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Home » Keto Blog » Ultimate Keto & Low-Carb Italian Food Recipes List

Ultimate Keto & Low-Carb Italian Food Recipes List

Last Updated March 22, 2022. Published February 18, 2020 By Davinah Cenou Montezuma

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pinterest image for Keto Italian food recipes like shrimp scampi, seared scallops and cauliflower risotto, air fryer meatballs, and Italian sausages and peppers

This post may contain affiliate links to products I use and highly recommend. You can read my full disclosure .

Italian cuisine is well-known for being very carb- and pasta-heavy. When you are looking for a low-carb meal, it can seem impossible to find dishes that keep you within your daily carbs and/or in ketosis. I took the guesswork out and put together this list of Keto Italian food recipes that fit the bill. You will really enjoy all the flavor that is in each and every dish and know you won’t have to worry. Make sure you get all the way to the end of the list for the delicious desserts!

Keto Italian food recipes like shrimp scampi, seared scallops and cauliflower risotto, air fryer meatballs, and Italian sausages and peppers

Quick Navigation

  • Is There Such a Thing as Keto Italian Food?
  • Keto-friendly Antipasti & Bread
  • Keto Soups
  • Main Dishes & Pasta Remakes
  • Seasonings & Sauce
  • Pasta Substitutes
  • Low-Carb Keto Pizzas
  • Low Carb Italian Food Desserts
  • FAQs

Is There Such a Thing as Keto Italian Food?

You might be thinking that keto Italian food is an oxymoron, but you’ll see that they can co-exist with some food swaps and bold spices and flavors. Some of my favorite substitutes to make Italian food low-carb include:

  • Fathead Dough (great for keto pizza, garlic bread, and bagels)
  • Pasta Substitutes like cauliflower rice, spaghetti squash, zucchini, and these keto pasta noodles
  • keto sweeteners like Besti to make desserts delicious and sugar-free

Keto-friendly Antipasti & Bread

No Italian feast would be complete without the appetizer and bread! You can enjoy both as part of a low-carb classic Italian meal, and the true Italians among you won’t even miss the carbs. The flavors are so authentic I couldn’t wait to share this list with you.

1. Chopped Italian Keto Antipasto Salad Recipe

Start your Italian feast with this chopped antipasto salad. It only takes a few minutes to chop and toss everything in your very own marinade to get the Italian flavors everyone loves.

Chopped Italian Keto Antipasto Salad Recipe

The BEST chopped Italian antipasto salad recipe! See how to make keto antipasto salad in just 10 minutes, with an antipasto salad dressing that’s packed with flavor.
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Chopped Italian Keto Antipasto Salad Recipe

2. Deconstructed Keto Italian Sub Salad

Take salad to the next level by plating it up on a large platter. Everyone can make their own salad bowl from this beautiful spread.

Deconstructed Keto Italian Sub Salad

Deconstructed Keto Italian Sub Salad – Everything you love about your favorite sub sandwich, deconstructed into the perfect keto friendly salad recipe!
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Deconstructed Keto Italian Sub Salad

3. Parmesan Garlic Bread Bites

These Parmesan garlic bites are reminiscent of the extras you can order up with pizza delivery. This soft dough will melt in your mouth. Enjoy it with keto marinara sauce!

Easy Keto Parmesan Garlic Bread Bites

Delicious Keto Parmesan Garlic Bread Bites inspired by the Domino’s classic without all of the carbs. Perfect side anytime you are in the mood for Italian food or want a keto-friendly appetizer.
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close up shot of Garlic Bread Bites

4. Rustic Italian Yeast Bread

A secret ingredient helps these low-carb flours get the gluten they need to rise to perfection. The crust is thick and chewy on this loaf and will pair perfectly with the soups below.

Keto Italian Bread

This Keto Italian Bread recipe is a real yeast bread with a soft chewy inside and a nice thick crust. And each slice has just 3g net carbs.
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Keto Italian Bread

Keto Soups

Soups are so much comfort on chilly fall days or long, dark winter days. I recommend you pick your favorite from this list and find out how to make it low carb and Keto friendly! Your tastebuds will sing and your waistline will be very happy to try these classics.

1. Creamy Keto Tomato Soup

Cream cheese and heavy cream make this tomato soup feel great on the tongue. Don’t be afraid of fat – it’ll keep you fuller longer!

Creamy Keto Tomato Soup Recipe

This Creamy Keto Tomato Soup recipe requires just a few ingredients, one-pot and a blender. Perfect keto soup recipe that will warm you up in fall & winter.
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overhead photo of a bowl of tomato soup

2. Keto Italian Wedding Soup

Italian wedding soup is a favorite here, and this one uses cauliflower to lighten things up some while still retaining that familiar flavor.

Keto Italian Wedding Soup

Nothing beats a comforting low carb soup on a cold dreary day. This classic Italian Wedding Soup is sure to hit the spot! So it kinda sorta snowed in Portland yesterday. By which I mean
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Keto Italian Wedding Soup

3. Creamy Keto Italian Sausage Soup

Cream cheese adds richness to this soup without going overboard. The recipe also has a trick for removing the “green” from the zucchini to be a little sneaky.

Creamy Keto Italian Sausage Soup

Creamy Keto Italian sausage soup aka Keto Zuppa Toscana is a flavorful healthy family dinner. The perfect low carb, gluten-free soup to meal prep for a keto diet or for anyone!
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Creamy Keto Italian Sausage Soup

4. Italian Vegetable Stew with Sausage

This hearty, healthy recipe takes all the classic Italian flavors and puts them in one bowl. Everything is finely chopped so that you can get all the nutrition in without someone spotting a disliked ingredient.

Italian Vegetable Stew with Sausage (Keto and Low Carb) • Low Carb with Jennifer

Italian Vegetable Stew with Sausage is a hearty, healthy recipe to kick start the fall! What better way to clean out the left over veggies in your freezer or pantry? This tasty, low carb stew will bring the zest your is family looking for this pumpkin season!
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Italian Vegetable Stew with Sausage (Keto and Low Carb) • Low Carb with Jennifer

Main Dishes & Pasta Remakes

You won’t miss the pasta carbs when you pull out these Italian classics! Cook up some zucchini boats or use zucchini and cauliflower as the perfect bases to soak up all the amazing sauces. I’ve got the whole range for you from beef to chicken to seafood.

1. Keto Meatballs

Of course, you need to have meatballs when serving Italian food! Meatballs are a crowd pleaser and are truly easy to make low-carb and also sneak in extra nutrition.

Keto Italian Sausage Meatballs Recipe

These Keto Italian Sausage Meatballs are loaded with bold flavors and can be yours with one pot and 30 minutes. It's the perfect way to satisfy your meatball cravings while omitting the added carbs from breadcrumbs.
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Keto Meatballs in a bowl

2. Seared Scallops & Cauliflower Rice Risotto

Cauliflower makes a great risotto. Get all the classic cheesy flavor without the carbs. Seared scallops sit so nicely in this dish.

Seared Scallops & Cauliflower Rice Risotto

A quick, keto-friendly and grain-free recipe for seared scallops and parmesan cauliflower rice risotto.
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Seared Scallops & Cauliflower Risotto on a large bowl

3. Keto Risotto

Add shrimp or just use more mushrooms in this creamy mushroom risotto recipe. The mushrooms add a bright earthy flavor and are perfect as a replacement for meat.

Creamy Keto Cauliflower Mushroom Risotto Recipe

Keto cauliflower mushroom risotto gives you the delicious creaminess of a traditional risotto recipe with a fraction of the carbs. It pairs well with scallops, pot roast, and shrimp.
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yummy keto-friendly Mushroom Risotto on a plate

4. Shrimp Scampi

I love making shrimp scampi. There’s no denying that butter makes the best sauce! Garlic is also a key player in making these shrimp really shine.

Easy Keto Garlic Shrimp Scampi

An easy, garlicky, and buttery Keto Shrimp Scampi recipe that has all the tips to keep it low carb, free of added sugar and perfect for Whole30.
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yummy Shrimp Scampi on a plate

5. Keto Lasagna

Bring back the cheesy goodness of lasagna minus the carbs. This one uses a cauliflower pizza crust or hearts of palm as a substitute for lasagna noodles. The filling also has one of my favorite secret ingredients: cottage cheese!

Keto Cottage Cheese Lasagna Recipe

This Low Carb Keto Lasagna Recipe with Cottage Cheese is one of my favorite Italian food remakes. Perfect for those who want the taste & flavor of the real thing minus carbs.
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keto lasagna in a casserole dish with cottage cheese

6. Keto Pork Chops with Mushroom Cream Sauce

Pork chops really shine when made in a skillet. Plus you can deglaze all the good parts into the perfect mushroom cream sauce. The sauce really turns up the flavor on any vegetables you serve with the pork.

Keto Cast Iron Skillet Pork Chops Recipe w/ Creamy Herb & Mushroom Sauce

An easy, keto cast iron skillet pork chops recipe featuring Hatfield® Premium Reserve Pork® bone-in pork chops & a creamy mushroom & herb pan sauce.
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Cast Iron Skillet Pork Chops Recipe on a plate

7. Air Fryer Frozen Meatballs

Add your favorite frozen Italian meatballs to your air fryer and cook them in minutes. Pair them with your favorite sauce for a quick and easy main dish.

Air Fryer Frozen Meatballs

This easy Air Fryer Frozen Meatballs recipe cooks from frozen and comes together in about 15 minutes using just two main ingredients.
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Frozen Meatballs with marinara sauce topped with parsley and cheese

8. Air Fryer Garlic Butter Shrimp & Broccoli

This shrimp and broccoli includes a white wine and garlic butter sauce that results from the shrimp being cooked from frozen.

Air Fryer Garlic Butter Shrimp & Broccoli

Make a one-pot meal in your air fryer with this easy Ninja Foodi Garlic Butter Shrimp & Broccoli recipe. It uses less than 10 ingredients like my homemade garlic butter and frozen or fresh shrimp.
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cooked Garlic Butter Shrimp & Broccoli on a white bowl

9. Air Fryer Italian Sausage

Make Italian Sausage, Peppers and Onions easily in your air fryer with this recipe.

Air Fryer Italian Sausage

An easy 4-step recipe that takes less than 20 minutes and includes vegetables cooked in sausage drippings.
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a plate of air fryer sausage and peppers

10. Cajun Shrimp Alfredo

This shrimp alfredo adds a bit of a Cajun flare to your traditional alfredo. Enjoy this with hearts of palm noodles or zucchini noodles.

Cajun Shrimp Alfredo

Make Cajun Shrimp Alfredo in 30 minutes using DIY Cajun seasoning, homemade or jarred Alfredo sauce, & jumbo shrimp. Includes a low-carb pasta option.
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close up of cajun shrimp alfredo pasta in a bowl with broccoli, parsley and lemon wedges

11. Keto Chicken Piccata

Keto Chicken Piccata | Peace Love and Low Carb

Keto Chicken Piccata – made with tender, juicy chicken thighs, seasoned and pan-seared to perfection until the skin is nice and crispy, paired with a bright, citrusy lemon-caper butter sauce
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Keto Chicken Piccata | Peace Love and Low Carb

12. Keto Italian Sausage Stuffed Zucchini Boats

Zucchini boats are really fun! Who wouldn’t want to eat the “dish” their food comes in? Scoop out the insides and the “boat” cooks to perfection underneath the sausage topping.

Keto Italian Sausage Stuffed Zucchini Boats Recipe

This easy Italian sausage stuffed zucchini recipe (sausage stuffed zucchini boats) is healthy & delicious! Keto zucchini boats take 10 minutes to prep.
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Keto Italian Sausage Stuffed Zucchini Boats Recipe

13. Easy Keto Tuscan Chicken

This Tuscan chicken is creamy comfort in a bowl. The garlic sauce is perfect for any veggies you want to add to this dish.

Tuscan Chicken | A Deliciously Low Carb Italian Dish!

This Tuscan Chicken recipe is creamy, garlicky, comforting chicken perfection! It’s low carb as well so you don’t have to feel guilty for wanting seconds!
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Tuscan Chicken | A Deliciously Low Carb Italian Dish!

14. Italian Sausage Skillet

This sausage and pepper skillet goes really well on a sandwich or with eggs, but you may find yourself eating it straight out of the pan as-is!

Italian Sausage, Peppers and Onions with Sauce

Sweet Italian sausage cooked with colorful bell peppers and onions with Marinara sauce is great with eggs, on sandwiches, or as is! A tasty and easy 30 minute skillet meal or an even easier sheet pan meal! No respectable Italian-American home would be without a version of sausage, peppers and onions…
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Italian Sausage, Peppers and Onions with Sauce

15. Sausage Parmigiana

Make your sauce ahead (and a double batch!) and this is another weeknight dinner ready in a flash. No need to always have chicken parmigiana when you can use Italian sausage.

Meaty & Cheesy Sausage Parmigiana – Keto Cooking Wins

Hot, cheesy, and delicous, this low-carb Sausage Parmigiana is a dish that everyone loves. Another on the table in 30 dinner win from Ketocookingwins.com!
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Meaty & Cheesy Sausage Parmigiana - Keto Cooking Wins

16. Low Carb Italian Chicken Cacciatore Recipe

Not all low-carb meals need to be high-fat. This chicken cacciatore is perfect for serving a white variety of diets because everyone can customize what they add this too, and add their own carbs and fats to their plates.

Low Carb Italian Chicken Cacciatore Recipe – Boneless Chicken

This Chicken Cacciatore recipe is my low carb twist on a very popular Italian-American dish, Chicken Cacciatori, which typically includes sausage and Marsala wine. Chicken cacciatore is another great Italian-American recipe that can be made with poultry or pork, but Italian Sausage is more traditio…
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Low Carb Italian Chicken Cacciatore Recipe – Boneless Chicken

17. Italian Ground Beef & Cauliflower Skillet

Cauliflower is a great Italian dish base when slow-simmered in tomato sauce. You won’t miss the carbs with just how much flavor you can build in a single skillet.

Keto Italian Ground Beef and Cauliflower Skillet

Italian Ground Beef and Cauliflower Skillet is a family friendly, easy-to-make recipe. With only 5g of carbs, this recipe is keto and gluten free friendly!
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Keto Italian Ground Beef and Cauliflower Skillet

18. Easy One-Skillet Keto Chicken Parmesan

A touch of light breading is all you need for that classic Chicken Parmesan taste. The true flavor comes in with the low-carb red sauce and of course the hit of Parmesan on top!

Keto & Paleo Chicken Parmesan {Whole30-Friendly!}

This Easy One Skillet Keto Chicken Parmesan features lightly breaded chicken that’s crispy on the outside, juicy on the inside, then covered in a cheesy red sauce on top of zucchini or GF noodles.
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Keto & Paleo Chicken Parmesan {Whole30-Friendly!}

Seasonings & Sauce

Learn how to create the basics to fit your Keto lifestyle. Once you know how to make red gravy and the right seasonings to have on hand, you can recreate all your favorite keto Italian food classics in a heartbeat.

1. Keto Marinara Sauce

Uses just 5 ingredients and requires two steps.

Roasted Garlic Keto Marinara Sauce Recipe

Learn how to make no sugar added Keto Marinara Sauce in 20 minutes at home with this easy 5-ingredient recipe.
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roasted garlic keto marinara sauce in a pan

2. Keto Alfredo Sauce

This sauce is so easy to make and is the perfect high-fat, creamy sauce for low-carb pasta dishes and casseroles. I personally enjoy this one with seared shrimp, steamed broccoli, and pasta substitutes like zoodles.

Easy Keto Alfredo Sauce Recipe

A 15-minute Alfredo sauce takes the flavors of the Italian classic and puts them into an easy low carb sauce.
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a bowl of Keto Alfredo sauce with broccoli

3. Homemade Italian Meat Sauce

Meat sauce – some of you probably grew up with the smell of this simmering on the stovetop all Sunday, just waiting for Sunday dinner! Learn how to enhance your classic meat sauce with extra veggies.

Keto Italian Meat Sauce

This meat sauce is packed with all the traditional Italian flavors, basil, Italian sausage, garlic, a little Pinot Grigio and of course tomato!
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Keto Italian Meat Sauce

4. Homemade Italian Seasoning Mix

There’s no need to buy jars of “mixed” spices. You can easily take all the individual spices you probably already have and mix them up for ease of use.

How To Make Italian Seasoning Mix: Ingredients + Recipe

Learn how to make Italian seasoning mix with just 6 ingredients! This easy homemade Italian seasoning recipe adds flavor to so many dishes, and you probably have all the Italian seasoning ingredients on hand to make it.
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How To Make Italian Seasoning Mix: Ingredients + Recipe

5. Easy Basil Pesto Recipe

Pesto is an Italian classic, but it is also easily adaptable. Whether you need to be dairy-free or nut-free or just want to make sure you are eating clean (no jars here!) pesto fits the bill.

Easy Basil Pesto Recipe: How To Make Pesto Sauce

EASY basil pesto recipe. Learn how to make homemade basil pesto sauce: 5 ingredients, 5 minutes, and naturally LOW CARB and gluten-free!
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Easy Basil Pesto Recipe: How To Make Pesto Sauce

6. Air Fryer Roasted Garlic

Amp of the garlic flavor in any sauce or dish using this recipe.

Air Fryer Roasted Garlic Bulb

Make roasted garlic in less than 20 minutes with this easy Air Fryer Roasted Garlic recipe. Use these whole roasted garlic heads in just about any recipe requiring fresh, roasted, or minced garlic cloves.
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ninja foodi air fried roasted garlic heads on a piece of parchment paper with olive oil and rosemary

Pasta Substitutes

Pasta is an important element of Italian food. These keto alternatives to pasta will help you enjoy Italian food minus the carbs!

1. Air Fryer Spaghetti Squash

This is a super easy alternative to pasta and by using your air fryer it comes together in less than half the time compared to the oven.

Air Fryer Spaghetti Squash

Roast spaghetti squash in less than half the time by using this Air Fryer Spaghetti Squash recipe.
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plated Spaghetti Squash cooked in an air fryer

2. Keto Lasagna Noodles

Take your keto lasagna to the next level with these almond flour pasta sheets!

Homemade Keto Lasagna Noodles Pasta Sheets

Making those Super Quick and Easy Homemade Keto Lasagna Noodles Pasta Sheets Recipe with Almond Flour will make your Keto Meal Preps Extra Simple. Those Fully Low Carb Pasta Sheets with 3 Ingredients Only are Gluten-Free, Grain-Free, and a perfect Lasagna Replacement for Diabetics.
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Homemade Keto Lasagna Noodles Pasta Sheets

Low-Carb Keto Pizzas

Pizza really is all about the toppings, isn’t it? This selection will let you pick what makes your tastebuds sing. Veggies, meat, alternative flours – all are options when you are looking for a low-carb Keto-friendly pizza crust to fill your pizza craving.

1. Keto Pizza Casserole

This kid-friendly meal will quickly become a favorite. Take pizza night to comfort food star with this fun casserole. You can even prep the elements ahead of time to get dinner on the table in a flash on those busy weeknights.

Keto Crustless Pizza Casserole Recipe

Low-Carb Keto Crustless Pizza Supreme Casserole gives you all the pizza flavors you know and love in an easy to make, low carb package. This delicious recipe feeds a crowd and is perfect for meal prep.
Pizza Casserole in a baking dish

2. Fathead Pizza Dough

Add this staple keto dough recipe to your toolkit to make any keto pizza.

Fathead Pizza Dough

A recipe for fathead dough using almond flour, eggs, two kinds of cheese, and seasonings. Perfect for pizza, bagels, and Philly Cheesesteak pockets.
Fathead Dough Pizza topped with basil

3. Sausage Crust Pizza

No need to use special gluten-free ingredients when the pizza craving hits! Rather than adding a sprinkling of sausage on TOP of your pizza, pat it out into your pan and use it as a perfect low-carb crust.

Sausage Crust Pizza | Keto In Pearls | Pork Recipes| Italian Recipes

Crustless meat lovers keto pizza ready in under 30 minutes. Grain free, nut free, carnivore friendly, low carb, and keto friendly.
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Sausage Crust Pizza | Keto In Pearls | Pork Recipes| Italian Recipes

4. Keto Italian Pizza Zucchini Bake

In under 30 minutes, you can have this pizza bake ready to serve. Using a cast-iron skillet keeps the zucchini crisp instead of watering down your dish.

Keto Italian Pizza Zucchini Bake

Keto Italian Pizza Zucchini Bake is a low carb favorite. Layers of zucchini and onions with grilled chicken are topped with marinara, cheese, and pepperoni!
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Keto Italian Pizza Zucchini Bake

5. Keto Low-Carb Bacon, Chicken, Spinach Alfredo Fathead Pizza

Alfredo sauce makes a perfect pizza topping when you have a taste for something other than marinara. Spinach increases nutrition and adds color, and who can go wrong with bacon?

Keto Low-Carb Chicken Alfredo Fathead Pizza

This Keto Low-Carb Chicken Alfredo Fathead Pizza is a quick and easy healthy recipe prepared with almond flour, mozzarella, bacon, and spinach. This post includes step by step instructions on how to make the best crust with little to no carbs!
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Keto Low-Carb Chicken Alfredo Fathead Pizza

Low Carb Italian Food Desserts

Sugar needn’t be the star of the show when eating a classic Italian dessert. Amp up the traditional flavors with extracts, nuts, and fats and utilize alternative flours to create low-carb desserts that emulate the classics your grandmother made. I promise you won’t know the difference – and won’t feel too guilty stealing a few extra bites.

1. Keto Italian Cream Cake

This rich layer cake is dense with nuts, making it full of healthy fats that will really satisfy your sweet tooth! I love using protein and fat to balance out the minimal sugar in this dessert.

Low Carb Italian Cream Cake

Classic Italian Cream Cake goes low carb and keto! This rich layer cake is a truly special sugar-free dessert recipe.
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Low Carb Italian Cream Cake

2. Italian Lemon Ricotta Cheesecake Recipe

Calcium and protein in dessert? Yes, please! Lemon ricotta cake maybe your grandmother’s classic dessert, but you can make it fit your lifestyle today with a few thoughtful swaps.

Keto Italian Lemon Ricotta Cheesecake

A creamy keto-friendly Italian Lemon Ricotta Cheesecake is simply irresistible! It’s an easy to make low carb dessert with just 4g net carbs.
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Keto Italian Lemon Ricotta Cheesecake

3. Sugar-free Meringue Cookies

Fluffy egg whites bake up into the perfect meringue pillows. It’s fun to select your piping shape to make these however you dream!

Sugar Free Meringue Cookies Recipe – Low Carb – Keto

Those Sugar-Free Meringue Cookies are a perfect combination of Swiss and Italian Meringues, but as a healthier alternative. Fully Keto, Low Carb, Gluten-Free and perfect for Diabetics, those Keto Cookies can be served throughout the whole year, not only for Christmas.
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Sugar Free Meringue Cookies Recipe - Low Carb - Keto

4. Low-carb Pizzelle Recipe

Low-carb and grain-free means you don’t have to miss out on the classic Christmas pizzelle. While you do need a special iron to make the shape, you’ll find that them being low-carb means you’ll use it more often!

Keto Pizzelle

These keto pizzelle are the sugar free version of the popular crisp Italian waffle cookies. They are fun and delicious, and great for making other treats like keto stroopwafels! I first created this keto pizzelle
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Keto Pizzelle

FAQs

Is Italian low-carb?

Most Italian food like pasta and pizza is not low-carb. So, this collection provides keto Italian Food recipes and alternatives.

How do you stay keto at an Italian restaurant?

Generally, you can stay low-carb and keto at an Italian restaurant by skipping the pasta and bread. Enjoy all of the salad, meat and vegetables and seafood main dishes.

Is Italian sausage keto-friendly?

Italian sausage is low in carbs and generally doesn’t have added sugar so people on keto usually eat them.

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close up photo of Davinah - the blogger behind Dr. Davinah\'s Eats welcome text that reads, \"I\'m Davinah\" I'm an educator & hardcore foodie who realized eating "all the things" couldn’t last forever. After getting my PhD in Education, I decided to make eating healthier my next big goal. Here, you'll find my collection of keto, low-carb and whole food comfort food recipes. Read More

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Air Fryer Roasted Broccoli [+VIDEO]

Air Fryer Turkey Bacon (The Easiest Recipe!)

keto gravy in a white sauce boat

Easy Keto Gravy Recipe

close up of Ninja Foodi air fryer steak on a plate with air fryer asparagus

Air Fryer Steak w/ Garlic Butter [+Video]

Cranberry Sauce on a white bowl

Keto Cranberry Sauce

cabbage in a pressure cooker cooking pot

Instant Pot Cabbage Recipe [+VIDEO]

air fryer mushrooms with roasted garlic butter sauce and roasted garlic

Air Fryer Mushrooms

close up of browned air fryer sausage patties on a plate

Air Fryer Breakfast Sausage Patties [+Video]

cabbage cooked in a crockpot

Easy Crockpot Cabbage Recipe

roasted butternut squash in the air fryer

Air Fryer Butternut Squash

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