Easy Keto Salisbury Steak with Mushroom Gravy

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This extremely tasty Keto Salisbury Steak is smothered in a creamy mushroom sauce that’s ready in less than 30 minutes with only 4 net carbs per serving. Enjoy a delicious juicy beef patty covered in delicious low carb mushroom gravy.

keto salisbury steak recipe

Just imagine juicy and tender hamburger steaks covered with a creamy mushroom sauce that’s flavor-packed. Dinner can’t get much better than this, right?

Until now, I’ve never met someone who doesn’t enjoy this keto comfort meal, and I’m sure that once you see this recipe, you will want to cook it quickly. It’s a fantastic dinner option for anyone.

We’re ground beef lovers, and we really enjoy our favorite keto meatloaf or this quick keto chili. So if you’re looking for a new ground beef recipe, low carb keto Salisbury steak is a must-try.

What is Salisbury Steak?

Salisbury Steak is a popular meal that originates in the United States. It’s a cross between a meatloaf and a burger patty made with seasoned ground beef. The beef patties are seared in a skillet then simmered in a creamy mushroom gravy. There are so many delicious variations of this recipe named after a doctor who studied nutrition in the 19th century. He encouraged eating minced beef as a healthy food.

Watch our quick video to see exactly how to make the best Salisbury Steak.

Ingredients For Keto Low Carb Salisbury Steak

For this delicious Salisbury Steak, you need just a few simple ingredients that are very accessible and inexpensive: 

best low carb keto salisbury steak recipes
  • Ground Beef   we recommend using lean ground beef because it has great flavor and it’s not that greasy. 90% is the best choice because!
  • Onion – Use either white or yellow onions.
  • Almond Flour – I recommend using fine blanched almond flour for a great texture in your low carb Salisbury steak instead of breadcrumbs.
  • Garlic – We use fresh garlic in almost any savory dish that we’ve ever made. Even if fresh is always the best, you could use garlic powder if you don’t have any fresh in your kitchen.
  • Egg – This helps to bind the patties and adds moisture.
  • Ketchup – Use your favorite brand of gluten-free and sugar-free ketchup. 
  • Worcestershire sauce – This is a concentrated sauce, and it’s best to be used during cooking. It boosts the flavors.
  • Dijon Mustard – Look for one with no added sugar.
  • Olive oil – you can use any type of oil you have on hand.
  • Mushrooms – I used white button mushrooms, but any other variety is a fantastic choice.
  • Unsalted Butter – the butter will give the sauce a special creaminess.
  • Beef Broth – If you use a low-sodium beef broth, you may need to season with extra salt to taste.
salisbury steak recipe

How To Make This Salisbury Steak

It’s so easy to make this Keto Salisbury Steak by following just a few simple steps. 

  1. Start by making the Salisbury steaks – In a large bowl, add the ground beef, almond flour, chopped onion, egg, parmesan cheese, garlic powder, salt, and pepper. Basically, just combine all the ingredients until well incorporated. 
  2. Form into six-round “steaks” that look like burger patties.
  3. Heat the oil in a large skillet and cook the hamburger steaks for 2-3 minute on each side until golden brown. The patties don’t have to be completely done since they continue cooking in the sauce.
  4. Make the Keto Mushroom Gravy – Remove the steaks from the pan, and if the pan looks too dry, add more oil.
  5. Cook the onion and garlic for a couple of minutes, then add the mushrooms.
  6. Add the butter, and once the butter is melted, pour the beef broth and the rest of the gravy ingredients.
  7. Return the steaks into the gravy and cook for another 4-5 minutes until the sauce starts to thicken.
  8. Serve hot with a side of creamy cauliflower mash and garnish with plenty of fresh parsley. Enjoy!

Tips For Making The Best Salisbury Steak

  1. After adding the beef broth to your sauce, it may not be thick enough, so a great option is to add some Xanthan Gum. It will help the sauce to thicken. Start with about 1/4 teaspoon and increase to about 1/2 teaspoon until the sauce reaches desired thickness.
  2. You can use any kind of mushrooms you like – just be sure to slice them into similar size pieces so they cook evenly.
  3. Be sure that the meat is not over-mixed. You have to combine all the ingredients but not too much because the steaks may become tough.
texture of salisbury steak keto recipe

Recipe Variations

  • Use ground turkey or chicken instead of beef. Usually, this is a beef recipe, but use poultry if you prefer.
  • Make meatballs! – Use this recipe to make meatballs and then cook or freeze them.

How To Store This Salisbury Steak

  • If you end up with some uncooked patties, you can freeze them and store them for a busy day when you don’t have so much time for cooking.
  • The cooked patties can be stored in the fridge in an airtight container for up to four days. Or, if you want, you can freeze them and defrost them in the refrigerator overnight.
salisbury steak with mushroom gravy

Tools To Make This Salisbury Steak

  • Large Bowl
  • Large Skillet
  • Spatula

What To Serve With This Salisbury Steak?

My favorite way to serve this Salisbury Steak is mashed cauliflower. But there are so many options of side dishes that pair perfectly with this delicious Salisbury Steak: 

Not A Fan Of Mushrooms?

This is not a problem. You may leave out the mushrooms if you like. Just double the onions, or add your favorite kind of vegetable.

Is Keto Salisbury Steak Healthy?

Yes. This delicious Salisbury steak is healthy and comforting, but it’s also low carb-especially now that we’ve removed the breadcrumbs and flour. 

Looking for Other Easy Dinner Recipes? Try These:

keto salisbury steak recipe

Easy Keto Salisbury Steak with Mushroom Gravy

5 from 1 vote

Prep time 10 mins
Cook Time 20 mins
Yelds 7 servings
Author Ioana Borcea from LowCarbSpark.com


This extremely tasty Keto Salisbury Steak is smothered in a creamy mushroom sauce that's ready in less than 30 minutes with only 4 net carbs per serving. Enjoy a delicious juicy beef patty covered in delicious low carb mushroom gravy.
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For the Salisbury Steak

  • 1 lb ground beef 90% lean
  • 1/2 medium onion finely diced
  • 1/2 cup almond flour or 1/4 coconut flour
  • 2 garlic cloves minced
  • 1 large egg
  • 2 tbsp ketchup
  • 1 1/2 tsp Worcestershire sauce
  • 3 tsp Dijon mustard
  • 1 tsp sea salt
  • ½ tsp black pepper
  • 2 tbsp olive oil to fry

For the Mushroom Gravy

  • 2 garlic cloves minced
  • 1/2 onion finely chopped
  • 8 oz mushrooms sliced
  • 2 tbsp unsalted butter
  • 1 1/2 cup beef broth
  • 1/2 cup water
  • 1 tsp dijon mustard
  • 2 tsp Worcestershire sauce
  • ¼ tsp sea salt
  • tsp ground black pepper
  • 1/4 tsp Xanthan Gum


  • Make Salisbury Steaks: In a large bowl, add all the Salisbury Steak ingredients and mix using your hands until incorporated.
  • Shape the mixture into 7-8 round patties.
  • Place a large skillet over medium heat and add olive oil. Cook the patties for 2-3 minutes on each side. Remove the patties from the pan and keep warm.
  • Make the Mushroom Gravy: In the same skillet, saute the onion and garlic until softened.
  • Add the mushrooms into the skillet and cook until browned.
  • Reduce the heat and add butter. Add the gravy ingredients and whisk to combine, and no lumps are visible.
  • Add steaks back to the pan and cook for 5 more minutes until the gravy thickens and the beef patties are completely cooked through.
  • Taste the gravy and season to taste with salt and pepper.


This extremely tasty Keto Salisbury Steak is smothered in a creamy mushroom sauce that’s ready in less than 30 minutes with only 4 net carbs per serving. Enjoy a delicious juicy beef patty covered in delicious low carb mushroom gravy.
Nutrition Facts
Amount per serving.
Total Carbs
Net Carbs

How do we calculate the nutrition info?

These nutrition facts listed are determined using nutrition information from the USDA Food Database. Our nutrition facts are accurate, but if you are using different products, please make your calculations. Net carb count is calculated by subtracting both fiber and sugar alcohols because they don’t raise blood sugar.

Course Main Course
Cuisine American
Keyword salisbury steak
Tried this recipe?Mention @LowCarbSpark or tag #LowCarbSpark!
Easy Keto Salisbury Steak with Mushroom Gravy


The full recipe is in the recipe card below. Readers that love this aslo made these recipes:


Ioana is a food and travel lover. Her greatest passion is developing mouthwatering recipes that are comforting, easy to make, and budget friendly! She firmly believes that cooking should be fun! About me...

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Hello! My name is Ioana Borcea, and I'm here to provide you with mouthwatering recipes. This blog is all about sharing my favorite tested easy to make, delicious low-carb & keto, nutrient-dense recipes.

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