Chef Janine’s keto Salisbury steak reimagines the classic American comfort dish with grass-fed beef, rich mushroom gravy, and low-carb sides like mashed cauliflower and garlic green beans. Originally developed by Dr. James Salisbury during the Civil War as a therapeutic minced beef dish, Salisbury steak evolved into a beloved TV dinner staple in the 1950s. This hearty keto version honors its rich history while delivering deep flavor and modern low-carb comfort.