Savor the flavors of the South with Southern Keto Cookbook Sausage Gravy - creamy, seasoned sausage in a low-carb gravy. Drizzle it over keto biscuits, or enjoy it over scrambled eggs for a low-carb taste of home!
In a large skillet over medium heat, cook the sausage, crumbling the meat with a large spoon as it cooks, until it is well browned, about 10 minutes.
Reduce the heat to low. Stir in the cream, water, and xanthan gum. Continue cooking, stirring frequently, until the gravy starts to thicken, about 10 minutes. If it gets too thick, thin it with water, adding a tablespoon at a time until the desired consistency is achieved.
Season the gravy to taste with salt and pepper. The gravy is best served right away.