crispy sausage patties in a stack of three, with a plate of fresh greens in the background

Best Allergy-Free Breakfast Sausage (AIP, Paleo, Keto)

This breakfast sausage recipe is special because it's not only AIP, Paleo, and Keto compliant... but grain-free, gluten-free, dairy-free, nut-free, egg-free, and sugar-free, too. Whether you're allergy-free or just looking for yummy breakfast ideas, this is the healthy breakfast for you!

Course Breakfast
Cuisine American
Prep Time 15 minutes
Cook Time 1 hour 20 minutes
Servings 10 servings
Calories 408 kcal
Author Stacy Karen


  • 3 lbs ground pork or other ground meat, such as chicken or turkey
  • 1/3 cup onion diced
  • 1 tablespoon garlic minced (about 3 cloves)
  • 3 tablespoons rubbed sage
  • 1 tablespoon ground cinnamon
  • 2 teaspoons sea salt
  • 1/3 cup coconut flour optional
  • 2-4 tablespoons grass-fed ghee or other cooking fat, such as bacon or coconut oil


  1. Melt 1 tablespoon of cooking fat in a warm skillet.

  2. Cook onions for approximately 5 minutes, until soft.

  3. Add garlic and cook briefly, until aromatic. Stay close as garlic can burn quickly.
  4. Remove from heat and place onions and garlic on a plate to cool.
  5. While onion and garlic are cooling, mix meat, sage, cinnamon, and salt in a large bowl.
  6. Once onions and garlic are cool, add to mixture and use hands to blend until well-combined.
  7. Form into approximately 20 patties and set on parchment paper or a clean dish.

    raw sausage patties arranged neatly on a sheet of parchment paper, ready to be cooked in a skillet
  8. Place coconut flour on a plate and lightly coat each patty by pressing into coconut flour and flipping over, then pressing again.

    coconut flour on a plate with one raw sausage pattie being dredged and covered in the flour
  9. Tap off any excess flour.

  10. Warm skillet over medium heat, adding more cooking fat if needed.

  11. Cook 4 to 6 patties at a time (depending on the size of your pan).

  12. Cook for approximately 10 minutes per side, until cooked through.

    crispy sausage patties arranged on a plate on a bed of fresh greens
  13. Serve immediately or set aside to cool (if freezing).

Recipe Notes

Make this breakfast sausage with ground pork, turkey, or chicken. You may use more than one type of meat in the recipe. For example, two pounds of pork and one pound turkey work well.

If you have a meat grinder, use it! I purchase ground meat from the store (pastured meat is preferred), but if you have a meat grinder, it is wonderful to grind your own. Pork butt is often the favorite cut for homemade sausage using a meat grinder.

You don't have to coat the patties in coconut flour, but I highly recommend it. It adds extra crispiness which is truly delightful.

Can I use powdered garlic and onion in this recipe? Yes, you can. The flavor of the sauteed onions is a delicious addition, but if you don’t have the time or desire for that, feel free to use 2 teaspoons onion powder and 1 teaspoon powdered garlic

Serving Suggestions: Serve breakfast sausage patties alongside greens and/or roasted or sauteed sweet potatoes for a great egg-free breakfast.

They also make a wonderful lunch. (I love adding two patties to a bowl of salad for a simple, healthy lunchtime meal.)

Nutrition Facts
Best Allergy-Free Breakfast Sausage (AIP, Paleo, Keto)
Amount Per Serving
Calories 408 Calories from Fat 288
% Daily Value*
Fat 32g49%
Saturated Fat 13g81%
Cholesterol 106mg35%
Sodium 550mg24%
Potassium 405mg12%
Carbohydrates 4g1%
Fiber 2g8%
Sugar 1g1%
Protein 24g48%
Vitamin A 45IU1%
Vitamin C 2mg2%
Calcium 40mg4%
Iron 2mg11%
* Percent Daily Values are based on a 2000 calorie diet.