Paleo Biscuits and Gravy

I remember the biscuits and gravy from my youth. What I used to call it was a “heart attack waiting to happen.” I loved it – rich gravy over a biscuit…then I would beach myself in a chair and nap for half a day.

I found the original recipe in the Paleo Comfort Foods cookbook. I changed it up and had two taste testers – both said it was fabulous.

You may want to have the ingredients on hand for New Year’s morning…just sayin’.

Sausage Gravy



  • 1 lb. ground pork sausage
  • 1 lb ground bison
  • 2 tbsp almond flour
  • 2 tbsp arrowroot powder or tapioca powder
  • 2+ cans coconut milk*
  • 2 cups sliced mushrooms
  • 2 tbsp poultry seasoning
  • 2 tbsp paprika
  • 1 tbsp pepper
  • Salt and pepper to taste

*I added the “+” because when I ate this for leftovers the next day, the gravy had been soaked up and I didn’t have a lot of liquid left! I was bummed. So, if you like yours with lots of liquid, I would up the coconut milk content to 3 cans and add more poultry spice and paprika. 

How To:

  1. Mix the almond flour and arrowroot/tapioca powder together, set aside.
  2. Sauté meat in a large skillet until completely cooked. Remove sausage form pan, saving the drippings in the pan.
 Note: you won’t have a lot with the bison/pork mix. You MAY need to add some bacon fat or avocado oil, whatever you use normally.
  3. Add the flour/powder mixture to the skillet and whisk the meat drippings over medium-low heat, until a paste is formed. Scrape the skillet as you go to work in browned meat bits.
  4. Pour in about a ½ can of coconut milk. Add spices. Turn up to medium heat and continue scraping the skillet as you stir the mixture.
  5. Add remaining coconut milk in batches until the two cans are added, mixing as you go and bring to a simmer.
  6. Add mushrooms, let cook for a few minutes.
  7. Add sausage back in and simmer until the gravy thickens to desired thickness. If mix is too thick for your liking, add some chicken broth/stock.
  8. Serve over Basic Paleo Biscuits.
  9. Salt and pepper to taste.


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