It was 5:47 AM in a back-of-house kitchen in Nashville when I first plated a sausage gravy breakfast pizza for a hungover band that had just finished a set four hours prior. They didn’t speak—just nodded, wide-eyed, as the first bite hit their mouths. By the time the second slice disappeared, one of ’em just muttered, “This is… illegal.” And honestly? It kinda should be.
Sausage gravy breakfast pizza is not just food. It’s a southern diner, an Italian pizzeria, and your grandma’s Sunday morning sausage skillet all got together and decided to break the rules. It’s the best parts of breakfast—gravy, eggs, cheese, biscuits—mashed onto a pizza crust that crackles when you bite into it. It’s indulgent. It’s comforting. And if you do it right, it can be dead-elegant.
What sets this apart? We’re replacing traditional red sauce with silky, peppery sausage gravy. That’s already game-changing. But the secret’s in the balance. You can’t just slap things on and call it breakfast pizza. You need contrast—richness and salt, fat and crunch, creamy and tangy. Let’s break it all down like pros.
Ingredients & Substitutions
Here’s what you’ll need. Listed in the order you’re gonna use ’em. Don’t skip the order—it makes mise en place a lot less chaotic.
For the Dough (or buy pre-made if ya gotta):
- 3 ½ cups all-purpose flour (high-protein bread flour makes it chewier, more pizza-shop-style)
- 1 packet (2 ¼ tsp) active dry yeast
- 1 ¼ cups warm water (not bathwater warm—think baby bottle warm, about 105°F)
- 1 tsp sugar
- 1 ½ tsp kosher salt
- 1 tbsp olive oil
Substitutions:
Use gluten-free flour blend (with xanthan gum) for celiacs. Or, if you’re on a time crunch? A quality store-bought dough (Trader Joe’s or Central Market) works better than rushing a bad scratch dough.
For the Sausage Gravy:
- 1 lb breakfast sausage (bulk, not links. Hot or mild—your call)
- 4 tbsp unsalted butter
- 1/3 cup all-purpose flour
- 3 cups whole milk (2% works too, but don’t go skim—c’mon)
- 1 tsp cracked black pepper
- Salt to taste (sausage varies wildly here)
Substitutions:
Chicken sausage if you’re going lean. Coconut milk for dairy-free (but adjust seasoning—it changes flavor profile). Use oat milk at your own peril—can turn weirdly sweet.
Toppings:
- 4 large eggs
- 1 ½ cups shredded mozzarella
- ½ cup sharp cheddar
- 1 tbsp chopped chives (optional, but don’t skip if you’re fancying it up)
- Red chili flakes (if you’re into a little chaos)
Step-by-Step Instructions

Step 1: Prep the Dough
If making dough from scratch, bloom your yeast in warm water with sugar. Let it foam—if it doesn’t after 10 min, your yeast is dead. Trash it. Mix flour and salt, add yeast mixture and olive oil. Knead 8-10 min ‘til smooth. Let it rise 1-2 hrs, until doubled.
Expert tip: Stickier is better than dry. Dry dough = tough crust. Lightly oil your bowl and cover it with a damp towel or plastic wrap.
Step 2: Make the Sausage Gravy
Brown sausage in a heavy pan over medium-high heat. Break it up—you want craggly bits. Once browned, add butter. When melted, sprinkle in flour evenly. Stir like your life depends on it for about 1–2 min to cook out the raw flour.
Now, slowly pour in milk, whisking constantly. It’ll clump, then smooth out. Add pepper and simmer ‘til thick but pourable. Taste. Adjust seasoning. Should coat the back of a spoon.
Common mistake: Gravy too thick? Add milk. Too thin? Simmer longer. Don’t add more flour—it’ll get gummy.
Step 3: Assemble the Pizza
Preheat oven to 500°F (or as high as your oven goes). Place a pizza stone or steel in there if you’ve got one. Let it heat for at least 30 min.
Roll out dough on a floured surface. Transfer to parchment for easy sliding. Spread a generous layer of sausage gravy over the dough, leaving a ½ inch border.
Top with cheeses—mozzarella for melt, cheddar for punch. Crack eggs directly on top—carefully. Season them. A pinch of salt, a twist of pepper.
Optional: Add sliced jalapeños, caramelized onions, or even hash brown bits for texture play.
Step 4: Bake
Slide the pizza (on the parchment) onto your stone. Bake 10–13 minutes until edges are golden, cheese is bubbling, and eggs are just-set. Runny yolks? Pull earlier. Firm yolks? Let it go longer.
Pro tip: If yolks overcook, crack eggs halfway through bake next time.
Cooking Techniques & Science

There’s a reason sausage gravy hits so hard. It’s an emulsion—fat from sausage and butter suspending flour and milk in silky harmony. Heat thickens it, but agitation keeps it smooth. Skip the constant whisking, and you get lumps that feel like drywall dust in your mouth. No thanks.
Why pizza stone or steel? Even heat. Your home oven isn’t a 900°F wood-fired dragon, so mimic it with a preheated surface. It chars the crust, gives you that crisp underside. Baking sheet pizza? It’s fine. But you’ll never get that “pizzeria crunch.”
Eggs on pizza might sound gimmicky. But they add a richness that cuts through the salty sausage and cheese. It’s yolk as sauce. When you bite through a jammy yolk, sharp cheddar, and pepper gravy? It’s almost unfair.
Serving & Pairing Suggestions
Presentation matters—don’t just hack at it like it owes you money.
Let it rest 3–5 min before slicing. Garnish with chives and a whisper of chili flakes. Maybe a drizzle of hot honey if you’re bold. Serve on a wooden board with a serrated knife.
Pair with:

- Coffee: Dark roast, black. Sweet pizza needs bitter balance.
- Cocktail: Bloody Mary with extra horseradish or a bourbon milk punch for brunch vibes.
- Side: Arugula salad with lemon vinaigrette. You need something to argue with all that richness.
Conclusion
Sausage gravy breakfast pizza is southern comfort with a Neapolitan twist. It’s a dish that understands indulgence without apology. When done right, it’s crispy, creamy, peppery, and just a little over-the-top—in the best way.
Use good sausage. Don’t rush the dough. Watch those eggs like a hawk. And above all—taste as you go. Trust your instincts. You’re not just making breakfast—you’re making a memory.
FAQs
1. Can I make this ahead of time?
You can make the dough and gravy a day ahead. Just reheat the gravy gently with a splash of milk and keep dough covered in the fridge.
2. Can I make this without eggs?
Absolutely. It’s still great. Sub in sautéed mushrooms or roasted cherry tomatoes for richness and umami.
3. Can I freeze leftovers?
Technically yes, but the eggs suffer in texture. If freezing, undercook yolks slightly so reheating doesn’t rubberize them.
4. What if I don’t have a pizza stone?
Use an upside-down baking sheet preheated in the oven. Not perfect, but better than cold metal.
5. Can I make this vegetarian?
Yes! Use plant-based sausage (like Beyond or Impossible), and swap in butter + plant milk for the gravy. Still decadent. Still delicious.

Food lover, recipe creator & the heart behind NoshCrafters.com. Olivia shares mouthwatering, easy-to-make dishes that turn everyday meals into unforgettable bites. When she’s not experimenting in the kitchen, she’s busy plating up inspiration for home cooks everywhere.