Sausage gravy is a popular breakfast item throughout the Southern parts of the United States of America. It consists of sausage drippings, flour, milk, salt, and pepper. Cooked sausage is added to the combination, sometimes along with some more seasonings such as cayenne pepper.

It is a key part of a traditional dish known as biscuits and gravy, often accompanied by bacon, fried eggs, or sliced tomatoes.