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Keto Cajun Sausage Cabbage Alfredo

This Keto Cajun Sausage Cabbage Alfredo is a low-carb comfort dish with a peppery sausage kick and creamy Parmesan sauce, all made in one skillet in under 30 minutes.
Print Recipe
Prep Time 10 minutes
Cook Time 20 minutes
Total Time 30 minutes
Course Dinner, Main Course
Cuisine American, Keto
Servings 4 servings

Ingredients
  

Main ingredients

  • 1 lb Cajun beef sausage, sliced (smoked, fully cooked turkey kielbasa or chicken andouille work great)
  • 1 small head cabbage, chopped (green or savoy; you can use pre-shredded to save time)
  • 1 cup heavy cream substitute: half-and-half + 2 tbsp cream cheese for slightly lighter texture
  • 1 cup Parmesan cheese, grated Parmigiano-Reggiano gives the best nutty flavor
  • 2 cloves garlic, minced use 1 tsp garlic powder in a pinch
  • 2 tablespoons olive oil or avocado oil for higher smoke point
  • Salt and pepper to taste
  • Chopped parsley for garnish

Instructions
 

Cooking

  • Heat a large skillet over medium heat and add 2 tablespoons olive oil. Swirl to coat.
  • Add the sliced Cajun beef sausage in a single layer. Cook, stirring occasionally, until browned and caramelized — about 4–6 minutes.
  • Push the beef sausage to the side and add the minced garlic. Cook 30–60 seconds until fragrant; don’t let it burn.
  • Add the chopped cabbage. Sauté, stirring every couple of minutes, until it’s tender and slightly wilted, roughly 6–8 minutes.
  • Pour in 1 cup heavy cream and stir to combine with the beef sausage and cabbage. Let it simmer gently for 1–2 minutes.
  • Reduce heat to low. Gradually sprinkle in 1 cup grated Parmesan, stirring continuously until it melts and the sauce thickens to your liking.
  • Taste and season with salt and freshly ground black pepper. Remember the beef sausage is already seasoned, so start light.
  • Serve immediately, topped with chopped parsley for freshness.

Notes

For a dairy-free swap, try canned coconut cream and a nutritional yeast blend. Store in the refrigerator for 3-4 days in an airtight container, and gently reheat with a splash of cream or water. Do not leave leftovers at room temperature for more than two hours.
Keyword Alfredo, Cajun, Keto, Low-Carb, Sausage