Keto Salisbury Steak

4.7 Stars (14 Reviews) 6 Comments

Keto Salisbury steak is an easy, hearty meal where hamburger patties marry in a thick sauce with caramelized onions and sautéed mushrooms.

Salisbury steak is an easy hamburger recipe where patties are cooked in a simple onion and mushroom gravy. These patties are flavorful when smothered in this rich mushroom gravy. This keto recipe is the perfect comfort meal when you need something filling.

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Keto Salisbury Steak Ingredients

  • 1 pound ground beef
  • ½ cup heavy cream
  • ½ cup shredded parmesan cheese
  • 4 tablespoons butter
  • ½ onion, sliced
  • 8 oz mushrooms, sliced
  • 1 tablespoon tomato paste
  • ½ teaspoon arrowroot powder
  • 1 cup chicken broth or beef broth
  • ¼ cup red wine

Keto Salisbury Steak Directions

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The thickener for the sauce

Traditionally, Salisbury steak sauce is thickened with either flour or cornstarch. Both are not keto approved thickeners as they are higher in carbohydrates.

Arrowroot powder

For my keto recipes, I like to use arrowroot powder as a thickener. It has 7x the thickening power as regular flour so you only have to use a little bit of it to achieve a similar thickening effect. When making a gravy or sauce, most recipes call for two tablespoons of flour. Two tablespoons of flour has 12 grams of carbs in it. Using ½ teaspoon of arrowroot powder, only 3 grams of carbohydrates are added to the entire dish.

If you don’t have arrowroot powder on hand, you can substitute with 1 tablespoon of coconut flour as a thickener.

keto Salisbury steak ingredients

Keto approved red wines

This recipe for keto Salisbury steak calls for red wine. You could omit the wine if you are trying to abstain and add extra broth.

Most red wines are keto approved. Try to use a red variety with the lowest carb count like a dry red wine. I prefer to use pinot noir (3.4 g carbs per 5 oz.) or cabernet sauvignon (3.8 g carbs per 5 oz.).

Perfect Pairings With Keto Salisbury Steak

The mushroom and onion gravy from keto Salisbury steak is delicious over mashed cauliflower, cauliflower rice, zucchini noodles, shirataki noodles, asparagus or broccoli.

Salisbury Steak Storage

Some suggestions

  • You can freeze the uncooked patties alone and thaw them when you want to continue with the rest of the recipe.
  • Or freeze the cooked patties in the mushroom & onion gravy. Then thaw the cooked patties, defrost them in the refrigerator and simmer the sauce and patties in a skillet until warmed through.

Nutritional information & Macros

Nutrition Information

Keto Salisbury Steak

Servings: 4

Amount Per Serving
Calories 500
Fat 37.9g
Protein 31.1g
Total Carbs 6.8g
Net Carbs 5.5g

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  1. Delicious Recipe. I even used my dehydrated mushrooms and just rehydrated them. Adding this to our family dinner rotation. (teen boy approved)

  2. We loved the flavors and the ease of preparing this. I was skeptical about adding cream to the meat, but it really worked to keep the burgers softer and moister. Used steak seasoning instead of salt and pepper in the burgers. Served it over mashed cauliflower which was great!

    1. I’m sorry you had difficulty. It sounds like the patties didn’t cook long enough on the first side before flipping.

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