Low Carb Cheesy Smoked Sausage Casserole

"I'm pretty much on a low-carb for life diet and have been for several years so I'm always looking for new recipes and new ideas for something tasty AND that fits within my personal dietary guidlines. This recipe turned out really good and has unlimited options (i.e. beef sausage, hot dogs, chopped ham, chopped up spam or throw in your favorite veggie..) so feel free to get creative with it!!"
photo by Rachel S photo by Rachel S
photo by Rachel S
photo by Rachel S photo by Rachel S
photo by Debbie S. photo by Debbie S.
photo by Shawn P. photo by Shawn P.
Ready In:




  • Cut smoked sausage in half, lengthwise, and then chop in 1/2 again.
  • (If uncooked, first cook according to package directions until SLIGHTLY browned.).
  • Put cooked cauliflower into 2 quart casserole dish. Add cooked meat and mix.
  • Melt all remaining ingredients (using 1/2 of the shredded chedder cheese) except for paprika in a saucepan over medium heat until warm, melted and smooth. (Use a wisk and stir constantly.).
  • Pour cheese sauce over cauliflower and meat.
  • Sprinkle remaining shredded cheddar cheese on top, and then sprinkle paprika evenly over the top.
  • Bake in preheated 350 degree oven for 35-45 minutes (watch-just until golden brown on top).

Questions & Replies

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  1. This recipe is a keeper. I cooked and riced fresh cauliflower, and used the microwave to to make the sauce.
  2. This was so good and so easy to make! I used frozen riced cauliflower- cooked per directions. Put that in an 8x8 pyrex dish with the cut up sausage which I browned. I didn't have a lot of time so I microwaved the cheese, cream and butter and it came out great! My husband liked it and he doesn't like cauliflower so this is going to be a meal we make again! Thanks!
    • Review photo by Rachel S
  3. I made this tonight and my husband and I both liked it a lot. It was easy to make and it turned out quite well. I didn't have cauliflower so I subbed broccoli and it turned out fine with it. I ended up making 1.5 times the amount of sauce because I thought there wouldn't be enough sauce but I would recommend following the recipe as written because I think there would be enough sauce. <br/><br/>Thanks for an easy one-dish meal.
  4. Oh, my goodness! What a tasty surprise! I'm new to the keto diet so I wasn't expecting something so delicious. I would make this even if not on a low-carb program. I didn't have a full cup of heavy cream, so I added extra butter. I didn't measure the amount of shredded cheese, but I'm pretty sure it was more than a cup. I added a dollop of cream cheese and a few splashes of hot sauce. My extra veggies were broccoli and red onions (cooked with the sausage). I'm saving this one to make again!
    • Review photo by Debbie S.


  1. This was really good.. I did substitute regular cauliflower for 2 packages of cauliflower rice w/veg. in the frozen section at Walmart..I cooked them in microwave and then drained them and continued to follow the rest of the instructions on recipe.


I love to cook and I love to bake even more. Obviously growing up here in Lancaster County (PA Dutch Country), I come from a long history of women who were homemakers with many children and cooking and baking were MANDATORY every night. 3 course meals with freshly baked desserts were staples every day growing up in my family. I, on the other hand, am a busy, professional, business owner with very long/late hours. I try to make as many homemade meals as possible but it is very difficult with my work schedule. In this neck of the woods, most recipes we grew up on and love are all stored in the mind only, no paper trails to be found. There are so many recipes I've gathered from watching my mom cook & bake over the years that are consider comfort food to me that I must take the time to write down the measurements so I can share them with all of you. I feel it's the least I can do after all of the wonderful new recipes I've obtained from everyone here. I just love to try new recipes and experiment with new ingredients.
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