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Creamy Tomato Salmon Keto - Rich, Comforting, and Low-Carb

Prep Time10 minutes
Cook Time20 minutes
Total Time30 minutes
Servings: 4 servings

Ingredients

  • 4 salmon fillets (about 5–6 oz each), skin-on or skinless
  • 1 tablespoon olive oil or avocado oil
  • 2 tablespoons butter
  • 3–4 cloves garlic, minced
  • 1/2 small onion or 1 shallot, finely chopped
  • 1/2 cup canned crushed tomatoes (unsweetened)
  • 1/3 cup chicken or vegetable broth (low sodium)
  • 3/4 cup heavy cream
  • 1/3 cup grated Parmesan cheese
  • 1–2 cups baby spinach (or chopped kale)
  • 1 teaspoon Italian seasoning (or a mix of dried basil and oregano)
  • 1/4–1/2 teaspoon red pepper flakes (optional, for heat)
  • Juice of 1/2 lemon (plus extra wedges for serving)
  • Fresh basil or parsley, chopped (for garnish)
  • Salt and black pepper, to taste

Instructions

  • Pat the salmon dry and season well. Sprinkle both sides with salt and pepper. Drying the surface helps you get a good sear.
  • Sear the salmon. Heat the olive oil in a large skillet over medium-high. Add salmon, skin-side down if using skin-on, and cook 3–4 minutes. Flip and cook another 2–3 minutes until mostly cooked through. Transfer to a plate; it will finish in the sauce.
  • Sauté the aromatics. Reduce heat to medium. Add butter, then the onion and a pinch of salt. Cook 2–3 minutes until softened. Stir in garlic for 30 seconds until fragrant.
  • Build the sauce base. Pour in crushed tomatoes and broth. Scrape up any browned bits for extra flavor. Simmer 2–3 minutes to reduce slightly.
  • Add cream and cheese. Stir in heavy cream, Parmesan, Italian seasoning, and red pepper flakes if using. Simmer gently 2–3 minutes, stirring, until the sauce thickens and looks glossy.
  • Add greens. Stir in spinach and cook until just wilted, about 1 minute. Season with salt and pepper to taste.
  • Return the salmon. Nestle the fillets into the sauce. Spoon sauce over the tops and simmer on low for 1–2 minutes, or until the salmon flakes easily with a fork.
  • Finish with lemon and herbs. Squeeze in lemon juice to brighten, taste and adjust seasoning, then garnish with basil or parsley.
  • Serve. Pair with cauliflower rice, zucchini noodles, roasted asparagus, or a simple side salad.