I just made a Creamy Spicy Keto Shrimp and Sausage Skillet that proves Keto Dinner Recipes With Shrimp can be bold, ridiculous in flavor, and totally unfussy, so keep scrolling.

I am obsessed with this creamy spicy keto shrimp and sausage skillet. I love how the raw shrimp pops against slices of smoked sausage, all drenched in a reckless, silky sauce that makes me forget boring dinners ever existed.
It’s messy, loud, spicy in the right way, and the creaminess stands up to bold Cajun heat. I crave it for late nights when I want Keto Dinner Recipes With Shrimp that feel indulgent but stay on track.
Low Carb Recipes Sausage fans, this one scratches that itch without pretending to be virtuous. Pure mouth joy.
No regrets, just sauce everywhere.
Ingredients

- Shrimp: juicy protein, cooks fast, it’s the star seafood.
- Smoked sausage: smoky, savory bite, adds meaty heft.
- Olive oil: slick, light cooking fat, keeps things from sticking.
- Butter: rich creaminess, it’s great for flavor and browning.
- Garlic: punchy aromatics, gives the sauce real zip.
- Onion: sweet base flavor, helps everything taste rounded.
- Red bell pepper: bright crunch and color, keeps it fresh.
- Cherry tomatoes: bursty sweetness, basically little flavor bombs.
- Heavy cream: silky body, makes the sauce luxuriously creamy.
- Cream cheese: tangy thickener, it’s what makes it luscious.
- Chicken broth: loosens sauce, adds savory background notes.
- Parmesan: salty, nutty finish, gives savory depth.
- Smoked paprika: warm smokiness, adds cozy color.
- Cajun seasoning: spicy herb mix, turns up the heat.
- Red pepper flakes: extra kick, use more if you dare.
- Lemon juice: bright acid, cuts through the richness.
- Xanthan gum: optional thickener, it’ll tighten the sauce.
- Parsley: fresh herbal pop, looks pretty on top.
- Green onions: sharp freshness, adds crunchy green notes.
- Salt and pepper: basic finishing touch, balances all the flavors.
Ingredient Quantities
- 1 lb raw shrimp peeled and deveined (tails on or off, your choice)
- 12 oz smoked sausage (kielbasa or andouille), sliced into 1/4 inch rounds
- 2 tablespoons olive oil
- 2 tablespoons unsalted butter
- 3 cloves garlic, minced
- 1 small yellow onion, finely chopped (about 1/2 cup)
- 1 cup red bell pepper, diced
- 1 cup cherry tomatoes, halved (optional but nice)
- 1 cup heavy cream
- 2 oz cream cheese, softened
- 1/2 cup low sodium chicken broth (or seafood broth)
- 1/3 cup grated Parmesan cheese (freshly grated if possible)
- 1 teaspoon smoked paprika
- 1 to 2 teaspoons Cajun seasoning, depending on heat preference
- 1/4 teaspoon red pepper flakes (or more if you like it spicy)
- 1 tablespoon fresh lemon juice
- 1/4 teaspoon xanthan gum (optional, for thicker sauce)
- 2 tablespoons fresh parsley, chopped
- 2 green onions, thinly sliced
- Salt and freshly ground black pepper to taste
How to Make this
1. Pat shrimp dry and season lightly with salt, pepper and half the Cajun seasoning; slice sausage into 1/4 inch rounds and have everything measured and ready because this cooks fast.
2. Heat a large skillet over medium high heat, add 1 tablespoon olive oil and 1 tablespoon butter, then brown the sausage in a single layer until edges are crisp, about 3 to 4 minutes per side; remove to a plate and set aside.
3. Lower heat to medium, add the remaining 1 tablespoon olive oil and 1 tablespoon butter, toss in the chopped onion and red bell pepper and sauté until softened, about 4 minutes, stirring so the onion doesn’t burn.
4. Add the minced garlic, smoked paprika, red pepper flakes and remaining Cajun seasoning, cook another 30 to 45 seconds until fragrant, then stir in the cherry tomatoes if using, cook 1 to 2 minutes so they start to soften.
5. Pour in the chicken broth and scrape up any brown bits from the bottom of the pan, let it reduce for 1 to 2 minutes to concentrate the flavor.
6. Reduce heat to medium low and whisk in the heavy cream, cream cheese and Parmesan until smooth and simmering gently; if you want it thicker sprinkle the xanthan gum evenly while whisking, just a little will thicken fast so dont overdo it.
7. Return the sausage to the pan, then add the seasoned shrimp in a single layer, cook 2 to 3 minutes per side or until shrimp are pink and opaque; don’t crowd the pan, they cook quick so watch them.
8. Stir in the lemon juice, taste and adjust salt, pepper or Cajun seasoning; if sauce is too rich add a splash more broth or a squeeze more lemon to brighten it.
9. Remove from heat and fold in most of the chopped parsley and green onions, reserve a little for garnish; let sit a minute so flavors meld.
10. Serve hot straight from the skillet over cauliflower rice, zoodles or a simple green salad for a keto meal, garnish with the remaining parsley and green onion, and enjoy — leftovers reheat gently so the cream doesnt separate.
Equipment Needed
1. Large heavy skillet (10 to 12 inch)
2. Chef’s knife
3. Cutting board
4. Tongs or a flat spatula for turning shrimp and sausage
5. Wooden spoon or silicone spatula for stirring sauce
6. Small whisk (for cream, cream cheese and optional xanthan gum)
7. Measuring cups and spoons
8. Mixing bowl or plate to hold seasoned shrimp and cooked sausage
9. Rubber scraper or spoon for scraping browned bits from pan
10. Citrus juicer or fork for squeezing lemon juice
FAQ
Creamy Spicy Keto Shrimp And Sausage Skillet Recipe Substitutions and Variations
- Shrimp: swap for scallops or bite sized chicken thighs if you want a different protein. Scallops cook fast like shrimp, chicken needs a few extra minutes and a little more seasoning, but both work great.
- Smoked sausage: use andouille, chorizo, or a lean chicken sausage. Chorizo gives more heat and smokiness, chicken sausage keeps it lighter.
- Heavy cream and cream cheese: replace with full fat coconut cream plus a tablespoon of cream cheese or mascarpone for richness if you want dairy free-ish flavors, or use sour cream for a tangier, slightly thinner sauce.
- Xanthan gum: skip it and simmer the sauce a bit longer to reduce, or whisk in one egg yolk off heat to thicken, or use a tiny pinch of guar gum instead if you have it.
Pro Tips
1) Dry shrimp thoroughly and sear in a very hot pan for a minute per side before adding to the sauce. That quick browning gives texture and stops them from turning rubbery when they finish cooking in the cream.
2) Brown the sausage well and scrape those browned bits into the sauce. Those fond bits are where most of the flavor lives, so don’t skip deglazing with the broth and giving it a minute to reduce.
3) Temper the cream and cream cheese by whisking in a little warm broth first, then add to the pan over low heat. This cuts down on lumps and prevents the dairy from breaking when it simmers.
4) If the sauce gets too rich or thick, brighten it with lemon juice and loosen it with small splashes of broth rather than more cream. Taste and adjust seasoning at the end so the heat and acidity are balanced.

Creamy Spicy Keto Shrimp And Sausage Skillet Recipe
I just made a Creamy Spicy Keto Shrimp and Sausage Skillet that proves Keto Dinner Recipes With Shrimp can be bold, ridiculous in flavor, and totally unfussy, so keep scrolling.
4
servings
790
kcal
Equipment: 1. Large heavy skillet (10 to 12 inch)
2. Chef’s knife
3. Cutting board
4. Tongs or a flat spatula for turning shrimp and sausage
5. Wooden spoon or silicone spatula for stirring sauce
6. Small whisk (for cream, cream cheese and optional xanthan gum)
7. Measuring cups and spoons
8. Mixing bowl or plate to hold seasoned shrimp and cooked sausage
9. Rubber scraper or spoon for scraping browned bits from pan
10. Citrus juicer or fork for squeezing lemon juice
Ingredients
-
1 lb raw shrimp peeled and deveined (tails on or off, your choice)
-
12 oz smoked sausage (kielbasa or andouille), sliced into 1/4 inch rounds
-
2 tablespoons olive oil
-
2 tablespoons unsalted butter
-
3 cloves garlic, minced
-
1 small yellow onion, finely chopped (about 1/2 cup)
-
1 cup red bell pepper, diced
-
1 cup cherry tomatoes, halved (optional but nice)
-
1 cup heavy cream
-
2 oz cream cheese, softened
-
1/2 cup low sodium chicken broth (or seafood broth)
-
1/3 cup grated Parmesan cheese (freshly grated if possible)
-
1 teaspoon smoked paprika
-
1 to 2 teaspoons Cajun seasoning, depending on heat preference
-
1/4 teaspoon red pepper flakes (or more if you like it spicy)
-
1 tablespoon fresh lemon juice
-
1/4 teaspoon xanthan gum (optional, for thicker sauce)
-
2 tablespoons fresh parsley, chopped
-
2 green onions, thinly sliced
-
Salt and freshly ground black pepper to taste
Directions
- Pat shrimp dry and season lightly with salt, pepper and half the Cajun seasoning; slice sausage into 1/4 inch rounds and have everything measured and ready because this cooks fast.
- Heat a large skillet over medium high heat, add 1 tablespoon olive oil and 1 tablespoon butter, then brown the sausage in a single layer until edges are crisp, about 3 to 4 minutes per side; remove to a plate and set aside.
- Lower heat to medium, add the remaining 1 tablespoon olive oil and 1 tablespoon butter, toss in the chopped onion and red bell pepper and sauté until softened, about 4 minutes, stirring so the onion doesn't burn.
- Add the minced garlic, smoked paprika, red pepper flakes and remaining Cajun seasoning, cook another 30 to 45 seconds until fragrant, then stir in the cherry tomatoes if using, cook 1 to 2 minutes so they start to soften.
- Pour in the chicken broth and scrape up any brown bits from the bottom of the pan, let it reduce for 1 to 2 minutes to concentrate the flavor.
- Reduce heat to medium low and whisk in the heavy cream, cream cheese and Parmesan until smooth and simmering gently; if you want it thicker sprinkle the xanthan gum evenly while whisking, just a little will thicken fast so dont overdo it.
- Return the sausage to the pan, then add the seasoned shrimp in a single layer, cook 2 to 3 minutes per side or until shrimp are pink and opaque; don't crowd the pan, they cook quick so watch them.
- Stir in the lemon juice, taste and adjust salt, pepper or Cajun seasoning; if sauce is too rich add a splash more broth or a squeeze more lemon to brighten it.
- Remove from heat and fold in most of the chopped parsley and green onions, reserve a little for garnish; let sit a minute so flavors meld.
- Serve hot straight from the skillet over cauliflower rice, zoodles or a simple green salad for a keto meal, garnish with the remaining parsley and green onion, and enjoy — leftovers reheat gently so the cream doesnt separate.
Notes
- Below you’ll find my best estimate of this recipe’s nutrition facts. Treat the numbers as a guide rather than a rule—great food should nourish both body and spirit. Figures are approximate, and the website owner assumes no liability for any inaccuracies in this recipe.
Nutrition Facts
- Serving Size: 420g
- Total number of serves: 4
- Calories: 790kcal
- Fat: 66g
- Saturated Fat: 32g
- Trans Fat: 0.3g
- Polyunsaturated: 4g
- Monounsaturated: 22g
- Cholesterol: 280mg
- Sodium: 1200mg
- Potassium: 660mg
- Carbohydrates: 8g
- Fiber: 1g
- Sugar: 3g
- Protein: 44g
- Vitamin A: 1500IU
- Vitamin C: 30mg
- Calcium: 130mg
- Iron: 1.5mg























