Keto Salisbury Steak and Keto Gravy
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Keto Salisbury Steak with Keto Gravy

This week we bring you a delicious Keto Homestyle Comfort food classic dish.  We present a Keto Salisbury Steak with Keto Mushroom Gravy, this is absolutely delicious – who say’s that eating Keto or Low Carb has to be boring.

The History of Salisbury Steak

The term “Salisbury Steak” has been in use in the United States since 1897. The dish was named after American physician James Salisbury who practiced medicine during the Civil War.  He was one of the first physicians that taught that diet was the main determinant to health.  He was one of the first to promote a low carb diet for weight loss.


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2 lbs. ground chuck(ground beef)
1/4 cup Parmesan cheese
1/4 cup pork rinds (ground)
1 egg
2 TB heavy cream
1/4 cup chopped onion
1 TB Worcestershire sauce
Seasoning to taste (garlic salt and pepper)


1/2 lb. fresh mushrooms
1/4 chopped onion


2 cups beef broth
3 TB Worcestershire sauce
Garlic powder
2 tsp. Tomato paste
1 cup water


4 TB heavy cream
1 tsp. Xanthum gum


  • Add the patties ingredients together to form 6 large patties. Brown in a large skillet….transfer to a 9×13 baking dish.
  • In the same skillet, using drippings, sauté the mushrooms and onions until browned. Sprinkle mushrooms and onion over patties.
  • In a saucepan combine gravy ingredients and bring to a simmer until bubbling and well combined. Pour over meat. Bake at 300° for 1 hour.
  • Remove from oven, take out patties and strain gravy to a separate saucepan.
  • Bring to a simmer….add in heavy cream.
  • Sprinkle in xanthum gum evenly over gravy whisking constantly until gravy thickens.
  • Pour over Salisbury steak.
  • Serve over faux mashed potatoes.
Keto Salisbury steak
Delicious Keto Salisbury Steak with Keto Gravy


  • Servings: 6
  • Calories: 358
  • Fat: 24g
  • Carbs: 4g
  • Protein: 32g


Some of the best information on starting the Keto Diet can be found at a site called This site has lots of free information, but if you want a step by step plan I would suggest the Keto Academy Package. Here is some information on what you’ll receive.  Consider using our affiliate link (just above) if interested in purchasing — thank you.

Interactive keto plans optimized for quicker and better weight loss results. Designed and tested to give results in just 28 days.

  • 200+ delicious low-carb recipes for every taste
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Serves 6 to 8




2 thoughts on “Keto Salisbury Steak with Keto Gravy

  1. Sarah and CJ,
    Thanks for the info you two share. I need help knowing how to print your recipes. For example this Salisbury steak recipe. Is there a way to print it without printing five pages, etc.? I often see and easy print button on recipes elsewhere and am hoping I am just missing it here. You have such great ideas!


    1. Hi Connie, we are working on converting all of our recipes into a newer format it just takes time. Sorry for the hassle.

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