Low Carb Keto Italian Braciole (Stuffed Beef Rolls)

This keto Italian Braciole recipe is perfect Italian food for a special occasion holiday! It’s essentially a stuffed flank steak with Sicilian flavors and easier to make than you think!

Sicilian Beef Braciole: My Family’s Stuffed Flank Steak Roll (Without the Egg!)

There are some Italian recipes that go beyond the plate—they’re memories wrapped in flavor. For me, beef braciola- braciole, if you’re from southern Italy is exactly that.

A traditional Italian stuffed beef roll, this recipe takes me right back to my nonna’s kitchen, where the smells of garlic, red wine, and rich tomato sauce simmered all day while she lovingly tied each big roll with butcher’s twine.

And while her version always included eggs tucked into the meat, I’ll be honest—I left them out this time. Why? 

Convenience. Life’s busy, and my dad (who’s been asking me to make this for years!) was more than thrilled with this simplified version that still packed all the Sicilian flavor we know and love.

What is Beef Braciole?

Braciole, also known as beef roll ups or flank steak rolls, are thin slices of meat rolled around a savory filling—usually breadcrumbs, cheese, herbs, and sometimes pine nuts or raisins.

They’re browned to get those delicious brown bits on the bottom of the pan, then simmered low and slow in marinara sauce or crushed tomatoes until fork-tender.

Think of it as the jelly roll of the meat world.

Carbs in our Keto Braciole

Our Italian stuffed beef rolls have just 6 grams net carbs and 7 grams total carbs, but mostly that is coming from the low carb marinara sauce so if you remove that, it’s just 1 gram of total carbs. 

All nutritional data is at the bottom of this page on the printable recipe card. 

Ingredients That Make It Sicilian

• Thinly sliced flank steak (¼ inch thick or pounded with a meat mallet)
• Fresh garlic cloves
• Italian bread crumbs (or pork rind panko for a keto diet version)
• Grated pecorino romano or parmesan cheese,  
• Provolone cheese and Prosciutto
• Chopped fresh parsley
• A drizzle of olive oil
• Splash of red wine or white wine
• Optional: pine nuts, red pepper flakes, fresh basil

Let’s Make It (Inspired by TikTok and Nonna!)

Lately, I’ve been seeing all kinds of braciole recipes trending on TikTok – make no mistake, this one keeps it old school.

Lay out your steak between two pieces of plastic wrap or parchment paper and pound to ¼ inch with a meat mallet.

In a medium bowl, mix pork rinds, cheese, parsley, salt, black pepper, olive oil and minced garlic.

Spread the filling onto the steak, add prosciutto and provolone then roll it tight like a jelly roll, and tie with butcher’s twine.

Brown in a large cast iron skillet or Dutch oven over medium-high heat until all sides have those irresistible brown bits.

Deglaze with white wine or red wine, scraping the bottom of the pan with a wooden spoon.

Add your low carb marinara sauce or crushed tomatoes, cover, and simmer on medium heat for about 1.5 hours—or toss it into the slow cooker for the day.

Serving & Storing Tips

This is a second course dish in true Italian style, often served after pasta.

The next day? Even better. Store leftovers in an airtight container in the fridge. You’ll thank yourself.

Keto? Serve it over egg white noodles or palmini noodles instead of pasta.

Add some Italian sausage for a meat-lover’s Sunday sauce that hits every note.

Braciole Recipe Tips & Tools

Check the recipe card below for exact measurements, total time, and net carbs.

Want more easy dinner ideas? Browse my Recipe Index.

This post may contain affiliate links—thanks for supporting my work as a recipe developer!

 Braciole Variations I Love

• Add shredded mozzarella cheese inside for a gooey center.
• I use pecorino cheese for a sharper, saltier bite, but feel free to use Parmesan.
• Want to get creative? Try a version with Mexican recipes–inspired spices, or even fold this concept into Spanish recipes or Indian recipes. (Okay, maybe not Nonna-approved—but fun!)

Serve With:

A glass of red wine. Fresh fresh basil on top. A little extra low carb marinara sauce and a sprinkle of grated Parmigiano Reggiano with a perfectly delightful fresh salad!

What About Red Wine and Histamine Sensitivity?

Now, let’s talk about something a few of you have written to me about: red wine and histamine reactions.

While a splash of red is a classic addition to any good braciole recipe—and a perfect pairing at the table—it’s worth mentioning that some people experience headaches, flushing, or even digestive issues after consuming traditional red wine.

That’s often due to histamines and added sulfites, which can be problematic if your body doesn’t break them down efficiently (a condition known as histamine intolerance which I have).

But don’t worry—I’ve got you.

If you love the idea of wine but not the after-effects, I highly recommend Dry Farm Wines, a company I personally trust. 

Their wines are:

• Lab-tested for purity
• Low in histamines and sulfites
• Sugar-free and keto-friendly
• Made from organic, biodynamic grapes
• Imported from small family farms in Europe

So if you’re trying to stay on your keto diet, or just feel better after a glass of wine, this is a great alternative that lets you enjoy that beautiful pairing without the downside. I’m ordering a monthly subscription for my Dad for Father’s day!

Low Carb Keto Italian Braciole (Stuffed Beef Rolls)