You have probably seen that TikTok trend where people toss cabbage and sausage into a skillet and call it dinner.
I fell for it too, but I wanted something creamier, so I turned it into a Keto TikTok Cajun Sausage Cabbage Alfredo that tastes indulgent without wrecking my macros.
The result hits the spot when I crave comfort food but stay low‑carb.
If you want the original, I bookmarked a great version on Crumb Recipes for reference: Keto TikTok Cajun Sausage Cabbage Alfredo recipe.
Why this combo works
Cabbage soaks up sauce, the sausage brings fat and spice, and a quick alfredo makes everything feel decadent.
I love that this dish stays under control for keto diets while still satisfying cravings.
Ever wondered why people use cabbage instead of pasta?
Cabbage gives bulk, texture, and a mild taste that doesn’t fight with bold sausage flavors.
Ingredients and Method (Didactic part)
Ingredient
- 1 lb spicy Cajun sausage (sliced)
- 1 small head green cabbage (shredded)
- 8 oz cream cheese, softened
- 1/2 cup heavy cream
- 1/2 cup grated Parmesan
- 2 cloves garlic, minced
- 2 tbsp butter or olive oil
- 1 tsp Cajun seasoning (adjust to taste)
- Salt and pepper to taste
- Fresh parsley or chives for garnish (optional)
Method
- Brown the sausage in a large skillet over medium heat until nicely seared.
- Remove some fat if the sausage releases a lot, but leave a little for flavor.
- Sauté garlic in butter or olive oil until fragrant, then add shredded cabbage and Cajun seasoning.
- Cook cabbage down until tender‑crisp, about 6–8 minutes depending on your heat.
- Lower the heat and stir in cream cheese and heavy cream until the sauce becomes smooth.
- Add Parmesan, return the sausage, taste, and adjust salt and pepper.
- Garnish with parsley or chives and serve hot.
Quick Tips to Keep It Keto and Delicious
- Use full‑fat dairy; I never skimp because fat carries flavor and keeps you satisfied.
- Pick a sausage you actually like; spicy links give a great kick, but you can go mild if you prefer.
- Shred the cabbage thin so it soaks sauce fast and avoids a raw crunch.
Variations and Swaps
- Want more green? Stir in spinach at the end until it wilts.
- Prefer chicken? Use cooked shredded chicken instead of sausage and bump the Cajun seasoning down.
- If you miss noodles, spiralized zucchini makes a light substitute that stays keto‑friendly.
- Skip the cream cheese for a dairy‑light version and thicken with extra Parmesan.
Nutrition and Macros (rough estimates)
- 6–8g net carbs usually per generous serving, depending on sausage and serving size.
- Fat and protein stay high, which helps ketone production and fullness.
- Track your ingredients in your app if you need tight numbers.
Common Questions (Short Answers)
Can I freeze leftovers?
Yes, but the texture softens; I usually freeze portions for quick meals, not for perfect creaminess.
Is this kid‑friendly?
Often yes; cut the spice and kids eat the saucy cabbage like noodles.
How long does it take?
I usually finish it in under 30 minutes from stove to table.
My Favorite Shortcuts
- Buy pre‑shredded cabbage if you want speed; yes, I judge you a little, then I use it too.
- Use a microplane for Parmesan to get effortless melting and less clumping.
- Toast spices in the pan briefly to wake up flavor before adding creamy elements.
Serving Suggestions
- Serve with cauliflower rice for extra bulk.
- Top with extra Parmesan and a squeeze of lemon if you like brightness.
- Pair with a crisp green salad to add freshness.
- Reheat gently on low heat and add a splash of cream if it firms up.
Flavor Breakdown: What You’ll Taste
First bite hits with smoky sausage and a Cajun pepper warmth.
Then the cream and Parmesan smooth the edges and make every forkful feel luxurious.
The cabbage offers a mild vegetal backbone and soaks sauce like a tiny edible sponge.
Add lemon or herbs to brighten if the dish leans heavy for you.
Meal Prep and Leftovers
Portion the dish into single servings for easy reheating during the week.
Cool completely before sealing containers to avoid condensation and sogginess.
Label with date and use within three months for best flavor, though I eat mine much sooner.
Thaw overnight in the fridge and reheat gently on the stove.
Pairings: Drinks and Sides
For drinks, I pick a dry white wine like Sauvignon Blanc or a sparkling water with lemon.
A crisp side salad or roasted Brussels sprouts add great contrast to the creamy main.
If you want a cozy low‑carb dessert after, try whipped cream with berries.
Why Keto Fans Love It
The meal nails the keto balance: high fat, moderate protein, and low carbs.
It uses whole ingredients and keeps added carbs minimal.
I also like that it feels indulgent, which helps stick to the plan without feeling deprived.
A Few Final Pro Tips
- Toast the Parmesan lightly in the pan to deepen its flavor before adding cream.
- Reserve a tablespoon of sausage fat and finish the sauce in it for richness.
- Grate fresh nutmeg over the finished dish if you like a subtle warm note.
- Let leftovers rest a few minutes before serving to let the sauce settle.
My First Time Making This (A Tiny Story)
I first tried a TikTok version after a long day and no shame, I thought cabbage in cream sounded weird but promising.
I rushed to the grocery, grabbed sausage and cabbage, and improvised with what I had.
The first bite surprised me; the texture felt almost like a silky pasta dish, and my partner asked for seconds.
I refined the sauce over time and started adding cream cheese for silkiness and Cajun seasoning for that addictive warmth.
I learned to control heat and timing; too much high heat made the dairy separate and that makes me sad.
Now I make a big batch on Sunday and we enjoy leftovers all week; it feels like cheating in the best way.
Comparing This to Classic Alfredo or Pasta Dishes
Classic fettuccine alfredo uses pasta as the vehicle and leans on butter, cream, and Parmesan.
My cabbage version replicates the mouthfeel while slashing carbs and boosting vegetable intake.
If you crave noodles exactly, this will not trick everyone, but most people I serve it to are pleasantly fooled.
I prefer this when I want faster cleanup and less mental math about carbs.
Final Serving Walkthrough (Step-by-step in 6 minutes)
- Slice sausage and heat pan.
- Brown sausage for five minutes.
- Add garlic and butter, cook thirty seconds until fragrant.
- Stir in shredded cabbage and seasoning, cook six minutes.
- Lower heat and blend in cream cheese and cream until smooth.
- Finish with Parmesan, taste, garnish, and serve hot.
Quick Tips Recap
- Brown sausage well for flavor; don’t overcrowd the pan or you will steam rather than brown.
- Shred cabbage thin and dry it a bit to avoid watery sauce; a paper towel helps.
- Add cream cheese off heat if your pan runs hot, to prevent curdling.
- Taste as you go and adjust Cajun seasoning; that step makes this recipe yours.
- Garnish boldly; visual appeal improves enjoyment and double‑checks seasoning.
I mean it: make this on a night when you want comfort without carbs.
FYI, leftovers heat exceptionally well.
Let me know if you swap proteins — chicken, pork, or even tofu work.
Happy low‑carb eating — and yes, treat yourself.
Share version and tag me; I love discovering tweaks.


Keto Cajun Sausage Cabbage Alfredo
Ingredients
Method
- Brown the sausage in a large skillet over medium heat until nicely seared.
- Remove some fat if the sausage releases a lot, but leave a little for flavor.
- Sauté garlic in butter or olive oil until fragrant, then add shredded cabbage and Cajun seasoning.
- Cook cabbage down until tender-crisp, about 6–8 minutes depending on your heat.
- Lower the heat and stir in cream cheese and heavy cream until the sauce becomes smooth.
- Add Parmesan, return the sausage, taste, and adjust salt and pepper.
- Garnish with parsley or chives and serve hot.
