Keto Fettuccine Alfredo with Sausage & Cabbage Noodles

Keto Fettuccine Alfredo w/ Sausage & Cabbage

yield: 8 SERVINGS

prep time: 10 MINUTES

cook time: 45 MINUTES

total time: 55 MINUTES

Ingredients

Directions

1

Preheat oven to 400 degrees.

2

Slice cabbage into thin strips. Discard large stem pieces. Place in a 9x13-inch baking dish.

3

Slice onion into thin strips and add to the baking dish. Mince garlic and add to the baking dish with the cabbage and onion. Lightly toss to combine.

4

Cut butter into pats and spread evenly over the cabbage. Cut cream cheese into cubes and spread over cabbage.

5

Dollop sour cream evenly over the cabbage. Pour the heavy whipping cream over the cabbage mixture.

6

Sprinkle the salt, pepper, and garlic powder over the cabbage mixture.

7

Bake cabbage for 35 to 40 minutes, until just starting to brown.

8

While the cabbage is baking, cook the sausage links. Melt 2 tablespoons butter in a skillet over medium heat. Place sausages in skillet and brown all sides until fully cooked, about 15 to 20 minutes. Remove from heat and let rest for a few minutes, then slice each sausage link into 6 pieces.

9

Once the cabbage is done baking, remove it from the oven and mix in the lemon juice and parmesan cheese. Top with the sausage pieces and gently mix them in with the cabbage. Place the baking dish back in the oven and bake for another 10 minutes to melt the cheese.

10

While the cheese is melting, chop the fresh parsley. When done, remove the dish from the oven and garnish it with parsley. Enjoy!

Nutrition Information

Yield: 8 servings, Serving Size: 1 serving
Amount Per Serving: 574 Calories | 49.4g Fat | 14.6g Total Carbs | 2.8g Fiber | 8.2g Sugar | 18.5g Protein | 11.8g Net Carbs

Brought to you by Hip2Keto.

Hip2Keto may earn a small commission via affiliate links in this post. Read our full disclosure policy here.

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This keto fettuccine alfredo with sausage and cabbage “noodles” is to die for!

scooping Keto Sausage Alfredo with Cabbage

Move over zoodles, cabbage is in the house!

Using cabbage as a keto pasta substitute is my new favorite, and making this keto fettuccine alfredo with cabbage is nothing short of a miracle. I could eat this every night for a week and still want more! The nice thing about cabbage is that it holds up a lot better than zucchini noodles or “zoodles” and doesn’t get mushy.

Sausage with cabbage noodles in Alfredo sauce on plate

Inspired by this viral TikTok video, I had to try it out myself and share! The rich keto alfredo sauce is made from butter, cream cheese, sour cream, and heavy whipping cream. It’s seasoned simply with garlic, lemon, salt, and pepper to let the flavors of the sausage shine through. So drool-worthy!

bite on a fork of Keto Sausage Alfredo with Cabbage

Making this keto fettuccine alfredo casserole is fairly simple.

One of the best things about this meal is that you basically make the whole thing in a baking dish. You put the sliced cabbage, onion, and garlic in the baking dish, then top it with the ingredients that make the alfredo sauce. Then you sprinkle it with the seasonings and throw it in the oven.

While the cabbage is roasting with the alfredo sauce ingredients, you’ll get to cooking the sausage. The final step is adding some parmesan cheese to melt over the cabbage alfredo mixture and finish by topping with parsley. Trust me, it’s amazing!

plated Keto Sausage Alfredo with Cabbage

Tips for making the best keto fettuccine alfredo with sausage and cabbage:

  • Slice the cabbage as thin as you can, about a 1/4-inch thick to make your “fettuccine”. Roasted cabbage makes wonderful keto “noodles”. Be sure to discard the large, tough stem pieces.
  • Don’t skip out on the lemon in this recipe. It adds a wonderful brightness to the dish. You could use 3 tablespoons of bottled lemon juice if you don’t have a fresh lemon.
  • I used Italian sausage but you can use any sausage links; brats or even kielbasa will work!

Keto Sausage Alfredo with Cabbage ingredients

sliced cabbage for Keto Sausage Alfredo with Cabbage

adding cream cheese to Keto Sausage Alfredo with Cabbage

placing Keto Sausage Alfredo with Cabbage in the oven

pan cooking sausage for Keto Sausage Alfredo with Cabbage

baked Keto Sausage Alfredo with Cabbage

adding lemon juice to baked Keto Sausage Alfredo with Cabbage

adding parmesan to Keto Sausage Alfredo with Cabbage

adding sausage to cabbage fettuccine alfredo

adding parsley to Keto Sausage Alfredo with Cabbage

Taking bite of keto Alfredo with cabbage and sausage


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Keto Fettuccine Alfredo w/ Sausage & Cabbage

yield: 8 SERVINGS

prep time: 10 MINUTES

cook time: 45 MINUTES

total time: 55 MINUTES

Sliced cabbage "noodles" roasted with onions, garlic, and a keto alfredo sauce made with cream cheese, sour cream, butter, and heavy whipping cream, then topped with sausage.

Ingredients

Directions

1

Preheat oven to 400 degrees.

2

Slice cabbage into thin strips. Discard large stem pieces. Place in a 9x13-inch baking dish.

3

Slice onion into thin strips and add to the baking dish. Mince garlic and add to the baking dish with the cabbage and onion. Lightly toss to combine.

4

Cut butter into pats and spread evenly over the cabbage. Cut cream cheese into cubes and spread over cabbage.

5

Dollop sour cream evenly over the cabbage. Pour the heavy whipping cream over the cabbage mixture.

6

Sprinkle the salt, pepper, and garlic powder over the cabbage mixture.

7

Bake cabbage for 35 to 40 minutes, until just starting to brown.

8

While the cabbage is baking, cook the sausage links. Melt 2 tablespoons butter in a skillet over medium heat. Place sausages in skillet and brown all sides until fully cooked, about 15 to 20 minutes. Remove from heat and let rest for a few minutes, then slice each sausage link into 6 pieces.

9

Once the cabbage is done baking, remove it from the oven and mix in the lemon juice and parmesan cheese. Top with the sausage pieces and gently mix them in with the cabbage. Place the baking dish back in the oven and bake for another 10 minutes to melt the cheese.

10

While the cheese is melting, chop the fresh parsley. When done, remove the dish from the oven and garnish it with parsley. Enjoy!

Nutrition Information

Yield: 8 servings, Serving Size: 1 serving
Amount Per Serving: 574 Calories | 49.4g Fat | 14.6g Total Carbs | 2.8g Fiber | 8.2g Sugar | 18.5g Protein | 11.8g Net Carbs

Brought to you by Hip2Keto.

scoop of Keto Sausage Alfredo with Cabbage

So tasty and filling!

This keto sausage alfredo with cabbage is so satisfying. I wasn’t joking when I said I could eat it every night! The keto alfredo sauce takes the prize with this dish, and of course, the cabbage noodles are incredible. They’re so good, I might not ever use zoodles again.

plated keto sausage Alfredo with cabbage

My Hip sidekick Lina made this recipe and here’s what she had to say:

“Wow, this keto sausage cabbage alfredo was so AMAZING!! You won’t miss the traditional noodles with yummy tender roasted cabbage. It’s so much cheese with is super fantastic and filling! The sausage just throws it over the edge delish. You can even try smoked sausage which would be yum. Honestly, this is one of the best keto meals I’ve had and it’s a must-try. Plus having it made in a casserole dish is super easy and convenient!”


Looking for more keto inspiration, check out our recipe for keto sausage stuffing


About the writer:

Emily graduated with a Bachelor’s Degree in Nutrition and Dietetics from the University of Idaho, holds 5 years of blogging experience, and has been featured in Every Day Health and Women's Health Magazine.


Join The Discussion

Comments 17

  1. Pat Butler

    Any other option other than cabbag?
    I cannot stomach the smell or texture of it.

    • Amber (Hip Sidekick)

      Hey there! You could do any vegetable or keto noodle substitute. We suggest zoodles or the Palmini linguine. Hoping this is helpful!

    • Mary Williams

      I fixed this tonight and didn’t notice the “typical” cabbage smell nor the texture. It was wonderful!

  2. Susanne Tewes

    the cabbage Fettucine is fantastic wit a pound of small cooked shrimp

    • Amber (Hip Sidekick)

      That does sound delicious! Thanks for the suggestion!

  3. Tandy

    How many cups is the measurement on 1 medium cabbage? My store sells the cabbage already chopped up.

    • Amber (Hip Sidekick)

      Hi Tandy! I did search for this and found that One Medium Cabbage shredded is about 8-8.5 cups. Hoping that is helpful!

  4. Ashley

    Can this be used for meal prep? Just wondering how well it would reheat and for how many days. Making it tonight and can’t wait!

    • Jennifer (Hip Sidekick)

      Yes! You can reheat it for up to 3 days, Ashley!

  5. Beth

    I just made a mash up of this. Corned beef ( instead of sausage), Swiss (instead of Parmesan), left out the lemon. It’s so delicious!

    • Jennifer (Hip Sidekick)

      Sounds yummy, Beth!

  6. Angela

    I only used 3 oz of cream cheese and 2 tablespoons of sour cream. After the sausages cooked I made Alfredo with butter, heavy cream, and parmasean. Added the Alfredo when adding the cut sausages. I also added some cut up broccoli to the cabbage before baking. Delicious!

    • Amber (Hip Sidekick)

      Sounds yummy, Angela! Thanks for letting us know how yours turned out for you! ❤️🤗

  7. Debbie

    Can I freeze the leftovers

    • Amber (Hip Sidekick)

      Hey Debbie! We haven’t tried that, but it may work if stored in an air tight container.💞 Let us know how it works out for you if you do!🤗💖

      • Mary Williams

        I made this tonight and am freezing a portion. I put in a glass pie plate used the cling wrap first then aluminum foil. Will probably put it in a plastic freeze bag. By the way, it was delicious and I did the recipe as written, except used Jane’s crazy mixed up salt.

        • Amber (Hip Sidekick)

          Yay! Thanks for sharing how yummy it turned out for you, Mary! 😋 Super happy you enjoyed it! 🙌💖

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