Keto Shrimp in Tomato Basil Cream Sauce

Keto Shrimp in Tomato Basil Cream Sauce is a restaurant-style Italian recipe that will present like an expensive dinner and taste like it cost a million! It will be ready to enjoy in 15 minutes and is so easy to make. It is a single-skillet meal that is guaranteed to delight your guests. Or, make this one for your special someone – it is a perfect dish for a candle-light soft-music dinner!

Joanie decided this would be the perfect recipe to kick-start our New Year, and she was right. We love shrimp, and this recipe has only 6g of carbs! Shrimp is not only versatile, with so many ways to serve and enjoy, but it is also consistent and easy to prepare. If you are looking for staple low-carb dishes, shrimp must be high on your list. It is definitely Tasty Low Carb. You might also enjoy the following shrimp recipes on our site:

  • Low Carb Tempura Shrimp with Dipping Sauce

    Cooks in 20 minutesDifficulty: Medium

    A light crispy batter – perfect for shrimp, vegetables, and fish! Whether our Tempura Shrimp is your appetizer choice or your main dish, you will be amazed.

  • Grilled Shrimp With Smoked Paprika Aioli

    Cooks in 20 minutesDifficulty: Easy

    Our delicious Low-carb Grilled Shrimp with Smoked Paprika Aioli can be served as an appetizer or main course – plus it tells you when it is done! A Southwestern treat – shrimp are marinated in butter and seasonings before grilling!

  • Shrimp Egg Foo Young

    Cooks in 25 minutesDifficulty: easy

    The gravy makes the difference in our Keto Egg Foo Young! A tasty omelette with delicious Asian- style vegetables. Low Carb and Keto friendly! Works well with pork or chicken in addition to the shrimp!


Whenever we use shrimp in a recipe that calls for a sauce or a number of other ingredients we like to use shrimp graded 16-20 per pound. Jumbo shrimp (U15 per pound) are fine for grilling, shrimp cocktails, and even for “Gambas al Ajillo.” However, a bit smaller works better for cream sauce dishes and bisque, and ones that have a lot going on – this recipe is perfect with 16-20 per pound.

Since this is an Italian recipe, three traditional Italian ingredients provide the blast of flavor – basil, garlic, and parmesan cheese. You will need lots of garlic and basil for the dish to work. Joanie buys fresh basil plants. As a result, we always have fresh basil available. She has a green thumb with basil and keeps a plant growing on the kitchen window sill for months. There is nothing better than the smell and taste of fresh basil.

We always chop our garlic fresh and grate our parmesan, as needed. You know that the taste explosion with fresh is so important. However, for this dish we deviated from fresh for one ingredient. Joanie used Original Rotel Tomatoes instead of fresh. She wanted the flavor of the juices and the slight heat Rotel provides. The recipe calls for original, but there are milder and hotter for sale. You be the judge for the level of heat you prefer.

Click any “Pin Recipe” Button to Save to Pinterest!

Preparation Tips

Make sure your shrimp is at room temperature before hitting that hot skillet. Only salt and pepper the shrimp right before you prepare. They will then cook evenly and most importantly – not overcook. Since your skillet will be on a higher heat, the shrimp will cook quickly. Add them immediately after the butter melts. You do not want the butter to burn. After the second pat of butter the garlic will cook in one minute – as I mentioned, this recipe comes together fast.

Follow us on Social Media – See the Latest Low Carb Products

Our final tip would be to stir frequently after you have reduced the heat to medium low. You want the cream sauce to thicken and this will happen as the temperature drops. You can also double the sauce and use the recipe over zucchini noodles or cauliflower rice. We like it plain, as it is rich and filling!

Low Carb Shrimp in Tomato Basil Cream Sauce – A Touch of Italy in a Tasty Low Carb Recipe

Keto Shrimp in Tomato Basil Cream Sauce is a touch of Italy in a Tasty Low Carb recipe. It is loaded with garlic and basil. What could be more delicious? Try it with perfectly cooked shrimp, scallops, or even lobster meat. And, make sure to enjoy just a bit of white wine – a perfect pairing!

Keto Shrimp in Tomato Basil Cream Sauce

Recipe by Joanie and Chris
5.0 from 14 votes
Course: Fish and SeafoodCuisine: ItalianDifficulty: Easy


Prep time


Cooking time




Net Carbs


Total time



Keto Shrimp in Tomato Basil Cream Sauce is a touch of Italy in a Tasty Low Carb recipe. Loaded with garlic and basil throughout makes this a delicious recipe.

Cook Mode

Keep the screen of your device on


  • 1 1/2 pounds 1 1/2 pounds Shrimp peeled and deveined (16-20 count)

  • 1/2 teaspoon 1/2 teaspoon Sea salt

  • 1/4 teaspoon 1/4 teaspoon Pepper

  • 4 tablespoons 4 tablespoons Butter

  • 6 cloves 6 cloves Garlic finely chopped

  • 1 cup 237 ml Cream

  • 1 10.5 ounces 1 10.5 ounces Rotel tomatoes original version

  • 2/3 cup 159 g Parmesan cheese grated

  • 1/4 teaspoon 1/4 teaspoon Oregano dried

  • 3/4 cup 177 g Basil fresh julienned, loosely packed


  • Pat room temperature shrimp dry. Season shrimp with sea salt and pepper.
  • Melt 3 tablespoons butter in a large skillet over medium-high heat. Add shrimp and cook for 1 1/2 minutes on each side. Take the skillet off the heat while you remove the shrimp and reserve to a plate.
  • With the skillet still off the heat, add 1 tablespoon of butter and garlic and cook for 1 minute.
  • Add the heavy cream, parmesan cheese, oregano, and rotel tomatoes (with juices). Combine well. Back to the heat and bring to a boil for 1 minute, then add half of the chopped basil. Reduce to medium-low and cook for 5 minutes, stirring frequently
  • Remove the skillet from the heat and add shrimp and top with remaining chopped basil. Plate and serve hot.


Chef’s Notes

  • Rotel tomatoes contain chilis, as well. You can use regular diced tomatoes, and add 1/4 teaspoon of red pepper flakes when you add the garlic.
  • You can also increase the amount of sauce and serve this dish over zucchini noodles or cauliflower rice.

Nutrition Facts

  • Calories: 752.9kcal
  • Carbohydrates: 8g
  • Protein: 16.4g
  • Fat: 74.4g
  • Saturated Fat: 47.3g
  • Trans Fat: 0g
  • Cholesterol: 217.3mg
  • Sodium: 1329.6mg
  • Potassium: 220.6mg
  • Fiber: 0.5g
  • Sugar: 3.9g
  • Vitamin A: 2414IU
  • Vitamin C: 18mg
  • Calcium: 517.8mg
  • Iron: 8mg
Ro Tel Tomato Diced Milder(Pack of 6)
  • Fits a low carb lifestyle with 3g net carbs per serving (5g total carbs minus 2g dietary fiber)

Amazon Affiliate Program -> Tasty Low Carb is a participant in Amazon’s affiliate advertising program. Clicking on a product or Amazon ad will re-direct you to For your purchases, we may receive a small consideration that will help us build and maintain our website.

Recipe Index

Load More

Free Recipes via Email

Enter your email address and receive new recipe posts via email.


  1. Bear Holmes

    Wow, Keto and low carb aside, this is the BEST shrimp recipe I’ve ever made. The only small addition was a splash of white wine. I served it over zoodles and felt like licking the plate. Five plus stars, thanks for posting it.

    • Joanie and Chris

      So kind! I like the white wine idea! We make this one all the time, as we eat a lot of shrimp. So pleased you enjoyed my recipe . . . Joanie.

  2. Cathleen B Post

    So amazing! Made for the first time yesterday. It is now a favorite of my husband and mine. Even the leftovers were delicious! Recipe is perfect the way it is, I wouldn’t change a thing. Served it with miracle noodles the first night, leftover with cauliflower rice.

    • Joanie and Chris

      So pleased you enjoyed my recipe! Shrimp, garlic, basil, and done in just a few minutes – that is why we make this dish often. You found us out! Trying to figure out why you had left overs . . . ? LOL Thanks again . . . Joanie.

Comments Are Appreciated