• Amy Rawson

Spicy Sausage Skillet

This Keto Spicy Sausage and Caramelized Onion Breakfast Bake is one of the very first recipes I started making when I set out to live a low carb lifestyle. All of these years later, it is still a family favorite. It’s the kind of dish I have to double if I want to have any leftovers. But speaking of leftovers, this is one of those dishes that just gets better and better each day. Many people on a low carb diet quickly get tired of eating eggs. Sometimes it is all about mixing things up and not just eating boring fried eggs day in and day out. This low carb and gluten free breakfast bake is the perfect way to do exactly that. I love the way the cheese mixes in to the eggs, but also floats up to the top of the egg mixture to form a delicious crust. It’s like eating a low carb quiche recipe, but without the crust. Mmmmmm!

I love to top this with a dollop of sour cream and a sprinkling of fresh chopped green onions. The cool and creamy sour cream pairs perfectly with the flavors of the spicy sausage and caramelized onions. If you are looking for an easy one pot keto recipe, then this is the dish for you. Hey, it’s not just for breakfast either. In our home, we are big fans of brinner – breakfast for dinner.



  • 1 medium onion, diced

  • 2 tbsp butter

  • 3 tbsp garlic, minced

  • 1lb hot Italian breakfast sausage

  • 8 oz mushrooms, sliced

  • 3 tbsp tomato paste

  • 1 tbsp hot sauce

  • 10 large eggs

  • 1 cup sharp cheddar cheese, shredded

  • 2/3 cup Parmesan cheese, grated

  • sea salt and black pepper, to taste


  1. In a large sauté pan over low-medium heat, add onion, butter, garlic, and salt and pepper. Cook until onions are nice and caramelized – About 20 minutes.

  2. While the onions are cooking – In a large skillet, brown the sausage. Once the sausage is nearly finished cooking, add mushrooms, tomato paste, and hot sauce, and saute 5-10 more minutes. Mix caramelized onions into meat mixture.

  3. In a large mixing bowl, crack all 10 eggs and fork whisk. To the eggs, mix in cheddar cheese and Parmesan cheese.

  4. Preheat oven to 350°

  5. In a 2 quart glass baking dish, pour meat into the bottom of the dish and spread evenly. Pour egg mixture over the top of the meat. Use a fork to poke holes down into the meat to allow the eggs to mix just slightly into the meat.

  6. Bake for 40 minutes. Once finished, the top should be a nice golden brown color.

  7. I add a dollop of sour on top when I serve it.




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