My easy Keto Breakfast Casserole is a simple, low carb recipe that your whole family will love! It combines the savory flavors of breakfast sausage, eggs, cheddar cheese, and heavy cream, making it a filling and nutritious breakfast or dinner recipe. Oh, and it has one secret ingredient that gives it a special kick! I usually make this easy Keto Breakfast Casserole recipe for dinner, but, it’s great as a meal prep for busy mornings or weekend brunch with the whole family.

Why Youโll Love This Recipe
The Keto Breakfast Casserole is not only delicious, but itโs also an easy recipe thatโs perfect for those on a low-carb diet. However, and I can’t stress this enough, it’s simply a great recipe that anyone will love as an easy breakfast or dinner meal. Being on a keto or low carb diet is definitely not a pre-requisite for enjoying this amazing recipe! You can prepare this casserole ahead of time, making it perfect for meal prep. Wanna mix it up? You have so much flexibility with this dish!
Looking for another great keto recipe? Try my delicious Keto White Chicken Chili!
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How to Make Keto Breakfast Casserole
Whipping-up my easy Keto Breakfast Casserole is easy peasy and doesnโt take much time. The combination of breakfast sausage, eggs, and cheese comes together in just a few steps. Once done, you’ll have a warm and comforting breakfast (or dinner!) ready to go. Here’s what you’ll need to have on hand.
Ingredients
- Breakfast Sausage: Adds savory flavor and protein. Breakfast sausage is a great keto-friendly option with minimal carbs.
- Large Eggs: The base of the casserole, eggs provide a good amount of protein and healthy fats.
- Shredded Cheddar Cheese: Gives the casserole that deliciously melty, cheesy texture that pairs perfectly with the sausage.
- Heavy Whipping Cream: Adds creaminess and helps create a fluffy texture while contributing healthy fats.
- Frankโs Red Hot Sauce: Adds a little kick without overpowering the dish. You can adjust the amount for your preferred level of spice.
- Salt and Pepper: Simple seasonings that enhance the overall flavor.
- Green Onions (optional): These provide a pop of color and extra flavor when sprinkled on top as a garnish.

Step-by-Step Instructions
Step One: Preheat the oven to 350ยฐF (175ยฐC). This ensures the casserole bakes evenly in a preheated oven.
Step Two: Heat a large skillet over medium-high heat. Add the breakfast sausage to the skillet, breaking it into small pieces with a wooden spoon. Cook the sausage thoroughly, about 5-7 minutes, until itโs no longer pink.
Step Three: Spread the cooked sausage evenly over the bottom of a 9×13-inch casserole dish. This will be the foundation of your keto casserole.
Step Four: In a large mixing bowl, crack the eggs and whisk them until smooth. Add in the heavy whipping cream, hot sauce, and shredded cheddar cheese, and whisk again until everything is combined.
Step Five: Pour the egg mixture over the sausage in the casserole dish, spreading it evenly to ensure it cooks consistently.
Step Six: Bake in the preheated oven for 30-40 minutes, or until the casserole is firm and cooked through. You can check doneness by inserting a knife into the centerโit should come out clean.
Step Seven: Once cooked, remove the casserole from the oven and allow it to cool slightly. Garnish with green onions, if using, and serve warm.

Substitutions and Variations
One of the best parts of this keto egg casserole is its flexibility. You can easily make substitutions or add variations based on what you have on hand or your personal preferences. Here are a few ideas:
- Cheese: While cheddar cheese is a great option, you can switch it up with mozzarella, Swiss, or even pepper jack for extra flavor.
- Meat: If you donโt have breakfast sausage, feel free to use Italian sausage or even keto bacon. Both add a savory element that works well in this keto breakfast recipe.
- Vegetables: Fresh spinach, red bell peppers, or green chiles can be added to incorporate more nutrients without adding many carbs. Just be sure to chop them into small pieces so they mix evenly with the egg mixture.
- Dairy-Free Option: You can substitute the heavy cream with coconut cream and use dairy-free cheese for those looking for a dairy-free option.
- Spice Level: If you enjoy spicier foods, you can add more hot sauce or even some jalapeรฑos to kick up the heat.
Best Tips
- Use Room Temperature Ingredients: Bringing your eggs and heavy cream to room temperature before mixing helps them incorporate better, resulting in a smoother texture in the final dish.
- Cook the Sausage Thoroughly: Make sure the breakfast sausage is fully cooked before adding it to the casserole dish. This ensures you donโt end up with any undercooked bits.
- Donโt Over Bake: Keep an eye on the casserole during baking. Over-baking the recipe can cause the eggs to dry out. Itโs ready when the center is firm but still has a slight jiggle.
- Add Extra Flavor: For a more flavorful casserole, try adding onion powder or garlic powder to the egg mixture. These seasonings complement the sausage and cheese well.
- Make It Ahead of Time: This casserole can be prepared ahead of time. Simply assemble everything in the casserole dish, cover with plastic wrap, and store in the refrigerator until youโre ready to bake.

How to Store Keto Breakfast Casserole
If you have leftovers or want to prepare the casserole ahead of time, hereโs how to store it:
- Refrigerator: Store the casserole in an airtight container in the refrigerator for up to 3-4 days. You can reheat individual servings in the microwave or oven for a quick breakfast.
- Freezer: This casserole freezes well. After it cools, slice the casserole into individual servings and wrap each piece in plastic wrap or aluminum foil. Place the wrapped portions in a freezer-safe container or bag, and freeze for up to 3 months. Thaw in the refrigerator overnight before reheating.
- Reheating: To reheat, simply pop a slice in the microwave for 1-2 minutes, or reheat the entire dish in the oven at 350ยฐF (175ยฐC) until warmed through.

Frequently Asked Questions
Can I use a different type of sausage?
Yes! You can use Italian sausage, turkey sausage, or even chorizo in place of breakfast sausage. Just make sure to choose a low-carb option that fits your keto diet.
Can I make this casserole dairy-free?
Yes, you can substitute heavy whipping cream with coconut cream and use a dairy-free cheese option. This makes the casserole keto-friendly while catering to a dairy-free diet.
How many net carbs are in Keto Breakfast Casserole?
The exact amount of net carbs will depend on the specific brands and ingredients you use, but generally, this casserole contains only a few net carbs per serving, making it a great option for those on a low-carb diet. You can have a peek at my nutritional info at the bottom of the recipe card for all the details!

Can I add vegetables to the casserole?
Absolutely! Feel free to add low-carb veggies like spinach, green onions, or bell peppers to the egg mixture. Just be sure to cut them into small pieces and sautรฉ them beforehand if they have a high moisture content. You could even add broccoli, chopped small, and par-cooked prior to adding it to the casserole.
How-To Video
This Keto Breakfast Casserole is a perfect recipe for anyone following a low-carb lifestyle, OR, anyone who loves tasty food! Whether youโre looking for keto breakfast ideas or meal prep for busy mornings, this easy keto casserole is a great option. With minimal prep time and simple ingredients, you can have a hearty keto-friendly breakfast ready to go. Try adding your favorite toppings, like extra cheese or keto bacon, to make it your own. I hope you love this easy breakfast casserole as much as my husband and kids do!

More Easy Casseroles
- John Wayne Casserole
- Doritos Chicken Casserole
- Loaded Cauliflower Casserole
- Stuffed Cabbage Casserole
Keto Breakfast Casserole
Ingredients
- 1 12 oz. package breakfast sausage
- 12 large eggs
- 2 cups shredded cheddar cheese
- 3/4 cup heavy whipping cream
- 1 tablespoon Frankโs Red Hot Sauce
- Salt and pepper to taste
- 2 tbsp. green onions sliced, optional garnish
Instructions
- Preheat oven to 350 degrees F (175 degrees C).
- Heat a large skillet over medium-high heat. Add sausage, breaking meat apart with a wooden spoon, and cook until meat is thoroughly cooked and no longer pink, about 5-7 minutes. Spread the cooked sausage over the bottom of a 9×13-inch casserole dish.
- Add eggs to a large bowl and whisk. Whisk in the cream, hot sauce, and shredded cheddar cheese. Pour the egg mixture over the sausage and spread evenly.
- Bake until firm and cooked through, 30 to 40 minutes.

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Nutrition
Did you make this?
I would love to hear from you! Make sure to leave your review below and follow on Pinterest for more!
As Keto goes this is a very straightforward easy recipe.
Using heavy cream in place of butter adds a nice smooth texture to this casserole.
I slightly warm the cream and blend a philly cream cheese into it. Then mix in the eggs to take it to the next level.
I also add mushrooms onions and green peppers my own smoked ham and American cheese. Thanks for sharing your recipe. I enjoy it. Looked to add a pic but didn’t see the option.
Will it refrigerate overnight to bake in the morning?adding other veggies is a great idea.
Can you make it the night before?
Just remember that itโs very difficult to find sugar free sausage, Applegate makes some but theyโre salty. So if youโre strict keto maybe substitute sausage with sugar free bacon, a little easier to findย
That looks good! I’d definitely doctor the meat up with some seasonings, onions and pell peppers.
I would like freezing instructions.
Can this be made in the crockpot? If so, possible directions?!? Thanks!ย