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If you love a good Southern appetizer, these Pimento Cheese Sausage Balls need to be on your must-make list.

They combine everything we adore about classic sausage balls—savory, hearty, easy—with the creamy, tangy kick of homemade (or store-bought!) pimento cheese. The result? A perfectly snackable bite that disappears fast at any gathering.

Whether you're prepping appetizers for the holidays, tailgating with friends, or planning a quick party food for your family, this recipe is quick to mix, easy to bake, and completely crowd-pleasing.

I absolutely love Classic sausage balls. When my husband and I were dating, his mom's best friend used to give them to us every year at Christmas. Once she passed away, I made it my mission to learn how to make them. Now, I make them every year myself, and they always get gobbled up pretty quickly.

Why You’ll Love These Pimento Cheese Sausage Balls

• Only 4 simple ingredients
• No mixer required
• Freezer-friendly for make-ahead holiday prepping
• Perfect for parties, brunches, and game day
• A fun twist on the Southern pimento cheese tradition

If you already make your own homemade pimento cheese, this recipe gets even better—but store-bought works beautifully, too!

Ingredients You Need

• 1 lb breakfast sausage (mild or hot)
• 11 oz pimento cheese (homemade or store-bought)
• 1 1/2 cups Bisquick baking mix
• 4 ounces of cream cheese

How to Make Pimento Cheese Sausage Balls

Step 1: Preheat & Prep

Preheat your oven to 350°F. Line a baking sheet with parchment paper to keep the sausage balls from sticking.

Step 2: Mix Everything

In a large bowl, add:

• Sausage
• Pimento cheese
• Bisquick
• Cream Cheese

Use your hands (the easiest way!) to mix until everything is fully incorporated. If touching raw meat is not your thing, you can always use a cookie scoop to scoop your Pimento Cheese sausage balls.

Step 3: Roll Into Balls

Roll mixture into 1-inch balls and place them evenly on the baking sheet.

Step 4: Bake

Bake for 20–25 minutes, or until the sausage balls are golden brown and cooked through.

Serving Suggestions

These are delicious on their own, but even better with:

• Ranch dressing
• Spicy mayo
• Jezebel sauce
• Hot honey drizzle
• Sweet chili sauce

They’re great warm from the oven, but also hold up well at room temperature—perfect for party tables!

How to Store or Freeze

• Refrigerate: Up to 4 days in an airtight container.
• Freeze (unbaked): Roll into balls and freeze on a tray, then store in a freezer bag up to 3 months. Bake straight from frozen—just add 5 minutes.
• Freeze (baked): Cool completely and freeze; reheat at 325°F until warm.

Tips for the Best Sausage Balls

• Use fresh pimento cheese for the best creamy flavor.
• For spicier sausage balls, use hot sausage + jalapeño pimento cheese.
• Don’t overbake—they can dry out.

More Southern Appetizers to Try

• Fried Sweet Cream Cheese Wontons
• Bacon-Wrapped Jalapeño Poppers
• Classic Deviled Eggs
• Green Pepper Jelly over Cream Cheese