Flaky, cheesy layers wrapped around creamy sausage filling—these keto breakfast squares bring all the comfort of a Southern casserole in a grab-and-go bite.

Around here, breakfast isn’t something you eat half awake over the sink—it’s the meal that sets the tone for the whole day. And when you can make something hearty, comforting, and keto-friendly in under 40 minutes, well, that’s a breakfast worth talking about.
These sausage and cream cheese breakfast squares are my Southern keto twist on an old favorite. The magic starts with fathead dough, a keto baker’s best friend, made from melted mozzarella, almond flour, egg, and just a touch of baking powder. It bakes up golden and tender, with a light flakiness that’s hard to believe comes from a low-carb recipe. It’s sturdy enough to hold a generous filling, yet soft enough to bite through like a warm, homemade biscuit.
The flavor in that filling is pure Southern breakfast comfort. Crumbled sausage adds a hearty, seasoned flavor that fills the whole bite with warmth and spice, while the cream cheese melts into it, creating a silky, tangy layer of pure indulgence. The almond flour in the crust adds a gentle nuttiness, and the mozzarella keeps each bite moist and flavorful. Put it all together and you’ve got buttery, cheesy bread hugging a creamy, meaty center—like the best sausage biscuit you ever had, only reimagined the keto way.
They’re just as good grabbed on the way out the door as they are served on a slow weekend morning with a side of crisp bacon and fluffy scrambled eggs. However they hit your plate, these squares prove you can keep breakfast hearty and satisfying while still keeping it keto.
Ways to take these breakfast squares to the next level
To add in more keto-friendly flavors to these bites, you could turn up the heat by swapping in hot sausage or adding some chopped jalapeños to the filling for a gentle kick. For more texture, stir in diced bell peppers or sautéed mushrooms before sealing up the dough—they’ll fold right into that creamy filling and bring a little extra bite. A sprinkle of shredded cheddar mixed into the sausage and cream cheese gives more depth and a sharper edge, while a pinch of smoked paprika or garlic powder adds that warm, savory backbone Southern breakfasts are known for. Or, add in some extra flavor to the dough! Sprinkle the top layer with everything bagel seasoning before baking for a light crunch and an herby, toasty flavor. For a true Southern-style twist, serve the squares with a drizzle of sugar-free maple syrup. It may sound unexpected, but the salty-sweet combination is downright addictive.

How do I store leftovers?
To store, let the squares cool and then transfer to an airtight container. You can keep these refrigerated for 5 days. They reheat beautifully in the oven, microwave, or air fryer. For longer storage, wrap each square in foil and then freeze, stacked in freezer bags, for up to 3 months. Just thaw overnight in the fridge, then warm in the oven until heated through—that way, you’ll get that fresh-baked taste all over again.
Similar recipes to try
For another portable breakfast option, try these On-The-Go Egg Bites. They’re savory and cheesy egg cups wrapped in bacon, ideal for rushed mornings. Next, this Sausage And Spinach Keto Quiche features seasoned sausage and tender spinach—all baked into a silky egg base that’s perfect any time of day. And for a true low-carb comfort food, this Keto Ham And Swiss Casserole With Broccoli layers smoky ham, nutty Swiss cheese, and tender broccoli under a creamy, baked topping.


Sausage And Cream Cheese Breakfast Squares
Ingredients
- 1 1/2 cups shredded mozzarella cheese
- 1 cup almond flour
- 1 1/2 teaspoons baking powder
- 1 egg
- 1 pound sausage
- 8 ounces cream cheese softened
Instructions
- Preheat oven to 425°F.
- Line baking sheet with parchment paper.
- Prepare fat head dough by melting mozzarella cheese in the microwave in 30-second intervals until very stretchy.
- Add almond flour and baking powder and use a wooden spoon to mix into the melted cheese.
- Crack the egg into the mixture and continue stirring with a spoon until completely combined.
- Turn the dough onto a piece of parchment paper and knead with your hands until it is uniform in color. There should not be white or yellow bits.
- Divide dough into 2 equal parts. Roll each piece out into rectangles of similar size.
- Place one rectangle on the baking sheet. Bake 8 minutes. Remove from oven and set aside.
- Cook sausage in a skillet over medium-high heat. Crumble it with a wooden spoon as it’s cooking. Remove from heat and drain grease.
- Add cream cheese to sausage and stir until it is melted and the mixture is creamy. You may put the skillet back on the stove over low heat if needed.
- Spread the sausage mixture on top of the baked layer of dough.
- Add top layer of dough. Pinch edges together to seal. Poke holes in the top layer of dough to let steam escape.
- Bake 8-10 minutes until top is golden brown. Let cool 5 minutes before cutting.


My family loved this!
Thanks so much!