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Fall Time Sausage Scramble (Paleo/Keto)

I know it says “fall time” in the title, but really, you’ll want to make this scramble ALL of the time. With how easy it is and how amazing it tastes; it doesn’t matter the season. It’s just SO GOOD.

We have followed a macronutrient-based diet for quite some time now in our home. However, when I decided to make this dish recently, it took me back to our “keto” or “paleo” days. The days when we thought carbohydrates were bad and our fat was probably out the wazoo. The balanced way of eating just works best for us now, but after tasting this again…. OH MY! It was well worth saving up my fat for the entire day to eat it! If you prefer the “keto” or “paleo” way… put this dish in your weekly rotation!

I love using fresh cranberries in my fall dishes. When they are in season around this time of year, I always buy extra and put them in the freezer. That way I can use them all year round! They go well in sausage or pulled pork dishes, and apple dishes too!

If you plan on going to any pitch-ins over the holidays- this is for sure to be a hit, and can even be a sub for “traditional” stuffing. You can put in a casserole style dish, or transport in a crockpot to keep it warm. Let’s start cookin’!


1 ½ lbs ground pork sausage (can sub turkey sausage)

1 bag steamable butternut squash

½ cup fresh cranberries (not craisins!)

½ onion- diced

½ cup mushroom- diced (optional- but recommended)

¼ cup chopped pecans

1 tsp. dried sage

1 tsp. dried thyme

1 tsp. dried rosemary

  1. First, you’ll need to start browning your sausage. Go ahead and throw your diced onion in so it can caramelize while the sausage cooks. After a few minutes go ahead and add your mushrooms, so they can begin to soften as well.

  2. Steam your butternut squash in the microwave. (You can sub sweet potatoes too)

  3. When the sausage is almost cooked through, add your squash and cranberries and gently toss with the sausage. (Do this before you drain the sausage so the cranberries and squash and be coated with good flavor)

  4. Drain your sausage mixture.

  5. Add your seasoning, mix well, and continue to simmer for 5 minutes or so. NOTE- You can adjust your seasoning amount, depending on if you sausage is already flavored or not. For this recipe, I used a pound of seasoned breakfast sausage, plus a half pound of unseasoned turkey sausage. If your sausage is not pre-seasoned in any way- you could add to your sage and thyme amounts.

  6. Add a fried egg to the top (optional- but highly recommended) and enjoy!


Does anyone else get so excited about having leftovers? I LOVE IT! That just means less cooking I have to do for the next day. Good thing is, you can eat this for any meal!

Makes great breakfast burritos the next day:


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