This one-pan dinner features sliced smoked sausage and shredded green cabbage tossed in a seasoned cream sauce. The dish incorporates butter, garlic, and onions, along with a blend of paprika and Cajun spices to establish a smoky flavor profile. It is prepared by sautéing the ingredients in a single skillet and is served as a warm, savory meal.
About This Recipe
The preparation begins by browning sliced andouille or kielbasa sausage in a large skillet with melted butter. After the sausage is removed, sliced onions and minced garlic are sautéed in the same pan until they become soft and fragrant. Shredded green cabbage is then added along with paprika, Cajun seasoning, and optional chili flakes, and the mixture is cooked until the cabbage reached a tender consistency. Heavy cream is poured into the skillet and simmered until the liquid reduces and thickens into a glossy sauce.
The ingredients include smoked sausage, which provides the primary texture and smoky notes, and green cabbage, which serves as the vegetable base. Heavy cream and butter are used to create the rich consistency of the sauce, while garlic and onions provide the aromatic foundation. The seasoning relies on Cajun spices and paprika to coordinate the heat and depth of the dish. The browned sausage is returned to the pan during the final stage of cooking to ensure all components are evenly coated in the cream mixture.
The recipe is modified by using chicken sausage for a different flavor profile or by substituting coconut cream for the heavy cream. For a milder version, the chili flakes are omitted and the amount of Cajun seasoning is reduced. Additional greens, such as spinach, are sometimes stirred into the skillet just before serving. The finished meal is portioned directly from the pan and garnished with fresh parsley. Leftovers are stored in the refrigerator and are reheated for subsequent servings.
Why You’ll Love This Recipe
- Spicy and creamy in perfect balance
- Ready in under 25 minutes
- One-pan keto comfort food with easy cleanup
- Rich cream sauce coating smoky sausage and cabbage
- High protein and fat for steady energy
What You’ll Need for This Keto Creamy Cajun Sausage & Cabbage Skillet
- 12 oz smoked andouille or kielbasa sausage, sliced
- 2 tbsp butter
- 2 cups green cabbage, shredded
- 1 small onion, sliced
- 1 clove garlic, minced
- 1 cup heavy cream
- 1 tsp paprika
- ½ tsp Cajun seasoning (or to taste)
- ¼ tsp chili flakes (optional)
- Salt and pepper to taste
- Fresh parsley for garnish
Step-by-Step Preparation
- Heat a large skillet over medium heat and add butter. Sauté sliced sausage until browned. Remove and set aside.
- In the same skillet, add onion and garlic; cook until soft and fragrant.
- Add cabbage and spices, stir to coat, and cook 5–7 minutes until tender.
- Pour in cream and simmer until slightly thickened (about 3–4 minutes).
- Return sausage to the pan and stir to combine.
- Taste, adjust seasoning, and serve garnished with fresh parsley.
FAQ
- Can I use chicken sausage instead of andouille?
Yes — it works great if you prefer a lighter flavor. Just make sure it’s fully cooked and sugar-free. - Can I make it dairy-free?
Absolutely. Swap the heavy cream for coconut cream for a richer but lactose-free version. - Is this recipe spicy?
It has a mild Cajun heat, but you can easily tone it down by skipping the chili flakes or using half the Cajun seasoning. - Can I meal prep it for the week?
Yes — it keeps perfectly for 3–4 days in the fridge, and the flavors get even better the next day.
Variations & Substitutions
- Add spinach for extra greens.
- Use Italian sausage for a milder flavor.
- Add shredded cheddar on top for extra creaminess.
Serving Suggestions
- Serve as a standalone meal or with cauliflower rice to soak up that sauce. Perfect for quick lunch boxes or family dinners.

Keto Creamy Cajun Sausage & Cabbage Skillet
Ingredients
- 12 oz smoked andouille or kielbasa sausage (sliced)
- 2 tbsp butter
- 2 cups green cabbage (shredded)
- 1 small onion (sliced)
- 1 clove garlic (minced)
- 1 cup heavy cream
- 1 tsp paprika
- ½ tsp Cajun seasoning (or to taste)
- ¼ tsp chili flakes (optional)
- Salt and pepper to taste
- Fresh parsley for garnish
Instructions
- Heat a large skillet over medium heat and add butter. Sauté sliced sausage until browned. Remove and set aside.
- In the same skillet, add onion and garlic; cook until soft and fragrant.
- Add cabbage and spices, stir to coat, and cook 5–7 minutes until tender.
- Pour in cream and simmer until slightly thickened (about 3–4 minutes).
- Return sausage to the pan and stir to combine.
- Taste, adjust seasoning, and serve garnished with fresh parsley.
Did you make this recipe?
I’d love to hear from you — leave a comment below and tell me how it turned out, what you liked, or if you made any tweaks!
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