Keto Italian Sausage Cream Soup

I’m not going to make you read through a bunch thoughts and wade through pictures. Let’s just get to the recipe.

Keto Italian Sausage Cream Soup

This is a take on the Zuppa Toscana Soup at Olive Garden.
Prep Time20 mins
Total Time45 mins
Course: Main Dish
Cuisine: Italian
Keyword: sausage, soup, toscana
Servings: 4 people


  • 1 pkg Hot Italian Sausage
  • 1 med Onion Optional & Chopped
  • 1/2 tsp Minced Garlic Add more or less to your liking.
  • 6 cups Chicken Broth You can use the equivalent of chicken bouillon.
  • 1 bag Radishes Yes, radishes!
  • 1 bunch Kale Stripped & Chopped
  • 3/4 cup Heavy Cream Or To Your Liking
  • Salt & Pepper To Taste


  • Chop radishes into small bite sized pieces or to your liking.
  • Bring radishes to a boil in a pot and let them boil until they start looking a little translucent, around 10 minutes. You might have to play with this to fit your liking. Remove from heat.
  • While radishes are boiling cook over medium heat the sausages, I like to use a cast iron skillet, until brown on all sides. You don't want to cook it all the way through. Around 10 mins.
  • Take sausage and put them aside and let them rest for about 5 mins. Save any drippings.
  • Slice up the sausages after 5 minutes.
  • Heat up a large pot on medium heat and throw in the sausage drippings, onions and cook until translucent and then add the garlic and cook for about a minute more. Add the chicken broth, sausage, salt and pepper, and radishes and cook for 15 – 20 mins. Note: If you don't have enough drippings then add a little butter to cook your onions.


This recipe is a combination of several recipes.  I have a friend who shared her version with me and then I started looking up recipes and came up with this one which I am hoping you will tweak to your own liking.
The radishes, well, for those of us that really like potatoes this is the nearest thing that I can find that works for a Keto lifestyle.  I never thought that I would ever eat a radish because they are disgusting but low and behold, I actually didn’t mind them!  The radish idea came from Trim Healthy Mama.