Keto Creamy Tuscan Zucchini Noodles with Sausage Recipe
If you’re on the hunt for a dish that’s downright luscious yet totally guilt-free, Keto Creamy Tuscan Zucchini Noodles with Sausage is your new best friend. Think ribbons of crisp-tender zucchini twirled in a rich, velvety Tuscan cream sauce studded with robust sausage, sun-dried tomatoes, baby spinach, and a shower of parmesan. This is one of those magical weeknight meals that delivers the comforting satisfaction of an Italian favorite without a single carby regret—ideal for anyone following a keto diet or just looking to add more flavor-packed veggies to their dinner rotation.

Ingredients You’ll Need
Gather just a handful of kitchen staples and you’ll have all you need for Keto Creamy Tuscan Zucchini Noodles with Sausage. Each ingredient earns its place, building layers of flavor, creaminess, and bright color for a dinner that feels special any night of the week.
- Kiolbassa Roasted Garlic Sausage: These garlicky sausages lend a smoky kick and meaty richness that forms the backbone of the dish.
- Olive oil: A drizzle to help brown the sausage, plus it brings an unmistakable depth to the sauce.
- Garlic cloves: Minced fresh garlic wakes up every bite with its savory, aromatic punch.
- Heavy cream: Key for achieving that luscious, keto-friendly cream sauce without any carb-laden thickeners.
- Chicken broth: Adds savory balance and keeps the sauce from getting too heavy.
- Italian seasoning: Just a teaspoon brings all those classic, herby Tuscan notes.
- Parmesan cheese: The salty, nutty finish every good Italian-inspired sauce craves—freshly grated is best!
- Spinach: The greens wilt beautifully into the sauce for a burst of color and nutrition.
- Sun-dried tomatoes: These concentrate a sweet, tangy tomato flavor into every forkful.
- Salt and pepper: Essential for balancing and amplifying all the other flavors—taste as you go!
- Zucchini noodles: The star “noodle” of this dish, soaking up sauce and staying light—they’ll make you forget all about pasta.
- Fresh basil: A fragrant finishing touch that screams summertime in Italy—don’t skip it!
How to Make Keto Creamy Tuscan Zucchini Noodles with Sausage
Step 1: Brown the Sausage
Start by heating olive oil in a large (10-12”) cast-iron skillet over medium heat. Add the sliced Kiolbassa Roasted Garlic sausage and let each side brown for 2-3 minutes. You’re not just warming the sausage here—those golden edges are loaded with flavor! Once they’re beautifully browned, set them aside on a plate.
Step 2: Sauté the Garlic
With those tasty sausage bits still in the pan, toss in your minced garlic. Stir it around for about 30 seconds, just until the kitchen starts to smell amazing. Be careful not to burn the garlic; you want it fragrant, not bitter!
Step 3: Make the Creamy Tuscan Sauce
Next comes the heart of Keto Creamy Tuscan Zucchini Noodles with Sausage—the sauce! Pour in the heavy cream and chicken broth, sprinkle in the Italian seasoning, and add the parmesan. Crank up the heat to medium-high and whisk as everything comes together. You’ll see the sauce start to bubble and thicken almost right away—that’s when you know it’s going to cling to every noodle.
Step 4: Wilt the Greens and Tomatoes
Stir in the chopped spinach and sun-dried tomatoes. Let this mixture simmer gently so the spinach softens and the sun-dried tomatoes plump up, infusing the cream with their tangy sweetness. It only takes a few minutes, but the vibrant colors it brings to the skillet are always a delight.
Step 5: Finish with Sausage and Zucchini Noodles
Return the browned sausage to the sauce, then add your zucchini noodles. Toss gently and let everything mingle for 2-3 minutes—just until the zoodles are hot but still have some bite. Taste and season with salt and pepper as desired. Now you’re ready to garnish and serve up the freshest, most satisfying Keto Creamy Tuscan Zucchini Noodles with Sausage you’ve ever tried.
How to Serve Keto Creamy Tuscan Zucchini Noodles with Sausage

Garnishes
Amp up the flair with a flurry of freshly chopped basil and a final dusting of parmesan cheese. For a pop of color and freshness, you can even add a few halved cherry tomatoes on top. The basil’s herbal brightness and the cheese’s salty depth turn every bowl of Keto Creamy Tuscan Zucchini Noodles with Sausage into something truly special.
Side Dishes
This dish holds its own, but if you want to round out your table, try serving it with a crisp green salad drizzled in lemony vinaigrette or a quick side of roasted asparagus. If you’re not strictly keto, a slice of almond flour focaccia would be perfect for scooping up extra sauce!
Creative Ways to Present
Instead of piling your Keto Creamy Tuscan Zucchini Noodles with Sausage into a big family-style bowl, try spiraling the zoodles with tongs into individual nests. Top each nest with an extra piece of sausage and a leaf of basil for a restaurant-worthy look. Or, serve in shallow bowls with artisan spoons for cozy, comforting vibes—ideal for impressing guests or just elevating a Tuesday night.
Make Ahead and Storage
Storing Leftovers
Store any leftover Keto Creamy Tuscan Zucchini Noodles with Sausage in an airtight container in the fridge for up to three days. The sauce will meld beautifully with the zucchini, keeping every bite as rich and flavorful as when you first made it. Just note that zucchini noodles can soften a bit more over time, but they’ll still be delicious!
Freezing
Freezing is possible, but the texture of zucchini noodles can get watery after thawing. To freeze, place the cooled sausage and sauce (without zucchini noodles) in a freezer bag for up to two months. When you’re ready to enjoy, just prepare fresh zucchini noodles and combine with the reheated sauce and sausage for the best texture.
Reheating
For best results, reheat leftovers gently over medium heat in a skillet, stirring often until warmed through. If the sauce looks a little thick, add a splash of chicken broth or cream to loosen it up. Microwave reheating is also fine, just be sure to do it in short bursts and stir in between to avoid overcooking the zoodles.
FAQs
Can I use another type of sausage?
Absolutely! While Kiolbassa Roasted Garlic sausage brings big flavor to Keto Creamy Tuscan Zucchini Noodles with Sausage, you can swap in Italian, chicken, or even plant-based sausage for a different but still delicious result.
What’s the best way to keep zucchini noodles from getting watery?
After spiralizing, you can lightly salt the zucchini noodles and let them sit for 10 minutes, then pat dry with paper towels before cooking. Adding them at the very end, just to heat through, helps maintain their texture in Keto Creamy Tuscan Zucchini Noodles with Sausage.
Can I make this dairy-free?
Of course! Use coconut cream in place of heavy cream, and your favorite dairy-free parmesan alternative. The dish will still be luxuriously creamy and loaded with flavor, perfect for anyone who’s dairy-sensitive.
Do I need a spiralizer for the zucchini noodles?
A spiralizer gives the best, most pasta-like results, but you can use a julienne peeler or buy pre-spiralized “zoodles” from most grocery stores for easy prep.
How spicy is this recipe?
The base recipe isn’t spicy at all, but you’re free to add a sprinkle of crushed red pepper flakes or use a spicy sausage to turn up the heat! Keto Creamy Tuscan Zucchini Noodles with Sausage is endlessly customizable to your taste.
Final Thoughts
Every bite of Keto Creamy Tuscan Zucchini Noodles with Sausage brings indulgent flavor while keeping your meal light, fresh, and full of color. If you love creamy pastas but don’t want all the carbs, give this recipe a try—you may just find yourself adding it to your weekly dinner lineup!
PrintKeto Creamy Tuscan Zucchini Noodles with Sausage Recipe
Indulge in a rich and flavorful dish with these Keto Creamy Tuscan Zucchini Noodles with Sausage. This low-carb recipe offers a satisfying combination of garlic sausage, creamy sauce, and vibrant veggies, all served over tender zucchini noodles.
- Prep Time: 15 minutes
- Cook Time: 15 minutes
- Total Time: 30 minutes
- Yield: 4 servings 1x
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian
- Diet: Keto
Ingredients
Sausage:
- 1 package Kiolbassa Roasted Garlic sausage (cut into rounds)
Sauce:
- 2 tablespoons olive oil
- 3 garlic cloves (minced)
- 1 cup heavy cream
- 1/4 cup chicken broth
- 1 teaspoon Italian seasoning
- 1/2 cup parmesan cheese
- 1 cup spinach (chopped)
- 1/2 cup sun-dried tomatoes
- Salt and pepper (to taste)
Additional:
- 12 ounces zucchini noodles
- Fresh basil (for topping)
Instructions
- Sear Sausage: Heat olive oil in a large cast-iron skillet, brown the sliced sausage rounds, then set them aside.
- Sauté Aromatics: Cook minced garlic in the skillet until fragrant.
- Make Sauce: Pour in heavy cream, chicken broth, Italian seasoning, and parmesan cheese. Whisk until the sauce thickens.
- Add Veggies: Stir in spinach and sun-dried tomatoes. Reintroduce the sausage and zucchini noodles. Cook until heated through.
- Season and Serve: Season with salt and pepper, garnish with fresh basil, and enjoy!
Nutrition
- Serving Size: 1 serving
- Calories: 480
- Sugar: 5g
- Sodium: 810mg
- Fat: 38g
- Saturated Fat: 18g
- Unsaturated Fat: 15g
- Trans Fat: 0g
- Carbohydrates: 10g
- Fiber: 2g
- Protein: 24g
- Cholesterol: 120mg
Keywords: Keto, Creamy Tuscan, Zucchini Noodles, Sausage, Low-Carb, Gluten-Free