Gluten Free Sausage Balls
Easy Italian Sausage Balls! A flavor packed, low carb, keto-friendly appetizer that is so easy to make!

If you’re familiar with the classic sausage balls appetizer (usually sausage, bisquick, and cheese), you are going to love this Italian version! Years ago we did tons of tests to create the perfect almond flour sausage ball so that our favorite snack could be both gluten-free and keto-friendly. It’s always a huge hit at parties, so I got curious about using Italian sausage for even more flavor! It turns out this super easy substitute made this even more savory and delicious, and we didn’t even need extras like eggs or flax meal. Now we’ve got easy sausage balls that pair wonderfully with marinara, pesto, or alfredo sauce for the perfect party appetizer!
Ingredients for Easy Sausage Balls
As always, you will find the printable recipe and instruction card at the bottom of this post. This is a quick overview of the ingredients you will need for this recipe:
- Italian Sausage
- Cream Cheese
- Mozzarella Cheese
- Almond Flour
- Baking Powder
- Spices: Italian seasoning and garlic powder

How to Make Gluten Free Sausage Balls
This recipe couldn’t be simpler. You just need to combine the Italian sausage, cream cheese, almond flour, baking powder, spices and mozzarella cheese until completely combined. Roll into small, golf ball size balls and place on a large baking sheet. Bake at 375 degrees for 20-24 minutes until cooked through. Place the sausage balls on a wire rack to drain off any grease.
How many carbs are in these sausage balls?
This recipe makes about 28 golf ball size sausage balls. This means each sausage ball has 0.8 net carbs each. Pair with a low carb marinara for dipping and this is a great keto-friendly, gluten free snack!


Easy Sausage Ball Recipe Tips
- Room temperature cream cheese is much easier to mix.
- Using an electric mixer, specifically a stand mixer, is easier than mixing by hand.
- Roll the balls into a uniform size, keep them golf ball size or slightly smaller.
- I suggest baking on a silicone baking mat, they will never stick and they bake evenly.
As another big bonus you can totally customize this based on your preferences. I normally use spicy Italian sausage, but depending on what you like you can use mild or sweet Italian sausage to give this a completely different flavor! This is an easy appetizer to keep in mind for the holidays! I suggest making a double batch because…well because why not?
What to Serve with These Sausage Appetizers
How to Store Italian Sausage Balls
- Fridge: Cool and store in an airtight container up to 4 days in the refrigerator.
- Freezer: Freeze 2-3 hours on a baking sheet, then transfer to freezer container. Enjoy within 3-4 months for the best taste and texture.
- Reheating: Microwave in 30-second increments until warmed through. If you prefer crispy edges, you can bake (350 degrees, 5-10 minutes) or air fry (350 degrees, 2-3 minutes)
More Popular Keto Recipes
- Keto Buffalo Wings
- Amazing Keto Ham and Cheese Biscuits
- Air Fryer Mozzarella Sticks (keto-friendly)
- Pork Tenderloin Medallions Recipe

Get the Recipe: Italian Sausage Balls
Ingredients
- 1 pound Italian sausage
- 4 ounces cream cheese
- 1 cup shredded mozzarella cheese
- 1/2 cup almond flour
- 1/2 teaspoon baking powder
- 1/2 teaspoon Italian seasoning
- 1/2 teaspoon garlic powder
Equipment
Instructions
- Preheat oven to 375 degrees.
- Combine all of the ingredients until well incorporated. I find this easiest in my stand mixer.
- Lightly spray a large baking sheet or line with silicone baking sheets
- Roll the sausage balls into golf ball size balls.
- Bake 20-24 minutes.

I could snack on these all day! I love this type of dish around the holidays. It is perfect for parties and holiday meals!
These balls look great Annie! I love making balls like these for appetizers, especially with a yummy dip! 🙂 Great idea!
This is definitely my idea of a perfect appetizer! I love sausage so much!
I have made “traditional” sausage balls for years. Never thought of making them Italian style. If these are as good as they sound, I’ll have to make a triple batch for our office potluck since the traditional ones are inhaled even before the potluck begins.
Good thinking with the Italian Sausage, girl! These sound like the perfect appetizer. And I’d eat these for breakfast, lunch, dinner, OR dessert! 🙂
This is a perfect appetizer!
I love how new recipes comes into being. These would go over big in our family.
I think your suggestion to make a double batch is a great one – these look amazing, and would definitely disappear at any party! Yum!
I love meatball and I think yours it is great for a holiday appetizer 😉
I never thought of using GF bisquick to make meatballs! And if it involves marinara, I will be one happy camper!
I love how cheesy and flavorful these are! Pinned!
These would make a great appetizer! Especially for football watching. I love this! Pinned : )
I could eat these for a meal and you wouldn’t think any less of me, right? Delicious!
What a great idea, Annie! I’m always stuck when it comes to appetizer ideas, so I’m totally pinning these!
These look delicious Annie! I love meatballs as an appetizer but have never made them with Italian sausage before, that’s a great idea!
I love sausage balls! This Italian version looks super delicious. Hope you had a wonderful Thanksgiving! 🙂
I love these meatballs! Such a great appetizer for the holidays!!
Sausage is my best friend. These are perfect for entertaining.
Isn’t it great?! Thanks girl!
The sight of these delish sausage rolls is making my mouth water!
Thanks Samina! They are SO good!
These sausage balls look like the perfect appetizer, Annie! I was just looking through a cookbook last weekend and saw a similar recipe that I wanted to try. I love that you used Italian sausage, gives it way more flavor! I definitely think I could make a meal out of these babies, too!
I would be totally embarrassed to say how many of these I ate! haha! And I totally agree, I love the bold flavor of Italian Sausage! So good!