rather than going through my usual vetting process. I can’t make it for this cooking stint (my husband and I alternate cooking every two weeks), but it is definitely going into my next meal plan. I can leave all the sweets and baking, but this recipe really calls to me.

      Reply
      • Carolyn says

        November 23, 2021 at 5:26 pm

        Ooooh, enjoy!

        Reply

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