Keto Spinach & Sausage Fettuccine

Keto Spinach & Sausage Fettuccine

This Keto Spinach & Sausage Fettuccine is a very creamy and savory pasta dish! Plus, vegetables are included, but basically hidden, so it should be kid friendly as well. I did add jalapeno, but you could include less, or none. Another good option to give this dish more depth would be 1/4 tsp of red pepper flakes, instead of any jalapeno.

Intermittent Fasting

With my meals normally being high in fat, this meal is unbelievably filling! 5.5 hours after eating, I couldn’t imagine eating a single thing! This is good, since we intermittent fast after lunch and don’t eat again until breakfast the next day. Lately, my husband has been eating dinner because he’s having a hard time maintaining his weight – as in, he continues to lose weight. I’m happy for him, but I mostly want to roll my eyes, considering I am the slowest weight loser in the world. Keto is obviously effective, but what a problem to have, right?

Food Sensitivities

I included parmesan with this recipe, something I don’t cook with a lot. I am so glad I did! It fit in really well. The reason I included it is because I have a food sensitivity test arriving Saturday, so I wanted to be sure that I’ve eaten several different foods recently! Have any of you had food sensitivity testing done? If interested, this is what I purchased –

Miracle Noodles

As typical, I also used miracle noodles. These low carb noodles are my go-to. I have tried many of the others, but these are my preferred noodles. I hope they begin to arrive to grocery stores soon! For now, I get them on Amazon:

If you love this dish, be sure to check out some of my other recipes that contain miracle noodles –

Keto Spinach & Sausage Fettuccine

Keto Spinach & Sausage Fettuccine

5 from 3 votes
Prep Time: 15 minutes
Cook Time: 23 minutes
Total Time: 38 minutes
Servings: 4 people
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  • 2 packs Miracle Noodles (Fettuccine)
  • 1 bag Frozen Spinach
  • 1 medium Shallot, Chopped
  • 1/2 - 1 medium Chopped Jalapeno Optional
  • 16 oz Sausage
  • 4 oz Original Cream Cheese
  • 1/2 cup Sour Cream
  • 1 cup Shredded Parmesan

Spices & Seasonings:

  • 1.5 tsp Pink Salt
  • 1 tsp Black Pepper
  • 1 tsp Dried Oregano
  • 1 tbsp Parsley Flakes
  • 1 tsp Minced Garlic
  • 1 tsp Garlic Powder


  • Preheat your oven to 350 degrees F, 177 degrees C.
  • Begin to boil your water for your noodles in a nonstick skillet or pot.
  • Rinse your fettuccine miracle noodles in water. *I use shears to cut mine so they're smaller and easier to work with. Once rinsed for a few minutes, or according to the package's instruction, boil the noodles for 5-10 minutes, stirring occasionally.
  • Microwave your frozen bag of spinach, according to the package's instructions. Chop your shallot and jalapeno and set aside.
  • After you've boiled the noodles for several minutes, drain them, and then add them back to your skillet or pot. Reduce your heat to medium-high. Cook for 2 minutes, to remove moisture from the noodles. Set them aside.
  • Add your sausage, jalapeno, and shallot to your existing skillet, or to a new pan. Break the sausage into smaller pieces and continue to stir.
    Keto Spinach & Sausage Fettuccine
  • Cook the sausage completely, until all pink is gone. Then, add the spinach to your skillet.
  • Next, add your cream cheese and sour cream.
  • Add all spices/seasonings: salt, pepper, oregano, parsley, and garlic.
  • Stir, until all ingredients are completely incorporated.
    Keto Spinach & Sausage Fettuccine
  • Once cream cheese has melted and everything is mixed, add your fettuccine noodles. Stir noodles in the creamy sauce with sausage.
    Keto Spinach & Sausage Fettuccine
  • Bake combination for 10 minutes. Remove from oven and stir. Add all parmesan on top.
    Keto Spinach & Sausage Fettuccine
  • Bake for another 10 minutes. Depending on preference of cheese, feel free to broil for 2-3 minutes.
    Keto Spinach & Sausage Fettuccine
  • Serve and enjoy!
    Keto Spinach & Sausage Fettuccine

Nutrition Per Serving

Nutrition Facts
Keto Spinach & Sausage Fettuccine
Amount Per Serving
Calories 669 Calories from Fat 504
% Daily Value*
Fat 56g86%
Carbohydrates 9g3%
Fiber 4g17%
Protein 31g62%
* Be sure to calculate your Keto Macros!
Did you make this recipe?Mention @ambersketokitchen or tag #ambersketokitchen!
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