Mouthwatering Keto Salisbury Steak with Mushroom Gravy Recipe for a Healthy Meal

Indulge in a Classic Comfort Food: Keto Salisbury Steak with Mushroom Gravy

Imagine sitting down to a dinner that’s not only comforting and satisfying but also aligns perfectly with your keto lifestyle. That’s exactly what you get with this Keto Salisbury Steak with Mushroom Gravy. It’s a dish that brings the classic flavors you love without the carb-heavy ingredients that you’re avoiding. This recipe is a testament to the fact that you can enjoy rich, delicious meals while sticking to a low-carb, high-fat diet.

With a golden-brown crust and a creamy, savory mushroom gravy, this Salisbury steak recipe is designed to delight your taste buds and keep you feeling full and energized. It’s the perfect keto-friendly meal for any night of the week, whether you’re dining alone or sharing with family and friends. Let’s dive into what makes this dish a must-try for anyone on a ketogenic diet.

Keto Salisbury Steak with Mushroom Gravy

The Roots and Keto Benefits of Salisbury Steak with Mushroom Gravy

Salisbury steak is a dish with humble beginnings, designed to be both nutritious and affordable. It’s a staple of American cuisine, known for its simplicity and heartiness. But how does it fit into a ketogenic diet? The answer lies in the clever substitutions and focus on high-fat, low-carb ingredients that make up this particular recipe.

The main component of Salisbury steak is ground beef, which is a fantastic source of protein and fat, essential for maintaining muscle mass and keeping you satiated. By incorporating almond flour and grated Parmesan cheese in place of traditional breadcrumbs, this recipe keeps the carb count low while adding a subtle nutty flavor and a boost of healthy fats.

The creamy mushroom gravy is another highlight, featuring full-fat butter and heavy cream to enrich the sauce, providing the fats needed for a ketogenic diet. Not to mention, mushrooms are low in carbs and offer a variety of nutrients, including vitamin D and selenium. The use of xanthan gum as a thickening agent is a smart keto-friendly choice, ensuring the gravy’s luscious consistency without the added carbs found in conventional thickeners.

Preparing Keto Salisbury Steak

Mastering the Method for Perfect Keto Salisbury Steak

Creating the perfect Salisbury steak requires a bit of finesse, but with these tips, you’ll be able to achieve a restaurant-quality meal in your own kitchen. The key to a flavorful steak is thorough mixing of the spices and binders with the ground beef. This ensures that every bite is packed with flavor and that the patties hold together during cooking.

When shaping your patties, aim for an even thickness to promote uniform cooking. A hot skillet is crucial for searing the steaks, as it creates that desirable crust which not only adds texture but also seals in the juices. Be gentle when flipping the steaks to maintain their shape and prevent breaking.

For the gravy, patience is your friend. Allow the mushrooms to brown properly, as this caramelization adds depth to the sauce. Sprinkling the xanthan gum directly onto the mushrooms before adding the liquids will help prevent clumping. Stirring continuously as you add the broth and cream will result in a smooth, velvety gravy that’s the perfect complement to your steak.

Keto Salisbury Steak with Creamy Mushroom Gravy

Variations to Keep Your Keto Meals Exciting

Herb-Infused Salisbury Steak

Enhance the flavor profile of your Salisbury steak by incorporating fresh herbs into the meat mixture. Try adding finely chopped rosemary, thyme, or oregano for an aromatic twist. The herbs will not only add complexity to the taste but also provide additional health benefits, as many herbs are rich in antioxidants.

Spicy Mushroom Gravy

If you’re a fan of heat, consider adding a pinch of red pepper flakes or a splash of hot sauce to the mushroom gravy. This will give the sauce a spicy kick that can elevate the dish to new heights. Be sure to choose a low-carb hot sauce to keep the recipe keto-friendly.

Creamy Dijon Gravy

For a tangy variation, mix in a tablespoon of Dijon mustard into the gravy. The mustard will emulsify into the sauce, adding a creamy texture and a sharp flavor that pairs wonderfully with the beef.

Substitutions for Dietary Needs and Preferences

While this recipe is designed to be keto-friendly, there may be times when you need to make substitutions to accommodate dietary restrictions or simply to use what you have on hand. Here are some options:

Dairy-Free: For those who avoid dairy, coconut cream can replace heavy cream in the gravy. It’s equally rich and adds a subtle coconut flavor that complements the mushrooms well.

Beef Alternatives: If you prefer not to use beef, ground turkey or chicken can be used for the patties. Keep in mind that poultry is leaner, so you may want to add an extra tablespoon of olive oil to the mixture to ensure the steaks remain moist.

Almond Flour Substitute: If you’re allergic to almonds, coconut flour can be used as a substitute. Use about one-third of the amount, as coconut flour is more absorbent than almond flour.

Frequently Asked Questions

Can I make this recipe ahead of time? Yes, you can prepare the patties in advance and store them in the refrigerator. When you’re ready to eat, simply cook the steaks and prepare the gravy.

Is this recipe freezer-friendly? The cooked Salisbury steaks can be frozen. Thaw in the refrigerator overnight and reheat gently to avoid drying out the meat.

How can I ensure my gravy is lump-free? Sprinkle the xanthan gum evenly over the mushrooms and stir well before adding the liquids. This helps distribute the thickener and prevents lumps.

What can I serve with Keto Salisbury Steak? This dish goes well with cauliflower mash or steamed green vegetables like broccoli or green beans to keep it keto.

Can I use a different thickener for the gravy? Yes, if you don’t have xanthan gum, you can use a small amount of coconut flour or arrowroot powder, but remember to account for the extra carbs.

Keto Salisbury Steak with Mushroom Gravy

Savor the rich, comforting flavors of this Keto Salisbury Steak, complete with a creamy mushroom gravy, without compromising your low-carb lifestyle.
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Prep Time 15 minutes
Cook Time 25 minutes
Total Time 40 minutes
Course Dinner
Cuisine American
Servings 4 servings
Calories 575 kcal


  • Large mixing bowl
  • Skillet
  • Measuring cups and spoons


For the Salisbury Steak:

  • 1 pound ground beef 453g
  • ½ cup almond flour 56g
  • ¼ cup grated Parmesan cheese 30g
  • 1 large egg
  • 2 tablespoons fresh parsley, chopped 7.6g
  • 1 teaspoon garlic powder 3.1g
  • 1 teaspoon onion powder 2.1g
  • ½ teaspoon sea salt 2.5g
  • ½ teaspoon black pepper 1.2g
  • 2 tablespoons olive oil 30ml

For the Mushroom Gravy:

  • 1 cup mushrooms, sliced 70g
  • 2 tablespoons butter 28.4g
  • 1 cup beef broth 240ml
  • ½ cup heavy cream 120ml
  • 1 teaspoon Worcestershire sauce 5ml – ensure it’s low carb
  • ½ teaspoon xanthan gum 1.4g – for thickening
  • Sea salt and black pepper, to taste


  • In a large bowl, combine ground beef, almond flour, grated Parmesan, egg, chopped parsley, garlic powder, onion powder, salt, and pepper. Mix well until ingredients are evenly distributed.
  • Shape the mixture into 4 oval patties, ensuring they are compact and hold together well.
  • Heat olive oil in a large skillet over medium heat. Once hot, add the patties and cook for about 5 minutes on each side or until a crust forms and they are browned. Remove the steaks and set aside.
  • In the same skillet, add the butter and mushrooms, sautéing until the mushrooms are golden brown.
  • Sprinkle xanthan gum over the mushrooms and stir to coat, cooking for another minute.
  • Gradually pour in beef broth while continuously stirring, followed by the heavy cream and Worcestershire sauce. Bring to a simmer and let the sauce thicken, stirring occasionally.
  • Return the Salisbury steaks to the skillet and spoon the gravy over the top. Cover and simmer for another 10 minutes, or until the steaks are cooked to your desired doneness.
  • Taste and adjust seasoning with additional salt and pepper if needed.


Ensure all dairy used is full-fat to keep it keto-friendly. The Worcestershire sauce can be omitted or substituted with a low-carb option to ensure the dish remains keto-compliant. The patties can be prepared in advance and stored in the refrigerator for a quick meal option during busy weekdays. If you do not have xanthan gum, you can also use a small amount of coconut flour or arrowroot powder to thicken the gravy, but be mindful of the additional carbs.


Calories: 575kcalCarbohydrates: 6gProtein: 32gFat: 48gFiber: 2gNet Carbs: 4g
Keyword Keto Dinner, Keto Salisbury Steak, Low Carb Salisbury Steak, Mushroom Gravy
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