Paleo Sausage & Cauliflower "Rice"
Recipe type: Paleo Main Dish
Prep time: 
Cook time: 
Total time: 
Serves: 4
  • 1 head cauliflower, trimmed and cut into florets
  • 2 tablespoons coconut oil
  • ½ cup onion
  • 4-6 tablespoons basil pesto
  • 2 cups baby spinach
  • 12 ounces Italian style chicken sausage, precooked (Trader Joe's has an awesome selection. I used their Sweet Italian Style Chicken Sausage)
  1. Place cauliflower pieces into the work bowl of a food processor (you will probably have to do this in batches). PULSE until cauliflower pieces are about the size of grains of rice. Don't just turn it on and walk away or you'll end up with mush.
  2. In a large skillet, heat the coconut oil over medium-high heat. Add the onions and sauté for 3-4 minutes or until translucent. Add the "riced" cauliflower to the skillet. Stir to combine, then reduce the heat to medium-low, cover, and let it steam/cook for 5-8 minutes or until the cauliflower is tender. I found 6 minutes to be perfect.
  3. Meanwhile, slice the sausage into ½-inch rounds and heat in a separate skillet. When they are heated through and have a bit of color on them, remove from heat and keep warm.
  4. Stir the pesto and the baby spinach into the cauliflower. Cook until heated through and the spinach is wilted. Taste, adding salt and additional pesto if needed.
  5. Add the cooked sausage slices and toss everything together to combine.
  6. *traditional (and likely all store-bought) pesto contains some cheese which isn't paleo. I was ok with this but you can make your own pesto without cheese to avoid this issue.
Recipe by Daily Rebecca at