These Keto Sausage Cream Cheese Pinwheels are the perfect low-carb, high-fat appetizer or breakfast option made with a fathead dough base. Filled with seasoned sausage and creamy cheese, each bite is rich, savory, and perfectly golden. They’re freezer-friendly, great for meal prepping, and satisfy that pastry craving without breaking your keto goals—just 2 net carbs per roll!

Full Recipe: 

Ingredients

For the Dough:

• 2 cups shredded mozzarella cheese

• 2 oz cream cheese

• ¾ cup almond flour

• 2 tbsp ground flax meal

For the Filling:

• ½ lb breakfast sausage (cooked and drained)

• 3 oz cream cheese

Directions

1. Preheat oven to 400°F (204°C).

2. In a microwave-safe bowl, combine shredded mozzarella and 2 oz cream cheese. Heat in 30-second intervals, stirring until fully melted.

3. Add almond flour and ground flax meal to the melted cheese mixture. Mix until a dough forms.

4. Place dough between two pieces of parchment or silicone mats and roll into a 12×9 inch rectangle.

5. In a bowl, mix the cooked sausage with 3 oz cream cheese. Spread evenly over the rolled-out dough.

6. Roll the dough tightly from one end to the other to form a log.

7. Slice the log into 10–12 pinwheels (thinner slices for crisper rolls).

8. Place on a greased baking sheet and bake for 12–15 minutes, or until golden brown.

Nutrients (Per 1 Roll)

• Calories: 203

• Protein: 12.4g

• Fat: 16.5g

• Carbohydrates: 2.7g

• Fiber: 0.6g

• Net Carbs: 2.1g

• Sodium: ~200mg

The Magic of Fathead Dough

At the heart of this recipe is fathead dough, a keto staple that replaces traditional flour with low-carb alternatives like almond flour and flax meal. Made primarily with melted mozzarella and cream cheese, this dough mimics the elasticity and chew of conventional pastry, yet contains a fraction of the carbs. It rolls easily, bakes to a golden brown, and provides the perfect base for savory fillings. In these pinwheels, fathead dough creates a crisp exterior and a soft interior, offering that satisfying bite you’d expect from puff pastry or crescent dough without the blood sugar spike.

Savory, Creamy Filling for Maximum Flavor

The filling for these pinwheels is a creamy blend of seasoned breakfast sausage and cream cheese. Once cooked and combined, the sausage melds with the cream cheese into a rich, almost spreadable consistency that coats the dough perfectly. This pairing delivers a bold, comforting flavor that’s deeply satisfying and hearty. The fat content from the sausage and cream cheese is ideal for keto eaters looking to meet their daily macros without relying on processed snacks or empty calories. The natural saltiness of the sausage also balances well with the mild richness of the dough.

Low-Carb Without Sacrificing Satisfaction

One of the biggest challenges for keto eaters is finding foods that feel indulgent and filling, especially when cravings hit. These sausage cream cheese pinwheels check all the boxes. They’re warm, flaky, and rich—everything you want in a baked treat—yet they come in at just 2 net carbs per roll. That means you can enjoy two or three without any guilt or dietary derailment. They’re also naturally gluten-free and grain-free, making them suitable for anyone with sensitivities or preferences that exclude wheat-based flour.

Meal Prep Friendly and Freezer Ready

Keto Sausage Cream Cheese Pinwheels are a favorite among meal preppers for good reason. They store exceptionally well in both the refrigerator and freezer. Simply reheat in an oven or air fryer for a few minutes and they’re just as delicious as when freshly baked. This makes them a convenient grab-and-go option for busy mornings, post-workout fuel, or a mid-afternoon snack. You can double or triple the batch with minimal extra effort, so it’s easy to keep a stash ready for whenever hunger strikes.

Perfect for Entertaining or On-the-Go Eating

These pinwheels aren’t just practical—they’re also party-ready. Their compact, bite-sized shape makes them ideal for serving at brunches, holiday gatherings, or game-day spreads. Guests won’t even realize they’re eating something keto-friendly, which makes them a fantastic option when you need a dish that everyone can enjoy regardless of dietary preference. They’re also a great choice for on-the-go lunches or portable snacks for work or school, thanks to their durable structure and satisfying taste.

Flexible Flavors and Custom Add-Ins

While the classic version features sausage and cream cheese, this recipe is a blank canvas for customization. Want to spice things up? Add jalapeños or hot sauce to the filling. Craving herbs? Mix in chives, thyme, or Italian seasoning for added dimension. Cheese lovers can sprinkle shredded cheddar or pepper jack into the mix. You can even substitute turkey sausage or plant-based alternatives for a leaner or vegetarian option. The fathead dough is sturdy enough to hold all sorts of ingredients, so don’t be afraid to experiment.

Kid-Approved and Family Friendly

Because of their soft texture, familiar flavors, and fun shape, Keto Sausage Cream Cheese Pinwheels are a hit with kids as well. If you’re trying to cut back on refined carbs in your household or sneak more healthy fats into your children’s diet, this recipe can help bridge the gap. Serve them warm with a side of low-carb marinara or ranch dressing, and you’ve got a protein-packed finger food that feels like a treat but fuels like a balanced meal.

Simple Ingredients, Big Results

Another reason this recipe stands out is its simplicity. With just a handful of ingredients that are staples in most keto kitchens—mozzarella, cream cheese, almond flour, and sausage—you can create something that looks and tastes far more complex than it really is. It’s the perfect recipe to whip up when you want something impressive but don’t have hours to spend in the kitchen. The process is straightforward, and the reward is deliciously golden, savory pinwheels that look as good as they taste.

Nutrition That Works for Your Lifestyle

Each pinwheel packs an impressive nutritional profile: high in protein and healthy fats, low in carbohydrates, and moderate in calories. This makes them ideal for those using keto for weight loss, blood sugar control, or simply maintaining energy levels throughout the day. Because they’re nutrient-dense and macro-friendly, you’ll feel full and satisfied without needing a huge portion. For anyone tracking macros or calories, they’re easy to log and portion out for consistent results.

Serving Ideas and Pairings

Keto Sausage Cream Cheese Pinwheels are delicious on their own, but they also pair beautifully with a variety of sides and sauces. Serve them with a crisp green salad for a complete meal, or with scrambled eggs and avocado for a hearty breakfast. They’re also fantastic dipped in sugar-free ketchup, spicy mustard, or homemade keto ranch. If you’re hosting brunch or feeding a group, pair them with fresh berries and coffee for a spread that’s indulgent yet balanced.

Conclusion

Keto Sausage Cream Cheese Pinwheels are everything you could want in a low-carb recipe—simple to make, rich in flavor, and versatile enough for breakfast, snacks, or entertaining. With their gooey cheese, seasoned sausage, and golden fathead dough, they offer all the comfort of a traditional pastry with none of the carb guilt. Whether you’re following a strict keto plan or simply looking to reduce carbs without sacrificing satisfaction, this recipe delivers. Easy to customize, quick to prepare, and freezer-friendly, these pinwheels deserve a permanent spot in your keto kitchen. Once you try them, they’ll likely become one of your go-to favorites for flavorful, nourishing bites that fit your goals and lifestyle.