Get ready to fall in love with the ultimate one-pan wonder: this Keto Cajun Sausage Cabbage Alfredo. It’s a rich, creamy, and incredibly satisfying dish that packs a flavorful punch without the carbs. We’re swapping out traditional pasta for tender-crisp cabbage, which perfectly soaks up a spicy, homemade Alfredo sauce. This recipe is your answer to a quick, delicious, and low-carb weeknight dinner that the whole family will enjoy. It’s comfort food, redefined.
This entire meal comes together in a single skillet, making cleanup an absolute breeze. If you’re a fan of hearty, flavorful meals but want to stick to your keto goals, this recipe is a must-try. For another fantastic one-pan meal, check out this amazing Philly Cheesesteak Casserole.

Why You’ll Love This Recipe
- Quick & Easy: This dish is ready in about 30 minutes, making it perfect for busy weeknights.
- One-Pan Meal: Fewer dishes mean more time enjoying your dinner and less time cleaning up.
- Keto-Friendly & Low-Carb: With cabbage as the “pasta,” this recipe is packed with flavor, not carbs.
- Incredibly Flavorful: The combination of spicy Cajun sausage and creamy, cheesy Alfredo sauce is simply irresistible.
The Star Ingredients for Keto Cajun Sausage Cabbage Alfredo
The magic of this Keto Cajun Sausage Cabbage Alfredo comes from a few simple, yet powerful ingredients. Using high-quality components will make a huge difference in the final flavor.
- Cajun Sausage: Look for a good quality, pre-cooked andouille sausage. It provides the signature smoky and spicy flavor that is central to this dish.
- Cabbage: A simple green cabbage is all you need. When cooked, it becomes tender yet holds a slight bite, making it a fantastic low-carb noodle substitute.
- Heavy Cream & Cream Cheese: These are the foundation of our rich and creamy keto Alfredo sauce. Full-fat versions will yield the best results and prevent the sauce from breaking.
- Parmesan Cheese: Freshly grated Parmesan cheese melts beautifully and adds a nutty, salty depth to the sauce. Avoid pre-shredded cheese, which often contains anti-caking agents that can make the sauce grainy.
- Cajun Seasoning: This blend of spices is key. Feel free to use your favorite store-bought brand or make your own to control the salt and heat levels.

How to Make The Perfect Keto Alfredo Sauce
The heart of this Keto Cajun Sausage Cabbage Alfredo is, without a doubt, the sauce. A perfect keto Alfredo is smooth, creamy, and full of flavor. The key is to melt the cheeses slowly over low heat. Start by melting the cream cheese into the heavy cream until it’s completely smooth before you add the Parmesan. Whisk the Parmesan in gradually off the heat to prevent it from clumping or becoming grainy. This gentle approach ensures a velvety texture every time. If you love creamy and spicy dishes, you might also enjoy this Creamy Cajun Chicken recipe.
Step-by-Step Instructions
Follow these simple steps to create a delicious low-carb dinner.
- Brown the Sausage: In a large skillet over medium-high heat, add the sliced sausage. Cook for 5-7 minutes, stirring occasionally, until it’s nicely browned. Remove the sausage from the skillet and set it aside.
- Sauté the Aromatics: Add the butter to the same skillet. Once melted, add the minced garlic and sauté for about 30 seconds until fragrant.
- Wilt the Cabbage: Add the chopped cabbage to the skillet. Cook for 10-12 minutes, stirring often, until the cabbage is tender-crisp. You don’t want it to become mushy.
- Build the Cream Sauce: Reduce the heat to low. Stir in the heavy cream and cream cheese, whisking until the cream cheese is fully melted and the sauce is smooth.
- Melt the Parmesan: Remove the skillet from the heat and gradually stir in the grated Parmesan cheese until it’s completely melted into the sauce.
- Combine and Season: Return the cooked sausage to the skillet. Add the Cajun seasoning, salt, and pepper. Stir everything together until the cabbage and sausage are fully coated in the creamy Alfredo sauce.
- Serve and Garnish: Serve the Keto Cajun Sausage Cabbage Alfredo hot, garnished with fresh parsley.
Variations and Substitutions
While this recipe is fantastic as is, you can easily customize it to your liking.
- Different Protein: Try substituting the sausage with shredded rotisserie chicken, sautéed shrimp, or ground turkey. If you love shrimp, our Creamy Garlic Shrimp is another must-try.
- Add More Veggies: Feel free to toss in some sliced bell peppers, onions, or mushrooms along with the cabbage for extra nutrients and flavor.
- Adjust the Spice: If you like it extra spicy, add a pinch of red pepper flakes or a dash of your favorite hot sauce. For a milder version, use a mild sausage and reduce the Cajun seasoning.
Storage and Reheating Tips
Storing and reheating this dish properly is key to enjoying it later.
- Storage: Allow the dish to cool completely before transferring it to an airtight container. It can be stored in the refrigerator for up to 3 days.
- Reheating: The best way to reheat this Keto Cajun Sausage Cabbage Alfredo is in a skillet over low heat. Add a splash of heavy cream or water to loosen the sauce and prevent it from separating. Stir gently until it’s heated through.
Frequently Asked Questions
Andouille sausage is the best choice for its authentic Cajun flavor and smoky, spicy profile. However, any smoked sausage or kielbasa will also work well.
Making this recipe dairy-free would be challenging as the sauce is based on heavy cream and two types of cheese. You could experiment with full-fat coconut cream and dairy-free cream cheese and parmesan alternatives, but the texture and taste will be significantly different.
To make it spicier, add a pinch of red pepper flakes or a dash of cayenne pepper to the Cajun seasoning. For a milder version, use a mild sausage and choose a Cajun seasoning blend that is low on heat, or simply use less of it.
Store leftovers in an airtight container in the refrigerator for up to 3 days. Reheat gently in a skillet over low heat, adding a splash of cream or water to help loosen the sauce and restore its creamy texture.
Based on the ingredients used, this recipe has approximately 7 grams of net carbs per serving (10g total carbs – 3g fiber). This can vary slightly depending on the specific brands of sausage and seasonings you use.
The Perfect End to a Flavorful Meal
This Keto Cajun Sausage Cabbage Alfredo is more than just a recipe; it’s a celebration of flavor that proves low-carb eating can be incredibly delicious and satisfying. We hope you love every creamy, spicy bite! If you make this dish, please leave a comment below or share a photo of your creation on Pinterest. We can’t wait to see it!

Keto Cajun Sausage Cabbage Alfredo

Keto Cajun Sausage Cabbage Alfredo: Your New Favorite Skillet Dinner
Ingredients
Equipment
Method
- In a large skillet over medium-high heat, add the sliced sausage. Cook for 5-7 minutes, stirring occasionally, until nicely browned. Remove the sausage from the skillet and set aside.
- Add the butter to the same skillet. Once melted, add the minced garlic and sauté for about 30 seconds until fragrant.
- Add the chopped cabbage to the skillet. Cook for 10-12 minutes, stirring often, until the cabbage is tender-crisp.
- Reduce the heat to low. Stir in the heavy cream and cream cheese, whisking until the cream cheese is fully melted and the sauce is smooth.
- Remove the skillet from the heat and gradually stir in the grated Parmesan cheese until it's completely melted into the sauce.
- Return the cooked sausage to the skillet. Add the Cajun seasoning, salt, and pepper. Stir everything together until the cabbage and sausage are fully coated in the creamy Alfredo sauce.
- Serve hot, garnished with fresh parsley.
Nutrition
Notes
Adjust the Cajun seasoning to your personal preference for spice.
Ensure the cream cheese is softened to help it melt smoothly into the sauce.












