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Easy keto alfredo sauce with sausage and zucchini noodles in a bowl and on a fork.

Low Carb Sausage Alfredo with Zucchini Noodles

This keto alfredo sauce is creamy and rich, and perfect for serving over zoodles. With only 6 simple ingredients, it makes a satisfying low carb dinner the whole family will love.  

Course Main Course
Cuisine Italian
Keyword keto alfredo sauce, sausage alfredo
Prep Time 15 minutes
Cook Time 20 minutes
Total Time 31 minutes
Servings 4 servings
Calories 583 kcal

Ingredients

  • 12 ounces bulk hot Italian sausage
  • 2 tbsp butter
  • 3 cloves garlic minced
  • 1 cup heavy whipping cream
  • 1/2 cup freshly grated parmesan
  • Salt and pepper
  • 2 medium zucchini spiralized

Instructions

  1. In a large skillet over medium heat, brown the sausage until cooked through, 5 to 8 minutes. Transfer to a bowl, leaving some of the grease in the pan. 

  2. Add the butter and let melt, then add the garlic. Saute until fragrant, about 1 minute. Add the cream and bring to a simmer. Reduce the heat and cook on low until thickened, 5 to 8 minutes, whisking frequently. 

  3. Whisk in the Parmesan and season with salt and pepper to taste. Add the sausage back in and whisk to combine. If your sauce ends up too thick as it cools, add a little extra cream if necessary. 

  4. Place the zucchini noodles in a large microwave-safe bowl and cook on high for 2 minutes, until just tender. Divide among 4 plates and top with sausage alfredo. Serve immediately. 

Nutrition Facts
Low Carb Sausage Alfredo with Zucchini Noodles
Amount Per Serving (1 serving = 1/4 of recipe)
Calories 583 Calories from Fat 468
% Daily Value*
Fat 52g80%
Carbohydrates 6.1g2%
Fiber 1g4%
Protein 16g32%
* Percent Daily Values are based on a 2000 calorie diet.