Keto Tuscan Sausage Skillet

This Keto Tuscan Sausage Skillet is my weeknight dinner hero. Packed with rich Italian flavors and plenty of creamy goodness, it comes together in just one pan and brings everyone to the table happy. Sliced kielbasa, velvety spinach and a luscious sauce make it a meal I turn to whenever I want something easy but full of flavor.

I first made this skillet on a busy weeknight when I had almost nothing fresh in the fridge but spinach and sausage. It instantly became a favorite comfort meal and now it finds its way to our table almost every month.

Ingredients

• Kielbasa sausage: Choose a high quality fully cooked kielbasa for best flavor and easy prep The meaty savory notes are the heart of this skillet
• Butter: Essential for building richness in the sauce For extra flavor use a good European style butter
• Onion: Use half a medium sweet or yellow onion Chopped finely it adds just the right aromatic flavor
• Garlic: Freshly minced garlic makes a big difference Go for firm plump cloves
• Chicken broth: Opt for a robust low sodium broth to keep the sauce from getting too salty
• Heavy whipping cream: This is what gives the skillet its signature creamy texture and mouthfeel Use the freshest cream you can find
• Italian seasoning: Use a blend with dried oregano thyme and rosemary Try to find a version without too much added salt
• Chopped roasted red peppers: These bring subtle sweetness and a pop of color Roasted in a jar or homemade both work well
• Fresh spinach: Tender leaves wilt down and soak up the sauce Baby spinach is especially easy to work with

Step-by-Step Instructions

Melt the Butter:

Start by placing your skillet over medium heat Add the butter and let it melt completely until it starts to sizzle without browning

Sauté the Onion:

Add the chopped onion and cook slowly for about five minutes Make sure the onion turns soft and translucent but not browned as this will form the base of your aromatic flavor

Add Garlic:

Once the onion has softened toss in your minced garlic Stir for about sixty seconds You will know it is ready when you smell a fragrant aroma but be careful not to let it burn

Deglaze and Build the Sauce:

Pour in the chicken broth and heavy whipping cream immediately after the garlic Simmer on medium low and stir in your Italian seasoning with a pinch of salt and pepper Bring the mixture to a gentle bubble and keep stirring occasionally Let it simmer uncovered for around ten minutes until the sauce thickens enough to coat the back of a spoon

Brown the Sausage:

While your sauce is thickening set a second skillet over medium high heat Add the sliced kielbasa in a single layer Cook for three to four minutes per side until there is a deep golden sear and the sausage is heated through The browning gives extra depth and makes every bite satisfying

Wilt the Spinach and Add Peppers:

Once your sauce is thick enough add roasted red peppers and spinach Stir slowly giving the greens time to wilt completely This should take just a couple of minutes

Finish with Sausage:

When the spinach is wilted bring your seared sausage into the skillet Mix everything well so the sauce evenly coats all components Let the skillet rest off the heat for five minutes so flavors meld

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The kielbasa really shines here I have fond memories of tasting kielbasa in small shops when visiting family in the Midwest and the flavor always brings me back

Storage Tips

Store leftovers in an airtight container in your refrigerator for up to three days. The sauce may thicken as it cools, so simply heat gently on the stovetop and add a splash of broth or cream to loosen it before enjoying again. I find the flavors deepen and get even better on the second day which makes this dish perfect for meal prep.

Ingredient Substitutions

If you cannot find kielbasa, try using andouille or any good quality smoked sausage for a similar result. For a dairy-free version, you can swap heavy cream with full fat coconut milk, though the taste will change. Try chard or kale instead of spinach if that is what you have it will just need a couple more minutes to wilt.

Serving Suggestions

I love bringing this skillet to the table as the main event topped with a sprinkle of parmesan cheese or fresh basil if I have some. Pair with a simple salad or serve over cauliflower rice for a hearty low carb meal. It is also delicious with grilled vegetables, especially in the summertime.

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Tuscan Inspiration

This recipe is my home cook’s spin on the classic creamy Tuscan chicken and sausage dishes popular in central Italy. Using kielbasa and spinach gives it a comforting midwestern touch but the creamy sauce and roasted peppers give a sunny Italian vibe you will love.

Recipe FAQs

→ What type of sausage works best for this skillet?

Fully cooked kielbasa is ideal, but smoked sausage or Italian links can also be used for different flavors and textures.

→ Can I substitute the spinach?

Yes, fresh kale, swiss chard, or a mix of leafy greens make great alternatives to spinach in this skillet.

→ What can I use instead of heavy whipping cream?

For a lighter option, try half-and-half or coconut cream, though the sauce may be less thick and rich.

→ How do I make this dish spicier?

Add a pinch of crushed red pepper flakes or sliced fresh chili peppers while sautéing the onions for extra heat.

→ Is this skillet meal suitable for meal prep?

Absolutely. Portion leftovers into containers and refrigerate for up to three days. Reheat gently for best results.

→ Can I freeze this dish?

Yes, allow the skillet to cool completely, then freeze portions in sealed containers. Thaw and reheat gently to maintain texture.