Sausage Stuffed Mushrooms {Paleo, Whole30, Keto}

These healthier sausage stuffed mushrooms are huge on flavor but contain no dairy, gluten or grains.  They’re easy to put together and make the perfect holiday appetizer or side dish!  Paleo, Whole30, keto.

I’ve been wanting to make stuffed mushrooms for awhile and figured that Thanksgiving was the perfect time!

Years ago used to make sausage stuffed mushrooms with real cream cheese, bread crumbs and parmesan cheese.

All things I don’t eat now!  I honestly wasn’t sure if I was going to love the finished product here.

With no parmesan and no seasoned breadcrumbs, I wanted to make sure the stuffing had plenty of flavor.

Luckily, the recipe came ut ridiculously tasty – I was thrilled and surprised how good they were!

Let’s get into all the delicious details.

What You Need to Make These Sausage Stuffed Mushrooms

Heres’s everything you’ll need to make these mushrooms

• Large white mushrooms
• olive oil
• onion
• garlic
• Italian sausage
• fresh parsley
• almond flour
• Italian seasoning 
• almond milk cream cheese (Kite Hill)
• plain unsweetened almond milk
• Sea salt and freshly ground black pepper
• cooking spray

How to Make Sausage Stuffed Mushrooms

Preheat your oven to 350° F and spray a 9×13” baking dish with cooking spray.  

Remove the stems from the mushrooms and chop them finely. Place the mushroom caps in a shallow bowl and toss with 2 tablespoons of the olive oil and sprinkle with sea salt, then set aside.

Heat the remaining 2 tablespoons of olive oil in a medium skillet over medium heat. Add the sausage, crumbling it with a wooden spoon. Cook the sausage, stirring frequently, until it’s completely browned.

Add the chopped mushroom stems and cook until soft. Stir in the onions and garlic and cook for another 2 to 3 minutes, then add the almond flour, Italian seasoning, stirring to combine. Finally, stir in the cream cheese and almond milk continue cooking until well combined. Remove from heat and stir in the parsley, then season with salt and pepper, to taste.

Arrange the mushrooms in  in a single layer and fill each mushroom generously with the sausage mixture. Bake until the stuffing is browned- about 30-35 minutes.  Allow to cool slightly, then serve right away.

Can I use Real Cream Cheese if I’m Not Dairy Free?

Sure!  Any cream cheese will work well in this recipe.  You can also add about 1/4 cup of parmesan cheese after the cream cheese and milk if you like.

Can I Replace the Almond Flour if I’m Not Grain Free?

You can replace the almond flour with plain bread crumbs if you don’t need the recipe to be grain free.

I hope you’re ready for a seriously tasty, savory treat that’s the perfect addition to your holiday table!

They’re so good though you might just want to make them on a random Sunday too 🙂 I hope you enjoy!

Sausage Stuffed Mushrooms {Paleo, Whole30, Keto} 

Sausage Stuffed Mushrooms {Paleo, Whole30, Keto}

These healthier sausage stuffed mushrooms are huge on flavor but contain no dairy, gluten or grains.  They're easy to put together and make the perfect holiday appetizer or side dish!  Paleo, Whole30, keto.

Author: Michele

Prep Time: 15 minutes

Cook Time: 45 minutes

Course: Appetizer, Holiday Side Dish, Side Dish

Cuisine: American, Italian, keto, Paleo, Whole30

Keyword: appetizer, keto, mushrooms, paleo, side dish, thanksgiving, whole30

Servings: 9 servings

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4.74 from 52 votes

Ingredients

• 18 large white mushrooms
• 4 tablespoons olive oil divided
• sea salt
• cooking spray
• 1 small onion diced
• 2 cloves garlic minced
• 1/2 lb Italian sausage bulk, or casings removed
• 1/4 cup almond flour
• 1 teaspoon Italian seasoning
• 1/3 cup almond milk cream cheese I use Kite Hill
• 1 tablespoon plain unsweetened almond milk
• 3 tablespoons fresh parsley minced, plus more for garnish
• Sea salt and freshly ground black pepper to taste

Instructions

1. Preheat your oven to 350° F and spray a 9x13” baking dish with cooking spray.
2. Remove the stems from the mushrooms and chop them finely. Set aside. Place the mushroom caps in a shallow bowl and toss with 2 tablespoons of the olive oil and sprinkle with a bit of sea salt. Set aside
3. Heat the remaining 2 tablespoons of olive oil in a medium skillet over medium heat. Add the sausage, crumbling it with a wooden spoon. Cook until it's completely browned - about 5-8 minutes. Add the chopped mushroom stems and cook until soft.
4. Stir in the onions and garlic and cook for another 2 to 3 minutes, stirring occasionally. Add the almond flour, Italian seasoning, stirring to combine. Finally, stir in the cream cheese and almond milk and continue cooking until well combined. Remove from heat and stir in the parsley, then season with salt and pepper, to taste.
5. Arrange the mushrooms in in a single layer and fill each mushroom generously with the sausage mixture. Bake until the stuffing is browned- about 30-35 minutes. Allow to cool slightly, then serve right away.

Nutrition

Calories: 201kcal

Carbohydrates: 5g

Protein: 6g

Fat: 18g

Saturated Fat: 5g

Polyunsaturated Fat: 2g

Monounsaturated Fat: 8g

Cholesterol: 19mg

Sodium: 223mg

Potassium: 241mg

Fiber: 2g

Sugar: 2g

Vitamin A: 116IU

Vitamin C: 4mg

Calcium: 29mg

Iron: 1mg

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Want More Holiday Appetizers and Side Dishes?  Try One of These!

Sausage and Cauliflower Rice Stuffed Acorn Squash

Paleo Cornbread

Paleo Green Bean Casserole

Crispy Smashed Potatoes with Garlic Aioli

Butternut Squash Sausage Stuffing

Ultimate Stuffed Acorn Squash

Candied Sweet Potatoes 

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