Southern Sausage Cream Gravy (Easy Biscuit Topping)

Southern Sausage Cream Gravy

This rich and creamy sausage gravy is made from spicy ground sausage, a simple roux, and whole milk — the perfect comfort food to ladle over fluffy biscuits for breakfast or brunch.
Prep Time 5 minutes
Cook Time 10 minutes
Total Time 15 minutes
Course Breakfast, Brunch
Cuisine American, Southern
Servings 4

Equipment

  • Skillet
  • Whisk
  • Slotted spoon
  • Measuring cups/spoons

Ingredients
  

  • ½ lb spicy ground sausage
  • 2 tbsp sausage grease reserved from cooking
  • 2 tbsp all-purpose flour
  • 2 cups whole milk
  • Salt and pepper to taste
  • Optional: pinch of crushed red pepper or garlic powder

Instructions
 

  • Cook sausage in a skillet over medium heat until browned and crumbled. Remove sausage with a slotted spoon and set aside.
  • Reserve 2 tablespoons of sausage grease in the pan.
  • Whisk in flour to form a roux. Cook for 1–2 minutes, stirring constantly.
  • Slowly pour in milk, whisking continuously to avoid lumps.
  • Let gravy simmer and thicken, about 3–5 minutes.
  • Return cooked sausage to the pan. Stir to combine.
  • Season with salt and pepper to taste.
  • Serve hot over warm biscuits.

Notes

  • For a milder version, use regular breakfast sausage.
  • For extra richness, use 1 cup milk + 1 cup heavy cream.
  • Add cayenne or hot sauce for a spicier kick.

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