If your keto sausage gravy does not thicken, check what flour you are using. You want finer flour to ensure that the gravy thickens correctly. Flours like almond meal won’t help your gravy thicken and should be avoided where possible.  Make sure that you are also using full-fat cream. This will thicken on its own, without the need to add any almond flour. Adding the flour should help to give the gravy more texture and body, without relying on it to thicken the entire gravy.  If you are worried about your gravy not thickening, add the water slowly. Pour the water in small amounts, this allows you to control the thickness of the gravy and helps you decide how much you need. Once you have reached your desired thickness you don’t need to add more water, even if some is left in your jug!