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Meaty & Cheesy Sausage Parmigiana

Keto-friendly, hearty, and delicious, low-carb Sausage Parmigiana is an easy 4 NET CARB dinner to make that’ll satisfy your whole family. Hungry? Read on, and I, Chef Jenn, will show you all my tips and tricks for making this the best keto sausage recipe each and every time!

sausage parmigiana on a white serving dish
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For Keto-dieters, enjoy this meal with your favorite green veg and a salad, and for non-Ketoers, serve this rich dish over top cooked pasta.

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There are two secrets to this dish.

Secret #1 is the sauce. Oven-roasted tomato sauce is the answer to no-fuss marinara sauce. I used this recipe for keto Oven Roasted Tomato Sauce, and you can make a double batch of this and freeze the extra for those rushed dinners. This sauce is also keto-friendly, with no added sugar or nonsense that comes from store-bought sauce. It’s also miles cheaper, and not watered down like the expensive store-bought stuff

Do yourself a favor and make your own sauce.

sausage parmigiana in a serving dish and a glass of wine
A single serving of Sausage Parmigiana

The second secret is using GOOD sausage.

I use big, meaty Italian sausage from Costco, but any of your favorite sausages will do. Avoid those that are too fatty, as they just add unwanted fat to the sauce. And, read the ingredient labels to watch for sneaky hidden carbs.

The third secret (wait, I only said TWO secrets) is cheese. Lots of it. Spoon creamy ricotta generously on top and it melts into the sauce. Then, ooey gooey mozzarella adds a lovely blanket of cheesiness on top, and a sprinkle of Parmesan adds a final touch to this low-carb Sausage Parmigiana.

This meal can be on the table in about 30 minutes if you have the sauce already done and ready to go.

Double or triple this dish for covered dish or pot luck parties, or just to nosh on throughout the week.

What You Need to make Sausage Parmigiana

Chef’s Tips

  • Change up the sausage! Use chicken sausage or your favorite sausage in this dish, or whatever you happen to have on hand.
  • A sprinkle of fresh basil really puts this dish over the top. If you don’t have fresh herbs, sprinkle a tbsp of your favorite Italian blend spices over the top before baking.
  • This is a one-pot meal, so make sure the sausage are thoroughly cooked to 165-F before serving. This trusty digital thermometer is the ONLY kind I use.
  • Mozzarella is an easy-melting cheese, but fontina will work too, or havarti, or even provolone.

What To Serve with Sausage Parmigiana

A big, green salad or another side like easy Zucchini Noodles are a perfect match for this dish. This meal is so hearty, you could also pair it with a selection of Low Carb Snacks to make a full meal.

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Sausage Parmigiana on a white plate
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4.96 from 44 votes

Low-Carb Sausage Parmigiana

Who doesn't love sausage or cheese? In this terrific dish, I've keto-ized a familiar favorite making it low carb and oh-so delicious! 
Course Keto Dinner Recipes
Cuisine Italian
Keyword keto, mozzarella, parmesan, ricotta, sausage, tomato sauce
Prep Time 10 minutes
Cook Time 30 minutes
Total Time 40 minutes
Servings 5 servings
Calories 420kcal
Author Chef Jenn


  • 1 pounds Italian sausage hot or mild
  • 1/2 cup ricotta cheese
  • 1/2 cup mozzarella cheese shredded
  • 1/4 cup Parmesan cheese shredded or grated
  • 2 cups oven-baked tomato sauce


  • This dish couldn’t be any easier; you already did most of the work with the oven-baked tomato sauce found here. Just put 2 cups of this yummy sauce into the bottom of an oven-safe dish big enough to hold all the sausage.
  • Cut the sausage into quarters, and lay them on top of the tomato sauce, pressing them down slightly.
  • Bake in a 425-F oven for about 15-20 minutes. Remove from oven and top with dollops of the ricotta, the mozzarella, and Parmesan cheese. Put it back into the oven for about 5 minutes until hot and bubbly! 
  • Serve with your favorite vegetable, and for the non-keto eaters, spoon a generous portion over cooked pasta.


Use this Oven-Roasted Tomato Sauce recipe to keep the carbs low, or use your favorite tomato sauce.


Serving: 1sausage link and 1/3 cup sauce | Calories: 420kcal | Carbohydrates: 6g | Protein: 25g | Fat: 31g | Saturated Fat: 13g | Polyunsaturated Fat: 21g | Cholesterol: 71mg | Sodium: 1301mg | Fiber: 2g | Sugar: 3g | Net Carbohydrates: 4g

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.

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...

11 thoughts on “Meaty & Cheesy Sausage Parmigiana”

  1. This is my kind of dish! It looks easy to make, full-on flavor, and a meal my entire family will eat without complaint. I’m putting this on next week’s meal plan!

  2. I love that this is a low carb dish whilst also looking like it is the perfect comfort food dish. My kids and husband would love this!

  3. My husband and I have been on keto for a few weeks again so this recipe was a perfect dinner! I loved how filling it was, the flavors, and of course layers of cheese. I was glad I made extra because we froze the rest for another night!

  4. This is such a rich and satisfying dish. That roasted tomato sauce is delicious and we loved all the cheese! Perfect comfort food.

  5. Such a simple but delicious recipe! Make it with some zucchini noodles, and I’m good to go!

4.96 from 44 votes (44 ratings without comment)

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