I absolutely love this Keto Cauliflower Breakfast Casserole with Sausage and Cheese Recipe because it brings together hearty flavors and low-carb ingredients in the most comforting way. It’s perfect for busy mornings when you want a satisfying, protein-packed breakfast that doesn’t derail your keto goals. Plus, the cauliflower base keeps it nutrient-rich and light, which I find makes it a great way to start the day without feeling weighed down.

When I first tried this casserole, I was amazed at how well the sausage and cheese melded with the tender cauliflower. You’ll find that it’s not only delicious but also super versatile — whether you’re meal prepping for the week or need a crowd-pleaser for a brunch. This Keto Cauliflower Breakfast Casserole with Sausage and Cheese Recipe really shines as a wholesome, flavorful dish that feels both indulgent and healthy.

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Why You’ll Love This Recipe

  • Low-Carb and Keto-Friendly: Perfect for sticking to your keto plan without giving up flavor.
  • Easy Meal Prep: Makes a delicious breakfast that you can reheat throughout the week.
  • Rich and Satisfying: The combination of sausage, cheese, and eggs packs a protein punch to keep you full longer.
  • Customizable: You can tweak veggies and seasonings to suit your taste or what you have on hand.

Ingredients You’ll Need

The ingredients for this Keto Cauliflower Breakfast Casserole with Sausage and Cheese Recipe come together beautifully, balancing creamy, savory, and fresh elements. Keep an eye out for fresh cauliflower and high-quality sausage to really elevate the dish.

  • Cauliflower: I recommend steaming or air-frying to keep it tender but not soggy.
  • Bell Pepper: Adds a sweet crunch and bright color – I like red or orange for their natural sweetness.
  • Onion: Brings depth and a bit of natural sweetness when sautéed.
  • Italian Sausage: Adds a spicy, savory flavor that’s essential – cook it well before adding.
  • Eggs: The binder that holds everything together – fresh is key!
  • Egg Whites: Using extra whites lightens the texture while boosting protein.
  • Cottage Cheese: Gives moisture and a subtle creamy tang without overpowering.
  • Shredded Cheese (Mozzarella or Cheddar): Choose your favorite for melty, cheesy goodness.
  • Salt: Balances the flavors – adjust to taste.
  • Pepper: Adds a gentle kick and completes the seasoning.
Note: You’ll find the complete list of ingredients, along with their exact measurements, in the printable recipe card at the bottom of this post.

Variations

I love how this Keto Cauliflower Breakfast Casserole with Sausage and Cheese Recipe can be easily personalized. You can swap veggies or proteins depending on what you like or have on hand—making it your own is part of the fun!

  • Swap the Sausage: I’ve tried bacon and diced ham instead, and it’s always just as flavorful.
  • Add More Veggies: Spinach or mushrooms add a fresh, earthy taste I love, especially when sautéed first.
  • Heat It Up: Throw in a dash of hot sauce or some chili flakes for a spicy kick that wakes up your taste buds.
  • Mini Muffin Version: When hosting, I pour the mixture into muffin tins for fun, easy-to-serve egg muffins that everyone loves.

How to Make Keto Cauliflower Breakfast Casserole with Sausage and Cheese Recipe

Step 1: Cook and Prep Your Veggies and Sausage

Start by cooking your cauliflower until it’s tender – I steam mine or air-fry for a bit of extra texture. Meanwhile, heat a little oil in a skillet over medium heat and sauté the chopped onions, bell peppers, and Italian sausage until the sausage is browned and the veggies are soft, about 3 to 4 minutes. This step builds the base flavor, so make sure you don’t rush it!

Step 2: Assemble the Casserole

Transfer the cooked cauliflower, sausage, and veggies evenly into a greased 9×13-inch baking dish. It helps to spread everything out so your casserole bakes evenly. In a separate bowl, whisk the eggs, egg whites, cottage cheese, shredded cheese, salt, and pepper together until nicely blended. Pour this mixture over the cauliflower and sausage layer, making sure it covers everything.

Step 3: Bake and Finish

Pop the casserole into a preheated oven at 350°F (180°C) and bake for 35-40 minutes. You’ll want to watch for a golden-brown edge and a fully set center – a toothpick inserted should come out clean. When done, let it cool for a few minutes before serving. It holds its shape much better when slightly cooled, making it easier to cut and dish out.

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Pro Tips for Making Keto Cauliflower Breakfast Casserole with Sausage and Cheese Recipe

  • Don’t Overcook the Cauliflower: Avoid soggy casserole by steaming until just tender, not mushy.
  • Brown the Sausage Well: This builds flavor and helps keep the dish savory and satisfying.
  • Use Fresh Eggs: Fresh eggs make the texture lighter and the casserole fluffier.
  • Let It Rest: After baking, allow the casserole to cool slightly so it firms up for easier slicing.

How to Serve Keto Cauliflower Breakfast Casserole with Sausage and Cheese Recipe

A close-up of a baked dish in a shiny metal pan showing three layers: the bottom layer is soft and slightly crumbly with a pale yellow color, the middle layer appears creamy and smooth with a lighter yellow shade, and the top layer is golden brown with a shiny, slightly crispy texture and darker spots from baking. A metal spoon with a green handle is lifting a piece from the pan, revealing the layers clearly. The background is a white marbled texture. photo taken with an iphone --ar 4:5 --v 7

Garnishes

I usually sprinkle some chopped fresh parsley or green onions on top right before serving — it adds a fresh pop and a lovely color contrast. A light drizzle of hot sauce or a dollop of sour cream is also great if you want a little extra zing.

Side Dishes

I love pairing this casserole with a crisp side salad or some sautéed greens like spinach or kale. Sometimes I keep it simple with avocado slices, which add creaminess and healthy fats that round out the meal.

Creative Ways to Present

For special occasions, I’ve made mini versions using a muffin tin, which are perfect bite-sized portions for brunch parties. You can also layer it with different colored bell peppers or garnish with edible flowers to make it extra festive and fun.

Make Ahead and Storage

Storing Leftovers

Leftover casserole stores beautifully in an airtight container in the fridge for up to one week. I like to portion it out right after it cools so it’s easy to grab for busy mornings or quick snacks.

Freezing

Freezing this Keto Cauliflower Breakfast Casserole with Sausage and Cheese Recipe works great too. I freeze individual portions wrapped tightly in plastic wrap and foil to keep everything fresh. When thawed, it reheats nicely without losing texture.

Reheating

Microwaving leftovers works fine, but for the best results, I usually reheat in a 350°F oven for 10-15 minutes. This helps the cheese melt perfectly again and keeps the casserole from becoming rubbery or dry.

FAQs

  1. Can I use frozen cauliflower for this casserole?

    Yes! If using frozen cauliflower, make sure to thaw and drain any excess water to avoid a soggy casserole. Then, proceed with steaming or air-frying to get it tender before baking.

  2. Is it possible to make this recipe dairy-free?

    You can substitute the cheese and cottage cheese with dairy-free alternatives like almond-based cheese or coconut milk yogurt. Just keep in mind this may change the texture slightly, but it will still be delicious.

  3. How do I make this recipe vegetarian?

    Simply swap the Italian sausage for your favorite plant-based sausage or omit it altogether and add extra veggies like mushrooms and spinach for flavor and texture.

  4. Can I add other seasonings to the casserole?

    Absolutely! I’ve experimented with garlic powder, onion powder, and even smoked paprika, which add great depth. Just add a little at a time so the flavors don’t overpower the dish.

  5. How long can I keep leftovers in the fridge?

    Leftovers keep well in the fridge for up to one week when stored in an airtight container. For longer storage, freezing is recommended.

Final Thoughts

This Keto Cauliflower Breakfast Casserole with Sausage and Cheese Recipe really became a go-to for me when I wanted a satisfying breakfast that feels indulgent but stays on track with my keto lifestyle. It’s comforting, packed with flavor, and easy enough that you can whip it up even on a busy weekday morning. Trust me, once you try it, your family and friends might just start asking for it regularly — that’s definitely what happened in my house!

Print
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Keto Cauliflower Breakfast Casserole with Sausage and Cheese Recipe

5 Stars 4 Stars 3 Stars 2 Stars 1 Star 5 from 149 reviews
  • Author: Jasmine
  • Prep Time: 5 minutes
  • Cook Time: 40 minutes
  • Total Time: 45 minutes
  • Yield: 6 servings
  • Category: Breakfast
  • Method: Baking
  • Cuisine: American
  • Diet: Low Carb

Description

This Keto Breakfast Casserole is a hearty, low-carb dish perfect for a nutritious morning meal. It combines cauliflower, Italian sausage, fresh vegetables, and a rich blend of eggs and cheese baked to golden perfection. Ideal for meal prep or a weekend brunch, this casserole offers a protein-packed, flavorful start to your day while fitting perfectly into a keto lifestyle.


Ingredients

Vegetables

  • 1 pound cauliflower, cooked (steamed or air fried)
  • 1 large bell pepper, chopped
  • 1 large onion, chopped

Proteins & Dairy

  • 1/4 pound Italian sausage, chopped
  • 6 large eggs
  • 4 large egg whites (or use extra eggs)
  • 1 cup cottage cheese
  • 1 1/2 cups shredded cheese (Mozzarella or cheddar)

Seasonings

  • 1 teaspoon salt
  • 1 teaspoon pepper


Instructions

  1. Preheat Oven and Prepare Dish: Preheat your oven to 180°C (350°F). Grease a 9 x 13-inch baking dish thoroughly and set it aside to be ready for the casserole assembly.
  2. Cook Vegetables and Sausage: In a large skillet, heat some oil over medium heat. Add the chopped onions, chopped bell pepper, and Italian sausage. Cook for about 3-4 minutes until the sausage is browned and the vegetables are softened.
  3. Assemble Casserole Base: Transfer the cooked cauliflower, sautéed vegetables, and browned sausage into the prepared baking dish. Spread the mixture evenly to form the casserole’s base layer.
  4. Prepare Egg Mixture: In a mixing bowl, whisk together the six whole eggs, four egg whites (or extra eggs), cottage cheese, shredded cheese, salt, and pepper until well combined.
  5. Combine and Bake: Pour the egg and cheese mixture evenly over the cauliflower and sausage layer in the baking dish. Place the dish in the oven and bake for 35-40 minutes, or until the center is fully set and the edges turn golden brown.
  6. Serve: Remove the casserole from the oven and either serve immediately while hot or let it cool completely before slicing for later consumption.

Notes

  • The cauliflower can be steamed or air fried before using for added texture and flavor.
  • For mini servings, make egg muffins by greasing a muffin tin and baking for 25-30 minutes or until a toothpick inserted comes out clean.
  • Additional veggies such as spinach, mushrooms, diced tomatoes, or green onions can be added. Be sure they are sliced and cooked before mixing.
  • Extra protein like cooked bacon, diced ham, smoked salmon, or ground pork can be stirred into the casserole.
  • Enhance flavor with seasonings like garlic powder, onion powder, or hot sauce for heat.
  • Store leftovers in the fridge for up to one week or freeze for up to 6 months. Reheat in the microwave or thaw first to room temperature before consuming.

Nutrition

  • Serving Size: 1 slice (about 1/6th of casserole)
  • Calories: 280
  • Sugar: 3g
  • Sodium: 550mg
  • Fat: 18g
  • Saturated Fat: 7g
  • Unsaturated Fat: 9g
  • Trans Fat: 0g
  • Carbohydrates: 7g
  • Fiber: 3g
  • Protein: 21g
  • Cholesterol: 245mg

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