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Truth be told, my memories of salisbury steak revolve around those terrible TV dinners my dad used to get when I was growing up. But like anything else that they turn into one of those dinners, the homemade version is about eleventy billion times better. And this low carb keto salisbury steak recipe with mushroom and onion gravy is no exception. It may look impressive (and it tastes impressive, let me tell you!), but it takes only 30 minutes to prepare, making it totally weeknight friendly — without having to resort to that processed pre-made stuff.
Serve this healthy salisbury steak over keto mashed cauliflower for a delicious, nutritious meal everyone will love.
Salisbury steak traditionally uses breadcrumbs to hold the meat patties together, and some kind of flour to thicken the sauce, but we need neither in this low carb salisbury steak recipe. We use cream cheese to thicken the gravy, and almond flour makes the perfect keto-friendly breadcrumb swap! Wholesome Yum Almond Flour is blanched and super finely milled, so you won’t even notice the difference.

Keto Salisbury Steak Ingredients
This keto friendly salisbury steak is made with simple ingredients…
For the salisbury steak:
- Ground beef – I prefer this grass-fed beef delivered to my door, but any kind will do. I recommend 85/15 for good flavor.
- Wholesome Yum Blanched Almond Flour – It’s important to use super fine blanched almond flour like this one for the right texture in your low carb salisbury steak.
- Sugar-free ketchup – You can use my homemade keto ketchup recipe, or buy sugar-free ketchup here.
- Dijon mustard – Look for one like this with no added sugar.
- Sea salt & black pepper
- Olive oil – For frying the patties.
For the gravy:
- Butter – I like this grass-fed butter, but any kind will do as long as it’s unsalted.
- Onion – Use white or yellow onions. Sweet onion will also work, but carbs are a bit higher.
- Cremini mushrooms – You can buy the mushrooms sliced already, or slice them yourself.
- Beef broth – I use regular beef broth, but if you use a low-sodium version, you may need to season with more salt to taste.
- Sugar-free ketchup – Same as above.
- Sea salt & black pepper
- Cream cheese – Use full fat cream cheese for best flavor and keto benefits.
How To Make Keto Salisbury Steak
This keto salisbury steak recipe with mushroom gravy comes together in a few simple steps.
- Mix keto chopped steak. In a large bowl, mix ground beef, almond flour, sugar-free ketchup, dijon, sea salt, and black pepper. Mix until combined. Use your hands to shape the beef into 4 patties, about 1/2-inch thick.
TIP: Don’t over-mix. If you do, the patties can be tough when they are done.
- Cook steaks. Heat olive oil in a large cast iron skillet and cook patties on both sides, until cooked to your liking. Transfer to a plate and cover with foil to keep warm.
- Saute onions and mushrooms. Wipe down the skillet and reduce heat. Add butter and onions, cooking until soft. Add mushrooms and saute until mushrooms have softened and onions are browned.
TIP: You can cook them as shown below, or if you like, cook for longer for more caramelized onions.
- Make gravy. Add beef broth, sugar-free ketchup, sea salt, and pepper and bring to a boil. Reduce heat and simmer. At the end, stir in cream cheese and mix until gravy is smooth.
- Assemble. Return the patties to the pan and spoon gravy over thm. Cook until warm.
Low Carb Salisbury Steak FAQs
Is salisbury steak keto?
Most salisbury steak recipes will not be keto, because of the flour or breadcrumbs used to bind the patties and in the gravy. This low carb salisbury steak gravy recipe is keto friendly, as we’ve used almond flour to bind the steaks together and cream cheese to thicken the gravy.
How many carbs in salisbury steak?
Average salisbury steak recipes will have about 15+ grams carbohydrates per serving. This low carb salisbury steak recipe has 5.9g net carbs per serving.
Is salisbury steak healthy?
Many salisbury steak recipes are made with white flour and breadcrumbs. This version uses almond flour for a nutritious and tasty variation that adds nutrients and keeps the carbs down.
Can you make the gravy thicker?
Yes, you can. For an extra thick gravy, simmer the broth mixture for longer to reduce it more, before adding the cream cheese. You can also add more cream cheese at the end to make it thicker.
Storage Instructions
Salisbury steak is best made fresh, but you can do a few things to prep the recipe:
- Mix up and shape ground beef mixture
- Dice onions
- Slice mushrooms
When you’re ready to eat, start recipe at step #3 (cooking patties).
Store any leftovers in the refrigerator for 2-3 days.
Can you freeze keto hamburger steak with gravy?
You can freeze the hamburger steak for 2-3 months, but the gravy may change texture a bit due to the freezing and thawing process.
How to reheat low carb salisbury steak:
Reheat the chopped steaks in a hot skillet or microwave, until heated through.
What To Serve With Salisbury Steak
All this low carb salisbury steak and gravy needs is some simple sides:
- Vegetable Sides – Vegetable recipes like roasted broccoli, sauteed zucchini, or roasted asparagus all pair well with keto salisbury steak and gravy. I served it with roasted green beans and mashed cauliflower, shown in the photos.
- Salads – Salad recipes like kale crunch salad, Italian marinated artichoke salad, or spring mix salad work great on the side.
- Breads – Try keto dinner rolls or for something quick, 90-second bread.
Tools To Make Healthy Salisbury Steak
Tap the links below to see the items used to make this recipe.
- Cast Iron Skillet – All of the cooking for this healthy salisbury steak with mushrooms can happen in this one pan. The enameled interior reduces sticking and it’s beautiful enough to serve.
Keto Salisbury Steak Recipe
Keto Salisbury Steak Recipe
An easy low carb keto salisbury steak recipe, topped with a rich mushroom gravy! Ready in 30 minutes, this healthy salisbury steak makes a fast and delicious weeknight meal.
Recipe Video
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Ingredients
Tap underlined ingredients to see where to get them. Please turn Safari reader mode OFF to view ingredients.
Steaks:
Gravy:
Instructions
Tap on the times in the instructions below to start a kitchen timer while you cook.
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In a large bowl, mix ground beef, almond flour, sugar-free ketchup, Dijon mustard, sea salt, and black pepper until combined. Do not overmix.
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Using your hands, form four 1/2-inch-thick oval shaped patties.
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Heat the olive oil in a large cast iron skillet over medium-high heat. Add the patties, cover, and cook for 4-5 minutes. Flip and cook for 4-5 minutes more, until cooked to your liking. Remove patties to a plate and cover with foil to keep warm.
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Wipe down the skillet and reduce heat to medium. Add the butter and onions, and sauté for 3-4 minutes, until soft but not browned.
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Add sliced mushrooms and sauté for about 5 minutes, until mushrooms are soft and onions have browned.
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Add the beef broth, sugar-free ketchup, sea salt, and pepper. Bring to a boil, then reduce heat and simmer for 5-7 minutes.
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Reduce heat to low. Stir in the cream cheese, until the gravy is smooth and has thickened slightly.
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Return the patties to the pan and spoon gravy over them. Cook for 1-2 minutes, until the patties are warm.
Last Step: Leave A Rating!
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Recipe Notes
Serving size: 1 patty with gravy
Nutrition facts are provided as a courtesy. Have questions about calculations or why you got a different result? Please see our nutrition policy.
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48 Comments
Jackie
0Made this for 2 consecutive weeks now. Never tried it before. We absolutely love it. Thank you for the recipe.
Thamires
0Amazing! I made for dinner and it was amazing! So tasteful my husband loved as well!! Definitely I will make again. Thank you so much for sharing this recipe with us!!
Vicky
0Great recipe will make again.
Nadia
0This was fantastic! I substituted raw milk instead of cream cheese to avoid consuming gums (gut irritant). And then I added garlic, sage and bay leaf and YUM!!! 🤤👌🏼So good! Thank you!!!
Kelly
0The Steak is delicious! I have a question… my husband can’t eat mushrooms. We have a very restricted diet. Can I make the gravy without mushrooms?
Wholesome Yum D
0Hi Kelly, You can omit the mushrooms from this recipe.
Katie
0Listen.. let me save you the trouble. I made this recipe for my family and it was totally disgusting. We couldn’t even eat it and I had nothing else defrosted so we had to go get to-go food for dinner. So mad, highly disappointed. And now I messed up my diet. 0 stars
Maya | Wholesome Yum
0Hi Katie, Sorry to hear you didn’t like it. I’d love to help troubleshoot what went wrong. What didn’t you like about it?
Karen
1Katie, please explain how a keto recipe messed up your diet. I really would be interested.
Joe Smith
1Katie, how rude! If you didn’t like it there is no need to be insulting to someone who spends hours creating this page. No one can ruin your diet but YOU! If you went out to eat, you could have found something appropriate for your “diet”. I hope you apologize to her because you don’t have a lot of grace.
Denise
2You eating take-out and messing up your diet is not on the blogger who shared a recipe. That is on you. Take responsibility for your choices.
Cheryl Stephen
0Great meal for dinner.
Gail A Johnson
0I made this for dinner tonight and it was wonderful! Even my husband who is not on keto loved it! We will put this on our rotation.
Marlene VanderLaan
0I made this tonight and needed to cook up beef meatballs, so I substituted them for the Salisbury steak and used the gravy recipe, which was easy and tasty. I did find it more liquidy than I like so I added 1 tsp of Xanthan Gum, making a slurry in a cup with the gravy, then added it to the pan, it thickened up nicely, just the way I like it!
Judy
0This looks really good, Maya! It’s going to be hard to choose between this and your Korean or other bowls.
Thanks for all the great recipes. I making sure to support you by watching the ads on YouTube.
Wholesome Yum D
0Hi Judy, Thank you for supporting!
Brenda
0I struggled with this recipe, no fault of the recipe itself. Everything tasted great but the Salisbury steak fell apart and I couldn’t get the gravy to thicken up. I’ll be making it again.
Linda
0Made this today for lunch, it was absolutely fabulous! Hubby even loved it and didn’t know it was low carb.
Deb
0Simply delicious! Turned into a family favorite!
Dj
0Loved it. Made it as per recipe. Waiting for cream cheese to melt was the hardest step.
Pamela
0Delicious! Added the mushrooms and onion to the meat dripping to make the gravy. I used extra beef bouillon. Tasty
Jeff
0Could I use regular mushrooms?
Wholesome Yum M
0Hi Jeff, Sure. Enjoy!
Julia Herman
0Very Good!
ChapelHillBetsy
0I’m sure this will taste wonderful if I can ever get it to thicken. I finally had to add some xanthan gum and it is still not thickening!
Wholesome Yum M
0Hi ChapelHillBetsy, Make sure you are letting the gravy continue to cook after adding the xanthan gum. Xanthan gum needs heat to activate, so be sure to let it simmer and cook down for several minutes to let it thicken.
Tamara
0Is it possible to replace almond flour with ground pork rinds? Highly allergic. Thank you for sharing your recipe!
Wholesome Yum M
0Hi Tamara, Yes! Ground pork rinds will work great in this recipe. Enjoy!
Roberta
0Could the recipe be dairy-free using a pinch of xanthan gum to thicken the gravy omitting cream cheese, other than using another oil (such as ghee even if dairy, since it’s pure fat without lactose nor casein) instead of butter?
And also, for someone who cannot have onions, could thiny-sliced cabbage properly browned mimick the same consistence in the final dish, or how could onions be substituted? I’d like to experiment soething with this inspirational recipe, but I have to keep in consideration some problems in family woth the ingredients listed… thank you if you’ll help me 🙂
Wholesome Yum M
0Hi Roberta, Yes, you can make this gravy dairy-free by using avocado oil in place of the butter and omitting the cream cheese. A pinch of xanthan gum added during the simmering process will help to thicken your gravy without the dairy. Enjoy!
Annemarie Laco
0I do not have a cast iron pan. Can it be made in a regular pan? Thanks!
Wholesome Yum M
0Hi Annemarie, Yes you can use a skillet, but the cook times may vary.
Coleen
0I followed the recipe exactly, but the gravy was very thin, not sure where I went wrong??
Wholesome Yum M
0Hi Coleen, Let your gravy simmer a little longer next time, it will thicken with heat and time.
Kimberley Benoit
0so yummy!! Thank you so much!!
Lisalia
0You ALWAYS make the best Keto recipes. This was no exception. The only difference was that I chopped up some portobello mushrooms that I had on hand instead of using cremini. I’m not sure exactly the difference, but WOW it was so good. Love me a good steak. Can’t wait to have it again!
Kristyn
0This salisbury steak is so juicy!! Adding to next week’s menu! I forgot how much our family loves it!
Natalie
0Hearty & delicious! The sauce is so flavorful!!
Amy Huntley
0The creamy sauce is perfection. The flavors work so well together. It looks like you spent all day making this recipe too! This one is a going into my Favorite Recipe Book!
Swathi
0Looks delicious love this keto version of Sailsbury steak.
Paula
0This recipe is always a hit with my boys!
Christina
0Loved this diner staple growing up as a kid. Thank you for sharing.
Beth
0Oh wow! My son and hubby loved this recipe, so delicious and so flavorful! Such a great dinner idea. Definitely making this again!
Kate
0So many gorgeous flavour in that sauce, absolutely love it. Thanks!
Michelle
0This was a delicious steak! Thanks for sharing!
Katherine
0What a great keto version of the old classic favorite! Great flavours.
Natalie
0This sounds so delicious. I’m new to keto diet but this sounds fairly easy to make. I will definitely try this. Thanks for sharing the recipe.
Scarlet
0Yes! This was so good. I will be making this salisbury steak again and again.