Low Carb Breakfast Casserole With Sausage

Easy low carb breakfast casserole is low carb and gluten-free! Enjoy for breakfast or brunch for a satisfying meal! Perfect for gluten-free and Keto diets and only 4 carbs per serving! This also reheats well, so save this recipe for for meal prep idea.

This post was sponsored in collaboration with the National Pork Board, 2018.  

Cheesy egg sausage casserole on a teal plate

Low Carb Breakfast Casserole For Breakfast or Brunch

Our every day life can get hectic, which is why when I cook, the meal needs to be filling because during the weekend I’ll cook one hearty dish for breakfast that will give us lots of energy throughout the day.

This way we are able to eat when we want since we are often going in different directions and schedules. However, when we are able to enjoy a weekend meal together, this casserole is my go to dish for brunch.

This egg sausage casserole is filled with lots of protein and fat.  Two of the ingredients that bumps up the satiety factor!

Breakfast sausage casserole dish in a clear glass baking pan

Ingredients needed for egg casserole

I based this recipe on my Green Chili Frittata, except this dish is made with ground pork and made sure to leave out any gluten.

Gather these ingredients for a low carb version:

  • Ground Pork (you can use pre-seasoned breakfast pork)
  • Cottage Cheese – extra protein!
  • Sharp Cheddar Cheese – shred your own cheese if you aren’t in a rush. Did you know that pre-shredded cheese is often coated with cellulose? Cellulose is used in a lot of pre-packaged foods. It’s used in cheese to absorb moisture so the shreds don’t stick together.
  • Eggs – I use the whole egg, which is fine for keto and low carb dieters. You can also use a mix of whole eggs and egg whites if you would like.
  • Heavy Cream or Half and Half – You can use a either option. I use heavy cream when I want to kick up the fat content.
  • Herbs if using plain ground pork – see below for some options.

What herbs can be used to season ground pork?

Season your own ground pork and add fresh herbs to suit your taste!  Some of the following options are what I have used:

  • Ground Rubbed Sage – adds a little earthy flavor with hints of citrus and pine.
  • Italian Herb Mix – an Italian flair with basil, oregano, rosemary, marjoram, and thyme.
  • Onion Powder – get the flavor without using a raw onion. Just an easy step to shake a little on the sausage.
  • Cumin – offers an little sweetness without going overboard. The natural bitterness of cumin is paired back with all the flavors mixed together.
  • Red Pepper – bring up the spice as little or as much as your taste buds can handle.
  • Nutmeg – a warm sweet and spicy flavor. You only need a small amount of this robust spice.
Four steps to make egg sausage casserole recipe

How to make this sausage casserole

Not only is this casserole delicious, but it’s easy to cook AND it can be made in advance.  Mix the ingredients the night before serving and bake in the morning!

First cook the ground pork. If you are using pre-seasoned pork, then all you do is cook to the recommended 160° F temperature.  If you are seasoning the pork yourself, then you will need a total of two teaspoons of the combination of herbs that meets your taste buds.

We love sage, thyme, and just a pinch of nutmeg for that earthy flavor it offers.

Next, mix the eggs, cream, and cottage cheese in a large mixing bowl.  Fold in the sausage and cheese and bake!

Frequently Asked Questions

How many carbs are in this breakfast casserole?

Each serving is 4 carbohydrates. This casserole serves a generous 8 portions.

How do you reheat a low carb breakfast casserole?

To reheat this breakfast casserole cover with foil and place in a 350° F preheated oven for about 20-30 minutes. This time may vary depending on how much leftovers you want to reheat.

How do you reheat in the microwave?

This can also be warmed up in the microwave by the slice or serving too.  Cover with a paper towel and heat on high for 45-60 seconds.

Slice of cheesy sausage casserole on a blue plate with a glass or orange juice on the side

What to serve with this cheesy sausage casserole

This dish goes well with a fresh fruit salad, sugar free pumpkin bread or chocolate chip avocado muffins!

You also might want to add some Keto Cinnamon Roll Chaffles or Low Carb Pancakes with cinnamon!

Cheesy egg sausage casserole on a teal plate

Low Carb Breakfast Casserole With Sausage

Filling breakfast or brunch sausage casserole for a crowd or make in advance and enjoy all week for breakfast. This satisfying dish is perfect for gluten-free and Keto diet followers!
4.87 from 15 votes
Print Pin Rate
Course: Breakfast
Cuisine: American
Keyword: Breakfast Casserole, casserole, Sausage Casserole
Prep Time: 10 minutes
Cook Time: 35 minutes
Total Time: 45 minutes
Servings: 8 servings
Calories: 589kcal
Author: Sandra Shaffer


  • 1 pound ground pork sausage*
  • 1 teaspoon rubbed sage
  • 1/2 teaspoon thyme
  • pinch nutmeg
  • salt and pepper to taste
  • 8 large eggs
  • 1/4 cup butter melted and cooled
  • 1/4 cup heavy cream or half and half
  • 1 16 ounce container small curd cottage cheese
  • 2 cups sharp cheddar cheese shredded


  • Preheat oven to 350 degrees. Lightly grease a 9″ x 13″ baking pan and set aside. 
  • Cook ground pork breaking up meat into small chunks. Season with herbs if using plain pork and set aside.
  • In a large mixing bowl beat eggs with a whisk with cooled butter. Add cream and cottage cheese and mix well. Fold in shredded cheese and sausage.
  • Bake for 35 minutes or until egg is set. 


*if using pre-seasoned breakfast casserole, leave out the additional herbs. 


Serving: 1g | Calories: 589kcal | Carbohydrates: 4g | Protein: 33g | Fat: 49g | Saturated Fat: 24g | Polyunsaturated Fat: 21g | Trans Fat: 1g | Cholesterol: 319mg | Sodium: 1039mg | Sugar: 2g


Please note that the nutritional information provided are guidelines and may vary based on the brand of products used. For your specific nutritional goals use My Fitness Pal or Verywell Fit recipe calculators. All content within this site is not intended as medical diagnosis or treatment and should not be considered a substitute for professional medical expertise.

This low carb cheesy sausage casserole is low carb and gluten-free! Enjoy for breakfast or brunch for a satisfying meal! | www.thefodieaffair.com #brunch #breakfast #lowcarb #keto #sausage #pork
Hugs Sandra Signature

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    1. Hi Rebecca! Yes, you can make this in advance. The same baking instructions would apply if you thaw the casserole beforehand. However, it may need to cook an addition 15-20 minutes since the ingredients will be cold.

    1. Hi Vicki! I’m so glad this recipe is helping to give you a great start to your morning. Since I’m working from home I love having this ready to go too. Thanks for stopping by 🙂

  1. low carb but still all the things my husband will love! Cant wait to surprise him with this for breakfast!

  2. I was hunting for a new, low carb breakfast recipe and found yours. It’s sensational–both my husband and I loved it. It will become a regular feature at our house!