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Introduction
If you’ve been missing hearty pasta dishes on your keto journey, this Keto Chicken & Sausage Pasta is going to change the game for you. It’s rich, savory, and packed with flavor — all without the carb overload. The combination of juicy chicken, spicy sausage, and a creamy, garlic-infused sauce over keto-friendly noodles makes this dish feel indulgent, yet totally guilt-free.
This recipe is perfect for weeknight dinners, family gatherings, or whenever you want a comforting bowl of pasta without the blood sugar spike. Plus, it’s incredibly satisfying — you won’t even miss the real thing!
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Why You’ll Love This Recipe
- Keto-approved: With low-carb noodles and zero added sugars, this dish is tailor-made for keto.
- Packed with protein: Chicken and sausage provide a hearty, filling combo that supports fat loss and muscle retention.
- One-pan meal: Less mess, more flavor. The entire dish comes together in one skillet!
- Creamy and bold: The sauce is rich, garlicky, and just the right amount of spicy.
Whether you’re new to keto or a seasoned pro, this recipe is a must-try for your dinner rotation.
My Personal Experience
The first time I made this recipe, I honestly didn’t expect it to hit all the right notes. I just threw together some leftover grilled chicken, a few links of keto sausage, and a bag of shirataki noodles. But when I tasted it — wow. The flavors just worked: the smokiness of the sausage, the tenderness of the chicken, and the creaminess of the sauce felt like something out of a restaurant. I knew this one had to go on the blog.
Now it’s a regular in my weekly meal prep — even non-keto friends ask for seconds!
Required Equipment
🥄 Large Skillet or Sauté Pan
This is essential for searing the meat and building layers of flavor. A wide, deep skillet allows the ingredients to cook evenly and lets the sauce simmer properly.
🔪 Cutting Board & Knife
You’ll need a sturdy board and a sharp knife to dice the chicken, slice the sausage, and prep your aromatics.
🥄 Mixing Spoon or Spatula
A wooden spoon or silicone spatula works great for stirring everything together without scratching your pan.
🍜 Colander or Strainer
If you’re using shirataki or hearts of palm noodles, you’ll want to rinse and drain them properly to remove any odor or excess moisture.
Ingredients & Substitutions
- 2 cups cooked chicken breast, diced
Adds lean protein and makes the dish satisfying. You can use rotisserie chicken, grilled thighs, or even leftover turkey. - 2 keto sausage links (spicy Italian or smoked), sliced
Brings smoky, spicy flavor and fat. Use turkey or chicken sausage if you want it leaner. - 2 tbsp olive oil or avocado oil
For sautéing and adding healthy fats. - 3 cloves garlic, minced
Flavor base. Garlic powder can work in a pinch, but fresh is best. - 1/4 cup diced onion (optional)
Adds sweetness and depth — can be skipped if you’re strict on carbs. - 1 cup heavy cream
Creates the rich, keto-friendly sauce. Coconut cream can be used for a dairy-free version. - 1/2 cup shredded parmesan
Adds saltiness and helps thicken the sauce. Nutritional yeast is a good dairy-free sub. - 1/2 tsp Italian seasoning
For that classic herby pasta flavor. - Salt and black pepper to taste
- 1 package shirataki noodles or hearts of palm pasta (drained and rinsed)
The low-carb pasta alternative that makes this dish keto!
How to Make Keto Chicken & Sausage Pasta
- Prepare the noodles
Rinse your shirataki or hearts of palm noodles thoroughly in cold water. If using shirataki, boil for 2–3 minutes and dry-toast them in a pan for better texture. - Sauté the sausage
Heat olive oil in a large skillet over medium heat. Add sliced sausage and cook until browned and slightly crisp. Remove and set aside. - Cook the chicken
In the same pan, add diced chicken (add more oil if needed). Cook until golden brown and cooked through. Remove and set aside with the sausage. - Make the sauce
Add minced garlic (and onion if using) to the same pan and sauté for 1 minute. Pour in heavy cream, stirring to deglaze the pan. Let it simmer for 2–3 minutes until slightly thickened. - Add cheese & seasoning
Stir in parmesan cheese and Italian seasoning. Add salt and pepper to taste. Let the sauce bubble gently until it thickens. - Combine everything
Add the noodles, cooked chicken, and sausage back to the skillet. Toss until everything is coated in the creamy sauce. - Serve hot and enjoy!
Tips for This Recipe
- Dry-toast your noodles to remove moisture and improve texture.
- Use pre-cooked sausage to save time, or grill fresh links for more flavor.
- Don’t skip the simmering time for the sauce — it helps thicken naturally.
- Taste and adjust seasoning at the end — sausage varies in saltiness.
Optional Additions
- Crushed red pepper flakes for extra heat.
- Spinach or kale for added fiber and nutrients.
- Sun-dried tomatoes (low-carb) for a tangy kick.
Serving Ideas
- Serve with a side of roasted zucchini or garlic green beans.
- Pair with a keto-friendly garlic bread (almond flour-based).
- Works great as a meal prep lunch — it reheats beautifully!
Storage Recommendations
- Store leftovers in an airtight container in the fridge for up to 4 days.
- Reheat gently on the stove or in the microwave with a splash of cream or broth.
- Not ideal for freezing due to the noodles, but sauce + meat can be frozen separately.
Frequently Asked Questions
Can I use zucchini noodles instead of shirataki?
Yes! Zoodles are a great sub — just lightly sauté them and add at the end.
Can I make this dairy-free?
Absolutely. Use coconut cream and nutritional yeast instead of heavy cream and cheese.
What kind of sausage is keto-friendly?
Look for sausages with no added sugars or fillers. Spicy Italian, chorizo, or smoked beef work well.
Nutritional Breakdown (Per Serving)
- Calories: 480
- Fat: 36g
- Protein: 32g
- Total Carbs: 6g
- Net Carbs: 4g
(Estimates based on 4 servings using shirataki noodles and standard ingredients)
Keto Chicken & Sausage Pasta Recipe
Ingredients
- 2 cups cooked chicken diced
- 2 keto sausage links sliced
- 2 tbsp olive oil
- 3 cloves garlic minced
- 1/4 cup onion optional
- 1 cup heavy cream
- 1/2 cup shredded parmesan
- 1/2 tsp Italian seasoning
- Salt & pepper to taste
- 1 package shirataki noodles
Instructions
- Rinse and prep your low-carb noodles.
- Sauté sausage slices in olive oil until browned. Remove and set aside.
- Cook diced chicken in the same pan until golden. Remove and set aside.
- Sauté garlic (and onion) until fragrant.
- Add heavy cream and simmer 2–3 minutes.
- Stir in parmesan, Italian seasoning, salt, and pepper.
- Return sausage, chicken, and noodles to the pan. Toss to coat.
- Serve hot and enjoy a creamy, comforting keto pasta!
I’m so excited to hear how this recipe turned out for you! 😊 Don’t forget to follow us on Instagram and Facebook for daily keto inspiration, tasty recipes, and all the support you need to crush your goals. Want to make keto cooking even easier? Get a Keto Instant Pot Recipes Book filled with quick, delicious, and low-carb meals—perfect for busy days! Grab your copy today! 🚀
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