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5 from 7 votes

Keto Zuppa Toscana Recipe

Keto Zuppa Toscana Recipe is really a meal in itself! So full of delicious Italian sausage, spinach, and cream!
Prep Time10 mins
Cook Time35 mins
Total Time45 mins
Course: Soup
Cuisine: Italian
Keyword: Keto Zuppa Toscana Recipe
Servings: 8
Calories: 384kcal
Author: Joanie and Chris



  • 16 ounces Italian hot sausage bulk variety, no casings
  • 5 slices Bacon chopped
  • 1 White onion coarsely chopped
  • 7 cloves Garlic finely chopped
  • 6 cups Chicken broth organic
  • 2 stalks Cauliflower
  • 1 teaspoon Sea salt
  • 1/2 teaspoon Pepper
  • 12 ounces Spinach fresh
  • 1 cup Heavy cream
  • Parmesan cheese shaved for garnish


  • Heat a large stock pot to medium-high heat. Place the chopped bacon in the heated pot. Sauté until crispy. About 5 minutes.
  • Add the Italian sausage. Sauté until browned. Use a wooden spoon to crumble the sausage into moderate chunks (not too fine). This should take about 5 minutes.
  • Reserve the meats and drain most of the fat from the pan. Reduce the heat to medium and sauté the onion chunks (not too fine) for 5 minutes. Add the chopped garlic and stir for about 2 minutes.
  • Add the chicken broth and chopped cauliflower. Salt and pepper goes in next. Simmer over medium heat for 10 minutes.
  • Add the meat back to the pot with the heavy cream. Stir and simmer for 5 minutes. Turn off the heat and remove the pot from the burner. Drop in the fresh spinach and cook off the heat until wilted (about 2 minutes).
  • Serve hot with a garnish of shaved parmesan.


You can substitute regular Italian sausage in place of the Hot Italian Sausage. The hot sausage will add a lot of flavor.


Calories: 384kcal | Carbohydrates: 6g | Protein: 13g | Fat: 35g | Saturated Fat: 15g | Trans Fat: 0g | Cholesterol: 93mg | Sodium: 1342mg | Potassium: 602mg | Fiber: 1g | Sugar: 1g | Vitamin A: 4425IU | Vitamin C: 27.6mg | Calcium: 90mg | Iron: 2.3mg | Net Carbs: 5g