Cook sausage in a large skillet, breaking up with a spoon. When it is fully cooked, leave the fat in the pan and add the poultry seasoning, black pepper, and red pepper flakes (if using).
Blend the Keto Chow with the warm water and slowly add to the sausage in the pan.
Stir and gently scrape some of the cooked bits of sausage deliciousness off the bottom of the pan.
Mix in the heavy cream and warm through.
Taste and adjust seasoning according to personal preference.
Serve over keto biscuits or with a cheese and onion omelet.