To keep this dish strictly keto, avoid using flour, cornstarch, or any thickening starch, and rely on gentle reduction plus Parmesan to thicken the sauce. Mushrooms release moisture as they cook, so allowing them to brown undisturbed at first is key to deep flavor and avoiding a watery skillet. For a richer sauce, you can replace the broth with additional heavy cream, while for a lighter texture you can thin with a splash of extra broth. Choose a sugar-free sausage and low-sodium broth to keep carbs and sodium in check. This skillet reheats well on the stove over low heat with a small splash of cream or broth to loosen the sauce. Store leftovers in an airtight container in the refrigerator for up to 3 days, and note that freezing is possible but may slightly change mushroom texture. Each serving is naturally low in carbs and high in satisfying fats, making it ideal for busy weeknights or as a side to grilled meats.