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Keto Sausage Stew

Love sausage but you’re tired of same-old same-old? This keto Sausage Stew is loaded with big chunks of sausage, oodles of flavor, and plenty of veggies — it is one deliciously different stew.

keto sausage stew in individual size black square dishes on a bed of mashed cauliflower
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I’m always on the lookout for easy comfort-food recipes, and this keto Italian sausage recipe qualifies! I love the versatility of this dish – I can change up the sausage, and it’s an easy meal for all of us when I serve it with pasta for the kids.

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What You Need To Make keto Sausage Stew

  • Onion
  • Garlic
  • Red and green bell peppers
  • Sausage – make sure it has no starchy fillers!
  • Can of crushed tomatoes
  • Italian seasoning
  • Paprika
  • Smoked hot paprika
  • Salt
  • Avocado oil

How To Make This Easy Sausage Stew

  1. Add water to a skillet and boil the sausage on the stove until cooked. Set them aside.
  2. Sautee the onions and garlic in the avocado oil. Add the peppers and spices and cook a few minutes longer.
  3. When the sausage is cool, slice it and add it plus the tomatoes to the skillet with the onion and cover. Simmer.
  4. Serve over your favorite Cheesy Mashed Cauliflower and enjoy!

Chef Jenn’s Tips to Make This Keto Sausage Recipe

  • Start with good quality sausage. You’re going to add so much flavor to this stewed sausage dish so don’t worry about getting a flavored sausage.
  • Mild Italian sausage is my first pick for this dish.
  • If you want it spicier, go for hot Italian sausage.
  • Smoked hot paprika adds lovely smoked flavor to this dish but cayenne pepper or red chili flakes will work if you don’t have or can’t find the smoked hot paprika. I recommend getting some – it has such a unique flavor!
  • If your stew gets too thick, add a few spoons of water to thin it out.
  • Crushed tomatoes are the same as tomato puree, or you can use tomato sauce if that’s all you’ve got. Just watch the sugar content.
keto sausage stew in a small single serving size pot
Keto Sausage Stew

What To Serve With This Keto Sausage Stew

You totally need something cheesy and silky with this dish, like my Creamy Cheesy Mashed Cauliflower. Spoon the hot stewed sasusage over the mashed cauliflower and you’ll be in MmmMmm Land!

Or, eat the stew as it is with a salad or a nice green veggie like this broccoli dish. Here’s another option – this Roasted Cauliflower And Butternut Squash With Bacon would be a tasty treat!

Serve it with noodles or mashed potatoes for the non-keto members of your family.

Is This Easy Keto Stew Recipe Freezer Friendly?

So totally yes!

Simply chill this pork sausage stew and then freeze it in zipper-top freezer bags or freezer-safe containers for up to three months.

Thaw it and warm it up in the microwave or on the stovetop in a pot to eat it.

My favorite way to freeze saucy and soupy recipes is by using Souper Cubes! These amazing freezer-safe cubes are perfect for freezing portions of all my favorite soups, stews, and other saucy meals. I freeze them then pop them out and put the rectangular frozen blocks into a zipper-top freezer bag. It makes storing them SOOOO much easier!

Where can you find these Soup Cubes? You can order them from Souper Cubes – how cool is this?

souper cubes
Souper Cubes make freezing easy!
How long does it take to make easy Sausage Stew?

This simple recipe can be on the table in about 30 minutes. Cooking the sausage first in water keeps the sausage moist and speeds up the cooking process.

What kind of sausage do you use to make keto Sausage Stew?

I prefer using a mild Italian sausage but you can use whatever you like. Just watch for hidden carbs found in fillers in the sausage.

How many carbs are in keto Sausage Stew recipe?

This easy peasy dish only has 6 net carbs in it, making it a great choice for keto and low-carb diets.

Like This Easy Keto Recipe? Also Try:

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keto sausage stew in a small single serving size pot
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Keto Sausage Stew

Easy and loaded with flavor and chunks of meaty sausage, this keto Sausage Stew is a dish the whole family will really love!
Course Keto Dinner Recipes, Main Course
Cuisine American, Italian
Keyword keto stew, pork, sausage, sausage stew, stew
Prep Time 10 minutes
Cook Time 20 minutes
Total Time 30 minutes
Servings 6 servings
Calories 342kcal
Author Chef Jenn


  • 1 lb mild Italian sausage
  • 1/2 cup onion sliced
  • 2 cloves garlic minced
  • 1/2 cup red bell pepper sliced
  • 1 cup green bell pepper sliced
  • 14 ounces crushed tomatoes canned
  • 1/4 tsp paprika
  • 1/4 tsp smoked hot paprika
  • 1 tbsp Italian seasoning
  • 1/4 tsp salt
  • 2 tbsp avocado oil


  • Cook the sausage in a large skillet with enough water that the water comes halfway up the sausage. Turn them once or twice until they are cooked through. Set aside.
  • In the same skillet, sautee the onion and garlic over medium high heat in the avocado oil. Cook until the onion is soft, about 4 minutes. Add the peppers and cook a minute longer.
  • Slice the sausage and add it to the skillet with the onions and peppers. Add the spices and mix well.
  • Add the tomato sauce and stir completely. Simmer covered for about 15 minutes until the stew is thick and delicious. Serve and enjoy!


Serving: 1cup | Calories: 342kcal | Carbohydrates: 9g | Protein: 12g | Fat: 29g | Saturated Fat: 9g | Cholesterol: 57mg | Sodium: 739mg | Potassium: 489mg | Fiber: 3g | Sugar: 5g | Vitamin A: 644IU | Vitamin C: 45mg | Calcium: 58mg | Iron: 2mg | Net Carbohydrates: 6g

A Note on Nutritional Information

Nutritional information for this recipe is provided as a courtesy and is calculated based on available online ingredient information. It is only an approximate value. The accuracy of the nutritional information for any recipe on this site cannot be guaranteed. Erythritol carbs (sugar substitutes) are not included in the carbohydrate counts as they have been shown not to impact blood sugar, and they have zero calories and zero carbs. Net carbs are the total carbs minus fiber.

Chef Jenn’s Current Favorites

There are wayyy more keto recipes to try and love, and at the time of publishing, these are some of my current favorites:

And if you need help counting net carbs, this calculator can help!

about jenn

Hi, I’m Jenn!

I’m a cookbook author (Keto Soup Cookbook and Keto Diabetic Cookbook and Meal Plan) as well as a retired chef, recipe developer, and writer of this blog (that’s a lot of hats!). I embarked on a journey to create foodie-worthy Keto-friendly meals that any home cook can be proud of! No matter if you’re low-carb, no-carb, dirty, or strict Keto, there are recipes in Keto Cooking Wins for you and your family. Read more...

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