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+ servings
Two bowls of Keto mac and cheese with cauliflower

Keto Mac and Cheese

In the mood for some cheesy comfort food that’s still healthy and low in carbs? You have to try this creamy, delicious, easy keto mac and cheese with cauliflower!
Course Main Course, Side Dish
Cuisine American
Diet Diabetic, Gluten Free
Keyword gluten-free, keto, keto mac and cheese
Prep Time 15 minutes
Cook Time 25 minutes
Total Time 40 minutes
Servings 4
Calories 606kcal


  • 1 large head of cauliflower (cut into florets)
  • ½ cup heavy cream
  • 4 ounces cream cheese
  • 2 tablespoons butter
  • 1 teaspoon garlic powder
  • ½ teaspoon fresh black pepper
  • 2 cups shredded cheddar cheese (divided)
  • 1 cup Romano cheese (grated)
  • ¼ cup fresh parsley (optional)


  • Preheat the oven to 400°F.
  • Add the cauliflower to a large pot and fill to 1 inch with water.
  • Bring to a boil, cover, and allow to simmer until the cauliflower is tender but still firm, about 10-15 minutes.
  • Drain the cauliflower and transfer to an 8×8 baking dish.
  • Return the pot to the stovetop and set to medium heat. Add the heavy cream, cream cheese, butter, garlic powder, and pepper. Stir until smooth.
  • Add in half the cheddar cheese and all the Romano cheese.
  • Stir until the cheese is melted and the sauce is thick.
  • Pour the sauce over the cauliflower florets in the baking dish.
  • Stir, mashing gently, until the cheese and cauliflower is mixed.
  • Spread the remaining cheddar cheese on top.
  • Bake for 25 minutes or until the cheese is bubbly on top.
  • Garnish with parsley if desired and serve warm.


This recipe is for 4 servings of mac and cheese.
Leftovers can be stored in an airtight container in the refrigerator for 2-3 days.
To reheat, bake at 350°F until heated through.


Serving: 1serving | Calories: 606kcal | Carbohydrates: 11.6g | Protein: 19.7g | Fat: 49.9g | Saturated Fat: 25.2g | Polyunsaturated Fat: 1.4g | Monounsaturated Fat: 8.7g | Trans Fat: 0.6g | Cholesterol: 134mg | Sodium: 913.5mg | Potassium: 566.1mg | Fiber: 3.1g | Sugar: 4.2g | Net carbs: 8.5g