Creamy Keto Shrimp and Sausage Skillet (One-Pan, 25 Minutes)

Creamy Spicy Keto Shrimp and Sausage Skillet
This creamy keto shrimp and sausage skillet is the ultimate low-carb one-pan dinner. Juicy shrimp and smoky sliced sausage are seared together, then simmered in a rich, spicy cream sauce seasoned with Cajun spices. With just 4 grams of net carbs per serving, this easy skillet meal delivers bold Southern-inspired flavor without the carbs. Ready in under 25 minutes, it is perfect for busy weeknight dinners.
Why This Keto Shrimp and Sausage Skillet Works
Unlike many keto dinners that sacrifice flavor for macros, this creamy cajun shrimp sausage skillet strikes the right balance. The heavy cream creates a luscious sauce that clings to every piece of shrimp and sausage, while cayenne pepper and paprika add a slow-building heat that keeps each bite interesting. It is a restaurant-quality dish you can make at home in one pan with minimal cleanup.
The protein content is impressive too. Between the shrimp and smoked sausage, each serving packs over 30 grams of protein, making this a satisfying meal that keeps you full for hours. Whether you are strictly keto, following a low-carb lifestyle, or simply looking for a quick and flavorful dinner, this recipe checks every box.
Ingredients You Need
Every ingredient in this low carb shrimp skillet earns its place:
– Large shrimp (1 pound, peeled and deveined) — the star protein that cooks in minutes
– Smoked sausage (12 oz, sliced into rounds) — andouille or kielbasa both work well
– Heavy cream (1 cup) — creates the rich, keto-friendly sauce base
– Chicken broth (1/2 cup) — thins the sauce slightly and adds savory depth
– Garlic (4 cloves, minced) — essential aromatic flavor
– Paprika (1 tsp) — smoky warmth
– Cayenne pepper (1/2 tsp) — adjust up or down for your heat preference
– Salt and black pepper — to taste
– Butter or olive oil (2 tbsp) — for searing
How to Make Creamy Keto Shrimp and Sausage Skillet
Step 1: Sear the sausage. Heat butter or olive oil in a large cast iron or heavy skillet over medium-high heat. Add sliced smoked sausage and cook for 3 to 4 minutes per side until golden brown and slightly crispy on the edges. Remove and set aside.
Step 2: Cook the shrimp. In the same skillet, add the shrimp in a single layer. Season with paprika, cayenne, salt, and pepper. Cook 2 minutes per side until pink and opaque. Remove and set aside with the sausage.
Step 3: Build the sauce. Lower heat to medium. Add minced garlic and cook 30 seconds until fragrant. Pour in the heavy cream and chicken broth. Stir and let the sauce simmer for 3 to 4 minutes until it starts to thicken.
Step 4: Combine everything. Return the sausage and shrimp to the skillet. Toss gently in the creamy sauce and simmer for 2 more minutes so the flavors meld together.
Step 5: Serve hot. Garnish with fresh parsley or chopped green onions. Serve immediately over cauliflower rice, zucchini noodles, or on its own.
Pro tip: Squeeze fresh lemon juice over the skillet just before serving for a bright contrast to the rich cream sauce.
Tips for the Best Results
– Do not overcrowd the skillet. Sear the shrimp in a single layer so they get a nice golden crust instead of steaming.
– Pat shrimp dry before cooking. Excess moisture prevents proper searing and can thin out your sauce.
– Use a cast iron skillet if you have one. The heat retention gives the sausage and shrimp a better sear.
– Adjust the heat level by increasing cayenne to 1 teaspoon for extra spice, or reducing it to 1/4 teaspoon for a milder version.
– Do not overcook the shrimp. They cook fast and become rubbery if left too long. Remove them as soon as they turn pink.
Substitutions and Variations
– Dairy-free version: Replace heavy cream with full-fat coconut cream for a dairy-free keto option that is equally rich.
– Different proteins: Swap shrimp for chunks of firm white fish like cod or halibut, or try crawfish tails for an authentic Cajun twist.
– Sausage options: Use spicy Italian sausage, chicken sausage, or chorizo instead of smoked sausage for a different flavor profile.
– Add vegetables: Toss in diced bell peppers, baby spinach, or sun-dried tomatoes during the sauce step for extra color and nutrients.
– Creole style: Add diced tomatoes and a bay leaf to the sauce for a Creole-inspired version.
What to Serve with This Keto Shrimp Skillet
This one-pan keto dinner is satisfying on its own, but pairs beautifully with these low-carb sides:
– Cauliflower rice — soaks up the creamy sauce perfectly
– Zucchini noodles — light and fresh, a great pasta substitute
– Steamed broccoli — adds fiber and crunch
– Mixed green salad with a light lemon vinaigrette
– Roasted asparagus with garlic butter
For non-keto guests, serve alongside crusty bread or buttered egg noodles to soak up the sauce. Pair the meal with a crisp glass of Sauvignon Blanc or a cold sparkling water with lemon.
How to Store and Reheat Leftovers
Store leftover keto shrimp and sausage skillet in an airtight container in the refrigerator for up to 3 days. To reheat, warm gently in a skillet over medium-low heat, adding a splash of cream or broth to loosen the sauce. Avoid microwaving if possible, as shrimp can become rubbery when reheated too quickly. This dish does not freeze well due to the cream-based sauce, which can separate when thawed.
Frequently Asked Questions
Can I use frozen shrimp for this keto shrimp skillet?
Yes, thaw frozen shrimp completely first by placing them in a colander under cold running water for 5 minutes. Pat them very dry with paper towels before cooking to ensure a good sear and prevent the sauce from becoming watery.
How many net carbs are in this creamy shrimp and sausage skillet?
This recipe has approximately 4 grams of net carbs per serving, making it an excellent choice for keto and low-carb diets. The carbs come primarily from the garlic and heavy cream.
Can I make this shrimp sausage skillet in an air fryer?
You can air fry the shrimp and sausage at 400 degrees Fahrenheit for 8 to 10 minutes for a crispier texture, but you will need to make the cream sauce separately on the stovetop and combine them after.
What is the best sausage to use for a keto shrimp skillet?
Smoked andouille sausage is the most traditional and flavorful choice. Check the label for added sugars, as some brands sneak in maple syrup or brown sugar. Kielbasa and sugar-free Italian sausage are also great keto-friendly options.
Can I make this creamy skillet without heavy cream?
Yes, substitute full-fat coconut cream for a dairy-free version. You can also use cream cheese thinned with broth for a thicker, tangier sauce. Avoid milk or half-and-half as they will not thicken properly and add more carbs.
Is this shrimp and sausage skillet good for meal prep?
It works for 2 to 3 days of meal prep stored in the fridge. Cook the shrimp slightly less than usual so they do not overcook when reheated. The sauce thickens as it cools, so add a splash of broth when reheating.
Can I double this keto shrimp skillet recipe?
Yes, use a larger skillet or cook in two batches. Sear the proteins in batches to avoid overcrowding, which causes steaming instead of searing. Make extra sauce to ensure everything is well coated.
What can I use instead of shrimp in this recipe?
Try scallops, crawfish tails, chunks of cod or halibut, or even diced chicken thighs. Adjust cooking times accordingly since different proteins cook at different rates.
Why is my cream sauce too thin?
The sauce may be thin if the shrimp released too much moisture. Let it simmer uncovered for an extra 2 to 3 minutes to reduce. You can also stir in a tablespoon of cream cheese to thicken it quickly without adding significant carbs.
Can I add vegetables to keep this keto-friendly?
Bell peppers, spinach, mushrooms, and zucchini are all low-carb vegetables that work well in this skillet. Add heartier vegetables like bell peppers with the sausage, and delicate greens like spinach at the very end.
More Recipes You Will Love
If you enjoyed this creamy keto shrimp and sausage skillet, try these other flavorful recipes from our kitchen. Our chorizo breakfast burritos bring bold, smoky flavors to your morning routine. For another satisfying pasta-style dinner, our creamy Italian sausage fettuccine is a crowd-pleasing comfort meal the whole family will love.

Dive into the Creamy Spicy Keto Shrimp and Sausage Skillet Today!
Succulent shrimp and savory sausage cooked in a creamy, spicy sauce, creating a rich and hearty keto dish with a delightful kick.
Ingredients
- 1 lb fresh shrimp, peeled and deveined
- 12 oz smoked sausage, sliced
- 1 cup heavy cream
- 1/2 cup chicken broth
- 3 cloves garlic, minced
- 1 tsp paprika
- 1/2 tsp cayenne pepper
- 1/2 tsp salt
- 1/4 tsp black pepper
Directions
- In a large skillet, sauté the sliced sausage until browned and slightly crispy.
- Add the minced garlic to the skillet and cook until fragrant.
- Toss in the shrimp and cook until they turn pink and opaque.
- Sprinkle the paprika, cayenne pepper, salt, and pepper over the shrimp and sausage.
- Pour in the heavy cream and chicken broth, stirring gently to combine all the ingredients.
- Let the mixture simmer and thicken slightly, allowing the flavors to meld together.
- Serve the Creamy Spicy Keto Shrimp and Sausage Skillet hot, garnished with fresh herbs if desired.
- For extra flavor, squeeze fresh lemon juice over the dish before serving.






