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+ servings

Fish Saltimbocca with Roasted Tomato Cream Sauce

Possibly the best low carb fish recipe you will ever make and it's easy too! Prosciutto wrapped halibut in a creamy roasted tomato sauce.
Course Main Course
Cuisine Italian
Prep Time 20 minutes
Cook Time 36 minutes
Total Time 56 minutes
Servings 4 servings
Calories 268 kcal


Roasted Tomato Cream Sauce:

  • 10 ounces fresh tomatoes coarsely chopped
  • 1 tbsp olive or avocado oil
  • 1/2 tsp salt
  • 1/2 tsp pepper
  • 1 clove garlic coarsely chopped
  • Dash red pepper flakes
  • 1/3 cup heavy whipping cream

Fish Saltimbocca:

  • 1 lb firm white fish I used halibut, about 1 inch thick, cut into 4 equal portions
  • Salt and pepper
  • 4 large slices prosciutto
  • 4 sage leaves
  • 1 tbsp butter


Roasted Tomato Sauce:

  1. Preheat oven to 400F.
  2. Place tomatoes in an oven-proof pan or baking dish (you can use the same pan you plan to cook the fish in, such as the lovely All Clad d3 ARMOR Fish Pan). Drizzle with olive oil and sprinkle with salt and pepper. Toss to combine.
  3. Roast until the tomatoes are caramelized and browned in spots, about 30 minutes. Transfer the tomatoes to a food processor and add the garlic and red pepper flakes. Puree until smooth. Add the cream and puree again until well mixed.

Fish Saltimbocca:

  1. Pat fish dry with paper towels and season well. Wrap each in a slice of prosciutto and lay a sage leaf across the top. Secure the sage and prosciutto with toothpicks.
  2. In a good large skillet or fish pan, melt butter over medium heat. When butter is hot and beginning to brown, add the fish, sage-side down and cook 4 minutes, until prosciutto is crisp. Flip fish and cook another 4 to 6 minutes, until cooked through.
  3. Turn off the heat and transfer fish to a plate. Add the roasted tomato sauce to the still-hot pan to warm through, stirring into the pan juices.
  4. Divide the sauce between 4 plates and place fish portions on top. Serve immediately.

Recipe Notes

Serves 4.

Food energy: 268kcal
Total fat: 15.87g
Calories from fat: 142
Cholesterol: 101mg
Carbohydrate, by difference: 3.73g
Total dietary fiber: 0.94g
Protein: 25.96g

Nutrition Facts
Fish Saltimbocca with Roasted Tomato Cream Sauce
Amount Per Serving (1 piece)
Calories 268 Calories from Fat 143
% Daily Value*
Fat 15.9g24%
Carbohydrates 3.7g1%
Fiber 0.9g4%
Protein 26g52%
* Percent Daily Values are based on a 2000 calorie diet.