Keto Sausage & Vegetable Medley Stew

By AislePrompt Test Kitchen · Reviewed by AislePrompt Editorial · Published 2026-04-06 · Updated 2026-04-06

A hearty, low-carb stew with savory Italian sausage, bell peppers, and zucchini simmered in tomato-infused broth and thickened with cream cheese. This italian-inspired keto (keto) ready in about 40 minutes pairs Italian sausage, Olive oil, medium Yellow onion for a weeknight-friendly dinner that comes together with one pan and minimal cleanup. Each serving lands at about 400 calories and feeds 4, so it slots cleanly into a weekly meal plan and pairs well with a quick salad or grain on the side. Tap "Plan a meal with the AI" below to drop this recipe into your week and send the ingredients straight to Instacart. Nutrition values are approximate, calculated from USDA FoodData Central (fdc.nal.usda.gov) — verify against ingredient labels for any health-driven dietary plan.

★ 3.4 (9 ratings) Prep: 15 min Cook: 25 min Serves 4 Italian cuisine 400 cal/serving

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Ingredients

1 lb Italian sausage
1 tbsp Olive oil
1 medium Yellow onion
1 medium Bell pepper
2 medium Zucchini
3 cloves Garlic
2 tbsp Tomato paste
3 cups Beef broth
1/2 cup Heavy cream
2 oz Cream cheese
1 tsp Dried oregano
1/2 tsp Salt
1/4 tsp Black pepper

Instructions

Step 1: Heat 1 tbsp olive oil in a large pot over medium heat. Add 1 lb crumbled Italian sausage and cook for 5 minutes, breaking it into small pieces, until browned.
Step 2: Add 1 medium diced yellow onion, 1 medium diced bell pepper, and 3 minced garlic cloves. Cook for 4 minutes until vegetables are softened and fragrant.
Step 3: Stir in 2 tbsp tomato paste and cook for 1 minute until deepened in color and aromatic.
Step 4: Add 3 cups beef broth, 2 medium diced zucchini, 1 tsp dried oregano, 1/2 tsp salt, and 1/4 tsp black pepper. Bring to a gentle simmer.
Step 5: Cook for 15 minutes until zucchini is tender.
Step 6: Stir in 1/2 cup heavy cream and 2 oz softened cream cheese. Cook for 3 minutes, stirring constantly, until cream cheese melts and stew thickens to a creamy consistency.
Step 7: Taste and adjust seasoning with additional salt and pepper if needed.

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Frequently asked questions

How long does Keto Sausage & Vegetable Medley Stew take to make?

Total time is about 40 minutes (15 min prep + 25 min cook). Most home cooks find this fits comfortably into a weeknight; double the batch on Sunday for two dinners.

How do I store leftover Keto Sausage & Vegetable Medley Stew?

Cool to room temperature within 2 hours, then store in an airtight container in the fridge for up to 4 days. Reheat covered in a 350°F oven for 10-12 minutes, or microwave at 70% power in 60-second bursts to keep italian sausage from drying out.

Can I substitute ingredients in Keto Sausage & Vegetable Medley Stew?

Yes — most ingredients in this recipe have flexible swaps. For oil, use any neutral high-smoke-point oil (avocado, grapeseed, refined coconut). For aromatics, dried herbs at ⅓ the volume of fresh work in a pinch. The full ingredient list is shoppable on Instacart so you can see substitutes in real time.

How do I scale Keto Sausage & Vegetable Medley Stew for a different number of people?

The recipe is written for 4 servings. Multiply each ingredient by (your serving target / 4). Cook time stays roughly the same up to 2x; for 3-4x batches, switch from a skillet to a sheet pan or stockpot so the food isn't crowded — overcrowding steams instead of browns.

Is Keto Sausage & Vegetable Medley Stew keto?

Yes — this recipe is tagged keto based on its ingredient list. Always cross-check labels for packaged ingredients (sauces, broths, condiments) since formulations vary by brand.