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This autoimmune paleo breakfast sausage recipe is my answer to the big question – “But what can I have for breakfast?!” – that inevitably comes up when people start an AIP protocol and are wondering what’s left after grains and eggs are off the menu and they discover that most pre-made sausages contain either nightshade seasonings or seed-based spices, or both. While I was on a strict AIP elimination diet that was also low-FODMAP, I started tinkering around with ground pork and various seasonings, eventually coming up with this surprisingly tasty combination of herbs and safe spices. Cinnamon and ginger might sound strange, but they add just a bit of heat and depth of flavor.

Then as I started slowly expanding my diet, I was able to use this sausage as the avenue for that. When I was ready to test some high-FODMAP foods in small quantities, I mixed in a bit of granulated garlic. When I trialed seeds, I mixed in some fennel seeds. And my first experiments with nightshades were adding in a little bit of paprika and later red pepper flakes. The recipe is very flexible and should be thought of as a template. The patties are great on their own, or as shown in the photographs here, make a satisfying breakfast when eaten with fried plantains.


UPDATE: Since I published this post, my friend Eileen Laird of the blog Phoenix Helix has published a fantastic guide to reintroducing foods on the AIP. I encourage you click here and check it out!

**Note that if you are on the Specific Carbohydrate Diet (SCD) or very sensitive to added sugars, you may choose to omit the maple syrup.**

Autoimmune Paleo Breakfast Sausage
Recipe type: Breakfast
Serves: 2-4
Prep time:
Cook time:
Total time:
These breakfast sausages are free of seeds and nightshades, so they are great for people on an autoimmune paleo (AIP) protocol.
  • 1 pound ground pork
  • 1 tablespoon maple syrup (optional)
  • 1 teaspoon dried sage
  • 1 teaspoon dried rosemary
  • ¼ teaspoon cinnamon
  • ¼ teaspoon ginger
  • 1 teaspoon salt
  1. Using your hands, combine all ingredients. For best flavor, let sit in refrigerator overnight before cooking.
  2. Shape into patties and pan fry over medium heat until cooked through and slightly browned (about 3-5 minutes per side).


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Shared on Paleo AIP Recipe Roundtable.

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