Total Time
Prep 0 mins
Cook 30 mins

This recipe has been in my family for at least two generations, possibly more, as my grandmother cannot remember which of my family members gave it to her! As she has been diagnosed with ALS (Lou Gehrig's disease) and is advancing in its progression quickly, she can't make it anymore, but my mother and I carry on the tradition for her! This recipe is a testament to her memory. She is still with us as of this posting, but in the future, I'll be able to remember her every time I make it. Emotional attachments aside, it's the best sausage gravy I've ever eaten, hands down, and tends to contain more sausage than even the best restaurants can fit into their versions! It isn't healthy - at all - but you'll at least die happy! Of course it's recommended that you bake your own biscuits from scratch, but failing that, frozen biscuits will work just as well. (You can probably use the refrigerated tube kind too but I always use frozen, they're just better somehow in my opinion!)

Ingredients Nutrition


  1. In a large skillet, cook the sausage, but do not brown or crisp. When using pork, this distinction is very clear when you see it in the pan, so don't worry about missing the mark.
  2. Add the onion and cook until transparent.
  3. Drain off all but 2 tablespoons of fat from the pan.
  4. Add the flour and stir it in well, then cook on medium heat for 6-7 minutes.
  5. Add the milk all at once and add seasonings.
  6. Cook until thickened. This takes awhile because of the amount of liquid - for me it usually takes anywhere from 10-20 minutes. Keep an eye on it and your patience will be rewarded.
  7. Place 3 biscuit halves on each plate and top with gravy. Serve and enjoy!
Most Helpful

Excellent sausage gravy recipe. Much fancier than the usual sausage gravy that I make. I didn't really taste the nutmeg, but I am sure that it added to the wonderful flavor this gravy had. I had mine over two biscuit halves and a couple fried eggs. This also reheats very nicely in the microwave. Thanks for sharing such a great recipe, queenofeats. Made for Best of 2010 Cookbooks Tag Game.

Crafty Lady 13 February 20, 2011

Great sausage gravy! Although I made a couple of biscuits to pose the picture, we served this with garlic mashed potatoes for a comfort-food supper. Not for the weak of arteries! ... but delicious and homestyle good. Made for PAC.

Lavender Lynn April 11, 2010

This was delicious. My DD really liked it. She loves sausage so I had been hoping she'd like this and she did! Thanks fo sharing this recipe! Made for Pick a Chef Spring 2009.

Realtor by day, Chef by night April 10, 2009