Heat a large skillet over medium heat.
Add breakfast sausage to the skillet.
Cook for about 5–6 minutes, breaking the sausage apart until browned.
Reduce heat to medium-low.
Add cream cheese cubes to the skillet.
Stir until the cream cheese begins melting into the sausage.
Pour in heavy cream and chicken broth.
Stir everything together until the sauce becomes smooth.
Simmer the mixture for about 4–6 minutes until the gravy thickens.
Add salt and black pepper.
Stir well to combine the seasoning.
Remove from heat once the gravy reaches desired thickness.
Serve warm over keto biscuits, eggs, or low-carb toast.