Loaded Italian Sausages – Low Carb Recipe


  • 4 sweet or hot Italian sausage links (uncooked): Choose your preferred spice level.
  • 1 tablespoon extra virgin olive oil
  • 1 green bell pepper, diced
  • 1 red bell pepper, diced
  • 1 yellow onion, diced
  • 8 oz mushrooms, sliced
  • 2 cloves garlic, pressed or minced
  • 1 teaspoon Italian seasoning
  • 1/2 teaspoon salt
  • 1/4 teaspoon black pepper
  • 1 tablespoon balsamic vinegar (optional)
  • 1/2 cup shredded mozzarella cheese
  • Optional toppings: Chopped fresh basil, sliced tomatoes, sliced jalapenos


  • Butterfly the sausages: Carefully cut each sausage lengthwise, being sure not to slice completely through. This creates a pocket for the delicious fillings.
  • Sear the sausages: Heat a large skillet over medium-high heat. Add a touch of olive oil if needed, then place the sausages cut-side down in the skillet. Cook for 3-4 minutes, or until nicely browned on the cut side.
  • Saute the vegetables: Reduce heat to medium. Add the olive oil, peppers, onion, and mushrooms to the skillet. Cook, stirring occasionally, until softened and slightly browned (about 5-7 minutes). Stir in the garlic, Italian seasoning, salt, and pepper. Cook for 1 more minute until fragrant.
  • Add balsamic vinegar (optional): For a touch of sweetness and acidity, drizzle in the balsamic vinegar and stir for 30 seconds.
  • Fill the sausages: Distribute the vegetable mixture evenly over the seared side of the sausages.
  • Top with cheese: Sprinkle the shredded mozzarella cheese liberally over the sausages and vegetables.
  • Bake: Transfer the skillet to a preheated oven at 375°F (190°C) and bake for 10-15 minutes, or until the cheese is melted and bubbly, and the sausages are cooked through.
  • Optional broil: For extra bubbly, browned cheese, turn your oven to broil and cook for 1-2 minutes, keeping a close watch to avoid burning.
  • Add toppings and serve: Garnish with your favorite toppings like fresh basil, tomatoes, or jalapenos for some heat. Serve immediately.


  • Make it your own: Swap in your favorite low-carb vegetables like zucchini, broccoli, or cauliflower.
  • Extra spice: Add a pinch of red pepper flakes with the vegetables for extra heat.
  • For meal prep: Assemble these ahead of time and bake when ready to eat.

Enjoy your delicious, hearty, and low-carb loaded Italian sausages!


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