Diabetic-Friendly Salisbury Steak with Onion Gravy
Serves: 4
Net carbs: ~6–8 g per serving (depending on gravy thickener)
Ingredients
Steaks
- 500 g lean ground beef (90–95% lean works best)
- ½ cup low-carb breadcrumbs or almond flour
(or crushed pork rinds for zero carbs) - 1 large egg
- 1 teaspoon Worcestershire sauce (no-sugar added if possible)
- 1 teaspoon garlic powder
- ½ teaspoon onion powder
- ½ teaspoon salt
- ½ teaspoon black pepper
- 1 tablespoon olive oil (for cooking)
Onion Gravy
- 1 medium onion, thinly sliced
- 2 cups low-sodium beef broth
- 1 teaspoon Worcestershire sauce
- ½ teaspoon garlic powder
- ½ teaspoon black pepper
- ½ teaspoon dried thyme (optional but great)
- 1 teaspoon cornstarch + 2 tablespoons water
OR ½ teaspoon xanthan gum for ultra-low carb - Salt to taste
Instructions
1. Make the Steaks
- In a large bowl, mix ground beef, breadcrumbs (or substitute), egg, Worcestershire sauce, garlic powder, onion powder, salt, and pepper.
- Gently combine — don’t overmix.
- Shape into 4 oval patties.
2. Cook the Steaks
- Heat olive oil in a large skillet over medium heat.
- Cook patties for 4–5 minutes per side until browned.
- Remove from pan and set aside (they’ll finish cooking in the gravy).
3. Make the Onion Gravy
- In the same skillet, add sliced onions.
- Cook over medium-low heat for 8–10 minutes until soft and golden.
- Pour in beef broth, Worcestershire sauce, garlic powder, pepper, and thyme.
- Simmer for 3–5 minutes.
4. Thicken & Finish
- Cornstarch option: Stir slurry in slowly and simmer until thickened.
- Xanthan gum option: Sprinkle very lightly while whisking constantly.
- Return steaks to the skillet.
- Spoon gravy over them, cover, and simmer 10 minutes until fully cooked.
Diabetic Tips
✔ No added sugar
✔ High protein = better glucose control
✔ Swap breadcrumbs for almond flour or pork rinds for lower carbs
✔ Serve with:
- Mashed cauliflower
- Steamed green beans
- Roasted zucchini
- Simple side salad
