Keto Slow Cooker Breakfast Casserole

Prep: 20 minCook: 5 hr8 servingsmediumAmerican
Slow Cooker Breakfast Casserole with Cauliflower Rice

A hearty breakfast casserole that combines savory breakfast sausage, ham, and cheddar cheese with cauliflower rice instead of traditional bread or potatoes. The slow cooker method makes this perfect for meal prep or feeding a crowd without morning fuss. Eggs and cream create a rich, custard-like base that sets beautifully during the long, gentle cooking process. The addition of red pepper and garlic adds depth while red pepper flakes provide a subtle kick.

Ingredients

8 servings
  • 12 ounces cauliflower rice, fresh or frozen
  • 8 ounces breakfast sausage links, cooked and sliced
    turkey sausage1:1lighter

    reduces fat and calories

  • 6 ounces shredded Cheddar cheese, divided
    Swiss or Gruyere1:1flavordairy-free

    different flavor profile

    Full guide →
  • 4 ounces ham, chopped
  • 1 small red pepper, chopped
  • 10 large eggs
  • ½ cup whipping cream
    half and half1:1lighter

    slightly less rich but still creamy

    Full guide →
  • 3 cloves garlic, minced
  • 1 tsp salt
  • 1 tsp pepper
  • ½ tsp red pepper flakes
  • 1 medium green onion, thinly sliced

Instructions

  1. 1

    Grease the ceramic interior of a slow cooker well

  2. 2

    Mix together cauliflower rice, sausage, cheese, ham, and red pepper in the bottom of the slow cooker

  3. 3

    Whisk eggs, whipping cream, garlic, salt, pepper and red pepper flakes until well combined

  4. 4

    Pour egg mixture over the cauliflower rice mixture

  5. 5

    Top with remaining cheese

  6. 6

    Cover and cook on low until lightly browned around the edges and set in the middle

  7. 7

    Let cool before cutting into pieces and serving

Tips

Tip 1

Cook sausage links ahead of time and slice when cool for easier handling and better distribution throughout the casserole.

Tip 2

Use fresh cauliflower rice for better texture, but frozen works well if thawed and drained of excess moisture first.

Good to Know

Storage

Refrigerate leftovers for up to 4 days in covered container. Reheat individual portions in microwave.

Make Ahead

Assemble completely the night before, cover and refrigerate. Add 30-60 minutes to cooking time if starting cold.

Serve With

Cut into squares and serve hot. Pairs well with fresh fruit or toast.

See pairing guide →

Common Mistakes

Watch

Don't skip greasing the slow cooker well to prevent sticking and ensure easy removal.

Watch

Avoid lifting the lid during cooking to prevent heat loss and uneven cooking.

Substitutions

Dairy-Free Swaps

cheddar cheese
Swiss or Gruyere1:1flavordairy-free

different flavor profile

Full guide →

General Alternatives

breakfast sausage
turkey sausage1:1lighter

reduces fat and calories

whipping cream
half and half1:1lighter

slightly less rich but still creamy

Full guide →
Find more substitutions →

FAQ

Can I make this with regular rice instead of cauliflower rice?

Yes, but use cooked rice and reduce the liquid slightly as regular rice absorbs less moisture than cauliflower rice during cooking.

How do I know when the casserole is fully set?

The edges should be lightly browned and the center should be firm to touch, not jiggly. A knife inserted in center should come out clean.

Can I freeze portions of this casserole?

Yes, freeze individual portions for up to 3 months. Thaw overnight in refrigerator and reheat in microwave or oven until heated through.