21 net carbs

Harvest casserole (chicken sausage)

Savor the essence of fall with our low-carb harvest casserole, offering a nutritious twist on classic comfort food, carefully crafted with wholesome ingredients for savory satisfaction in every bite.

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Harvest casserole (chicken sausage)

Top-view of low-carb harvest casserole, Thanksgiving side dish, served on a grey plate ready to eat.

Low-carb harvest casserole (chicken sausage)

Total Diabetes Wellness
Indulge in the comforting flavors of autumn with our low-carb harvest casserole. Packed with wholesome ingredients and simple yet satisfying flavors, this dish offers a nutritious twist on classic comfort food. From Brussels sprouts to herbs and chicken sausage, each ingredient is carefully selected to create a balanced and delicious meal. Whether you're looking for a cozy weeknight dinner or a Thanksgiving side dish, this casserole delivers savory comfort in every bite. Join us in embracing the essence of fall with this easy-to-make, nutrient-rich recipe.
Prep Time 15 minutes
Cook Time 30 minutes
Total Time 45 minutes
Course Lunch and Dinner
Cuisine American
Servings 4 servings
Net Carbs 21 g
*Net carbs are per serving


  • 1 pound Brussels sprouts, halved or quartered, depending on size
  • 3 cups butternut squash, chopped into ½" cubes
  • 4 tablespoons olive oil, divided
  • salt & black pepper
  • 1 small onion, diced
  • 4 cloves garlic, minced
  • 6 links chicken sausage cut into ¼" rounds
  • 1 teaspoon dried parsley
  • 1 teaspoon dried rosemary
  • ½ teaspoon dried thyme
  • 1 teaspoon dried sage
  • 2 cups cauliflower rice
  • 1 medium apple, chopped
  • ½ cup pecans, chopped
  • ½ teaspoon cinnamon
  • Garnish: chopped fresh parsley


  • Preheat the oven to 425F/220C.
    Close-up view of temperature knob on an oven, preheat oven to cook a meal.
  • Line 2 baking sheets with parchment paper. Put Brussels sprouts on one baking sheet and the butternut squash on the other. Drizzle with 1 tablespoon of olive oil each, and season with salt and black pepper. Bake for 20 minutes, or until squash is soft.
    Top view of chopped Brussels sprouts and butternut squash in a baking dish ready to bake in the oven.
  • Meanwhile, in a large skillet or saute pan over medium heat, heat the remaining 2 tablespoons of olive oil. Cook the onions until translucent, about 4-5 minutes. Add the garlic and cook for 30 seconds. Add the sausages, dried parsley, dried rosemary, dried thyme, and dried sage. Cook until the sausages have browned on the outside. (If using raw sausages, make sure sausages are fully cooked.)
    Close-up side-angle view of chicken sausages cooking in a skillet with herbs, onion, and garlic to make low-carb harvest casserole.
  • Add the cauliflower rice, apple, pecans, and cinnamon. Cook, stirring occasionally, until the cauliflower rice and apples have softened.
    Close-up view of cooking low-carb harvest casserole in a skillet - chicken sausage, apple, cauliflower rice, pecans, and spices.
  • Add the roasted Brussels sprouts and butternut squash to the skillet and stir well to combine. Taste and season with salt and pepper as needed.
    Top-view of cooking low-carb harvest casserole in a skillet.
  • Garnish with chopped fresh parsley. Enjoy!
    Low-carb harvest casserole with chicken sausages served on a grey plate ready to eat.




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Keywords fall casserole, low-carb autumn casserole, low-carb harvest chicken casserole, low-carb Thanksgiving side dish, Thanksgiving side dish
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Photos of Low-Carb Harvest Casserole


  • Fresh vs. frozen cauliflower rice: Fresh cauliflower rice may require longer cooking times, while frozen cauliflower rice is convenient but may release more moisture.
  • Spice and herb variations: Experiment with nutmeg or cardamom for warmth. Fresh herbs like parsley or thyme can add a burst of flavor.
  • Option to add unsweetened dried fruit: Consider adding unsweetened dried cherries, cranberries, or raisins for a touch of sweetness and tartness.
  • Substitute sweet potatoes: Swap sweet potatoes for butternut squash for a different flavor profile.
  • Substitutes for Brussels sprouts: Use broccoli or thinly sliced cabbage as an alternative for Brussels sprouts.

Frequently Asked Questions

Is this low-carb harvest casserole recipe Keto?

No, this low-carb harvest casserole recipe is not Keto. One serving has 21 grams of net carbs, which is too high of a carbohydrate count for strict Keto. You may be able to reduce the carbs enough to be keto-friendly by omitting the apple and butternut squash.

Is this recipe gluten-free?

Yes, this recipe is naturally gluten-free.

Storage and Reheating Guidelines

  • Make-ahead: To make ahead, roast the Brussels sprouts and butternut squash ahead of time. You can also pre-chop the remaining ingredients for quicker assembly later. Alternatively, cook the entire dish and store it in the refrigerator, reheating on the stovetop when ready to eat.
  • Storing leftovers: Store cooled leftovers in an airtight container in the refrigerator for up to 3 days.
  • Freezing instructions: Cool completely, then freeze in a freezer-safe container for up to 3 months.
  • To reheat: Thaw overnight in the refrigerator or reheat from frozen on the stovetop or in the microwave until heated through.

Additional Details

Cooking delicious meals that are also diabetes-friendly can be a challenge. Enter our low-carb harvest casserole, a comforting dish that combines the flavors of autumn with the dietary needs of those managing diabetes.

Embracing the essence of fall, our low-carb harvest casserole is a delightful blend of seasonal produce and protein-rich ingredients. Designed with diabetes in mind, this dish offers a balanced combination of flavors and nutrients, providing a satisfying dining experience without compromising health.

Details about ingredients

Key components of our low-carb harvest casserole include:

  • Brussels sprouts
  • Butternut squash
  • Chicken sausage
  • Cauliflower rice

These ingredients are carefully selected for their nutritional value and low-carbohydrate content, making them suitable choices for individuals managing diabetes. Brussels sprouts and butternut squash provide a rich source of vitamins, minerals, and dietary fiber, while chicken sausage adds protein to support satiety and muscle health. Cauliflower rice serves as a low-carb alternative to traditional rice, offering a lighter texture without sacrificing flavor or substance.


Versatility is a hallmark of our low-carb harvest casserole, inviting creativity and adaptation to suit individual preferences. Consider incorporating a variety of seasonal vegetables, such as:

  • Sweet potatoes
  • Carrots
  • Bell peppers
  • Zucchini
  • Mushrooms

For a vegetarian option, omit the chicken sausage and increase the variety of vegetables or add tofu for protein. Additionally, you can experiment with different types of sausage, such as turkey or pork sausage, for varied flavor profiles.

Serving pairings

Our low-carb harvest casserole pairs beautifully with a variety of side dishes to create a well-rounded meal. Serve alongside:

  • Crisp green salad dressed with vinaigrette
  • Steamed broccoli

For an extra boost of fiber and nutrients. For a heartier option, enjoy with a slice of whole-grain bread or a serving of quinoa.

Benefits for people with diabetes

For individuals managing diabetes, our low-carb harvest casserole offers several advantages. By focusing on whole, nutrient-dense ingredients and minimizing added sugars and refined carbohydrates, this dish supports blood sugar management and overall health. The combination of fiber, protein, and healthy fats promotes feelings of fullness and helps to stabilize energy levels throughout the day. Plus, the abundance of vegetables provides essential vitamins and minerals that contribute to overall well-being.

A great option for a Thanksgiving side dish

Our low-carb harvest casserole is an excellent addition to any Thanksgiving table. Its seasonal ingredients and comforting flavors complement traditional holiday dishes, making it a versatile and crowd-pleasing option for guests with diabetes or anyone seeking a delicious and health-conscious alternative.


  • To save time, consider prepping ingredients in advance, such as chopping vegetables or cooking the cauliflower rice.
  • Experiment with different herbs and spices to customize the flavor profile of the casserole to your liking.
  • Leftovers can be stored in an airtight container in the refrigerator for up to three days, making for convenient meal prep or quick lunches.
  • Feel free to adjust the seasoning and salt content to suit your taste preferences and dietary needs.

Our low-carb harvest casserole offers a delicious and diabetes-friendly option for enjoying the flavors of fall. With its nourishing ingredients, versatile nature, and healthful benefits, this dish is sure to become a favorite in your meal rotation. So, gather your ingredients and savor the warmth and comfort of autumn with each flavorful bite.

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