Keto Cheesy Sausage Peppers is a comforting skillet meal that brings together simple ingredients in one satisfying dish. It is a practical choice for busy weeknights when you want something filling without needing a complicated cooking process or a long list of preparation steps.
This recipe keeps everything in one pan and uses a straightforward cooking method from start to finish. In this guide, you’ll learn how to prepare the sausage and vegetables, build the creamy sauce, and finish the dish with cheese for an easy homemade meal.

1. Keto Cheesy Sausage Peppers Recipe (Yield: 4 Servings)
Ingredients
- 1 ½ pounds Italian sausage, sliced
- 1 red bell pepper, sliced
- 1 green bell pepper, sliced
- ½ medium onion, sliced
- 2 tablespoons beef broth
- 1 ½ cups heavy whipping cream
- 2 tablespoons tomato paste
- 1 teaspoon Italian seasoning
- ½ cup Parmesan cheese, grated
- 1 cup mozzarella cheese
- Salt and black pepper, to taste
Instructions
Preheat the oven to 350°F.
Place a large ovenproof skillet over medium-high heat on the stovetop. Add the sliced Italian sausage and cook until it is completely cooked through and nicely browned. Stir and turn the sausage pieces occasionally so they cook evenly. Once the sausage is done, transfer it to a plate and set it aside.
Reduce the heat to medium. Add the sliced red bell pepper, green bell pepper, and onion to the same skillet. Cook the vegetables for several minutes, stirring occasionally, until they are just beginning to become tender. They do not need to be completely soft at this stage because they will continue cooking later in the oven. Remove the vegetables from the skillet and set them aside with the sausage.
Carefully drain the excess grease from the skillet. Leave behind a small amount of the cooking residue if desired, as it can help add depth to the sauce.
Return the skillet to medium heat and add the beef broth. Use a wooden spoon or spatula to gently scrape the bottom of the skillet while the broth heats. This deglazes the pan and loosens any browned bits left from cooking the sausage.
Pour the heavy whipping cream into the skillet. Add the tomato paste and Italian seasoning, then season with salt and black pepper to taste. Whisk the mixture until the tomato paste is fully incorporated and the sauce is smooth.
Continue cooking the sauce over medium heat, stirring frequently, until it begins to thicken. This should take several minutes. Keep the heat controlled so the cream does not boil aggressively. The sauce should become thick enough to lightly coat the back of a spoon.
Once the sauce has thickened, stir in the grated Parmesan cheese. Continue stirring until the cheese melts completely into the sauce and the mixture becomes smooth and creamy.
Return the cooked sausage and sautéed vegetables to the skillet. Toss everything together carefully until the sausage and vegetables are evenly coated with the sauce. Spread the mixture into an even layer in the skillet.
Sprinkle the mozzarella cheese evenly over the top. Make sure the cheese reaches across the surface so every portion gets a melted, cheesy topping.
Transfer the ovenproof skillet to the preheated oven. Bake for 10 to 15 minutes, or until the mozzarella cheese has completely melted and the dish is hot throughout.
For a more golden finish, you can switch the oven to broil for the final 1 to 2 minutes. Watch the skillet closely during this step because the cheese can brown quickly.
Carefully remove the skillet from the oven and let the dish rest for a few minutes before serving. Remember that the handle of the skillet will be extremely hot. Serve the Keto Cheesy Sausage Peppers warm.

2. Tips for Perfect Keto Cheesy Sausage Peppers
Use an ovenproof skillet. Since this recipe moves directly from the stovetop to the oven, a suitable ovenproof skillet makes the process much easier and reduces cleanup.
Brown the sausage properly. Give the sausage enough time to develop a browned exterior before removing it from the skillet. This also leaves flavorful browned bits that can be loosened when you add the beef broth.
Do not overcook the vegetables. Cook the peppers and onion only until they are beginning to soften. They will continue cooking while the finished dish bakes.
Let the sauce thicken before adding the cheese. A slightly thickened sauce helps the final dish hold together instead of becoming too thin.
Add Parmesan while the sauce is hot. The Parmesan melts more smoothly when incorporated into the warm cream sauce.
Spread the mozzarella evenly. An even layer ensures that the cheese melts consistently across the entire skillet.
Be careful with salt. Italian sausage, beef broth, Parmesan, and mozzarella can all contain salt. Taste the sauce before adding too much additional seasoning.
Let the dish rest briefly. A few minutes of resting after baking allows the sauce to settle and makes the dish easier to portion.
3. Frequently Asked Questions
Can I use a different type of sausage?
Yes. You can use another variety of sausage if you prefer. Mild, hot, or seasoned sausage can all work with the basic preparation. Keep in mind that different sausages may vary in fat and salt content, which can affect the final result.
What size skillet works best for this recipe?
A large skillet, around 10 to 12 inches, is ideal for four servings. It should be large enough to hold the sausage, vegetables, and sauce without overcrowding and should also be ovenproof.
Can I prepare this dish ahead of time?
Yes. You can prepare the sausage, vegetables, and sauce ahead of time and refrigerate them in a covered container. When you are ready to finish the dish, transfer everything to an ovenproof skillet, add the mozzarella, and bake until heated through and the cheese has melted.
How can I tell when the dish is fully heated?
The sauce should be bubbling gently around the edges, the sausage and vegetables should be hot throughout, and the mozzarella should be completely melted. If you are reheating a chilled portion, allow extra oven time compared with freshly prepared ingredients.
Can I freeze Keto Cheesy Sausage Peppers?
The dish can be frozen, but the creamy sauce may change slightly in texture after thawing and reheating. For the best quality, store leftovers in the refrigerator and enjoy them within a few days. If you do freeze it, cool the dish completely before transferring it to a freezer-safe container.
4. Nutrition Information
The following values are approximate and are based on the listed ingredients divided into four servings. Actual nutrition can vary depending on the brand and type of sausage, cheese, cream, and broth used.
| Nutrient | Amount per Serving |
|---|---|
| Calories | 820 kcal |
| Protein | 39 g |
| Total Fat | 69 g |
| Saturated Fat | 31 g |
| Carbohydrates | 13 g |
| Fiber | 2 g |
| Sugars | 7 g |
| Sodium | 1,650 mg |
| Calcium | 410 mg |
Keto Cheesy Sausage Peppers is a straightforward recipe that makes a satisfying meal without requiring complicated preparation. The combination of stovetop cooking and a short bake in the oven keeps the process simple while allowing everything to come together in the same skillet.
Once you have prepared the recipe a few times, the steps become especially easy to manage. It is a useful option to keep in your regular recipe collection when you want a comforting homemade meal that can be prepared with a simple, practical cooking method.
