Add sausage to skillet, breaking it up with a fork or hamburger masher. Brown the sausage meat over medium heat until it is no longer pink.
Sprinkle 1/3 cup of all-purpose flour evenly over the top of browned sausage. Stir to mix flour and sausage together. Cook for 1 minute.
Slowly add milk, a little at a time, stirring constantly. Add Worcestershire sauce, and continue stirring until sausage gravy is thick and creamy. If milk gravy gets too thick, add up to 1/2 cup of milk a little at a time. Salt and pepper to taste.
Pour gravy into a serving dish, and serve over hot biscuits, bread, rice, or pasta. Spoon on a generous helping of sausage gravy so that the biscuit, bread, rice, or pasta is evenly covered. Serve warm.
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Notes
Ingredient Notes:
Turkey Sausage Gravy - Substitute ground turkey or turkey sausage for the pork sausage. Add 1 teaspoon of fennel seed and 1 teaspoon of sage to give it that traditional sausage taste.
Hamburger Gravy - Substitute ground beef for the pork sausage. Add 1 tsp fennel seed and 1 teaspoon of sage, and a little beef bouillon for flavor.
Recipe Variations:
For richer flavor: Try using half-and-half or heavy cream instead of milk.
Make it spicy: Add some cayenne pepper, red pepper flakes, or hot sauce to taste.
For a veggie gravy: Omit the sausage and sauté chopped mushrooms, onions, and garlic in the pan before adding the flour. You can also add some chopped spinach or kale for extra greens.
Make it gluten-free: Use a gluten-free all-purpose flour blend instead of regular wheat flour.
Storing Instructions:
Leftover gravy can be stored in an airtight container in the fridge for up to three days.
Reheat in a pan over low heat, occasionally stirring until warm. You may need to add a little water or milk to thin it out as it reheats.
Make Ahead Instructions:
They are perfect for breakfast, lunch, or dinner. And they can be made ahead of time and reheated for a quick and easy meal.