
This creamy Rotel cream cheese sausage balls recipe transforms simple ingredients into an irresistible appetizer that disappears within minutes at every gathering. The combination of spicy sausage, tangy cream cheese, and zesty Rotel creates bite-sized morsels of flavor that keep everyone coming back for more.
I first made these sausage balls for a last-minute Super Bowl party when I needed something quick and impressive. After watching them vanish within minutes and fielding requests for the recipe, they've become my signature party contribution that friends now expect at every gathering.
Ingredients
- 1 pound uncooked sausage: Provides the foundation of flavor. Choose regular or hot depending on your preferred spice level.
- 8 ounces cream cheese: Softened to room temperature ensures a creamy texture and helps bind everything together.
- 10 ounces Rotel diced tomatoes and green chilies: Thoroughly drained adds the perfect kick of flavor. The draining step is crucial.
- 1.5 cups Bisquick mix: Creates that perfect biscuity texture without needing to make dough from scratch.
- 2 cups shredded Mexican cheese blend: Melts beautifully and adds rich flavor. Freshly shredded cheese works better than pre-shredded.
Step-by-Step Instructions
- Preheat Oven:
- Set your oven to 400°F before you start mixing ingredients. A properly preheated oven ensures even cooking and that perfect golden crust on the bottom of your sausage balls.
- Create the Mixture:
- Combine all ingredients in a large mixing bowl. The cream cheese must be truly room temperature to blend properly. I recommend using clean hands to mix everything thoroughly as the mixture is quite thick and resistant to spoons. Work it until no streaks of cream cheese remain and everything is evenly distributed.
- Form the Balls:
- Scoop approximately 1 tablespoon of mixture and roll between your palms to form 1-inch balls. Keep the size consistent for even cooking. If the mixture sticks to your hands, lightly dampen them with cold water. This recipe typically yields about 40-45 balls.
- Bake to Perfection:
- Arrange the balls on a parchment-lined baking sheet with about an inch of space between each. Bake for 18-20 minutes until the bottoms turn golden brown and the tops begin to show a slight golden color. Let them rest on the baking sheet for 5 minutes before serving to allow the cheese to set slightly.

The Rotel tomatoes are truly the secret weapon in this recipe. After years of making traditional sausage balls, adding this one ingredient transformed them from good to absolutely addictive. My mother-in-law, who guarded her original recipe for decades, now exclusively makes this version after trying mine at a family reunion.
Perfect Pairings
These sausage balls are wonderfully versatile when it comes to serving. For casual gatherings, they're perfect on their own. For more formal occasions, I like to serve them with a side of ranch dressing or a honey mustard dip that complements their savory profile. They also pair beautifully with a crisp green salad to create a light meal. When serving as an appetizer, I calculate about 4-5 balls per person, but honestly, they're so addictive that making extra is always wise.
Storage Solutions
After cooling completely, store leftover sausage balls in an airtight container in the refrigerator for up to 3 days. To reheat, place them in a 350°F oven for about 10 minutes until warmed through. Microwaving works in a pinch but can make them slightly tough. For longer storage, freeze fully cooled sausage balls in a single layer on a baking sheet, then transfer to a freezer bag once solid. They keep beautifully for up to 3 months. Thaw in the refrigerator overnight before reheating for best results.

Variation Ideas
The beauty of this recipe lies in its adaptability. Try substituting Italian sausage and adding a teaspoon of Italian seasoning for Mediterranean-inspired bites. For a breakfast version, use maple breakfast sausage and add a half cup of finely chopped apple. Vegetarians can enjoy them too by using plant-based sausage alternatives, though you may need to add a tablespoon of olive oil to compensate for the lower fat content. For extra spice lovers, mix in a quarter teaspoon of cayenne pepper or use the hot version of Rotel tomatoes.
The History Behind the Bites
Sausage balls have long been a Southern staple, dating back to when Bisquick first hit market shelves in the 1930s. My grandmother used to make a basic version with just sausage, Bisquick, and cheddar cheese. This evolved version with Rotel and cream cheese represents the modern twist that many Southern cooks have embraced, adding creaminess and complexity to this classic appetizer. They've become standard fare at everything from holiday gatherings to football watch parties across the American South, and now they're gaining popularity nationwide.
Frequently Asked Questions
- → How do you prevent sausage balls from being too dry?
Ensuring the sausage is fully uncooked and mixing it thoroughly with softened cream cheese and Rotel will help retain moisture.
- → Can I prepare the sausage balls in advance?
Yes, you can shape the balls ahead of time and refrigerate them until ready to bake. This makes them convenient for meal prep.
- → What can I use instead of Bisquick mix?
You can substitute Bisquick with a homemade mix of flour, baking powder, and a pinch of salt or use another suitable baking mix.
- → Can I freeze leftover sausage balls?
Absolutely! Cooked sausage balls freeze well and can be reheated in the oven for a quick snack or appetizer.
- → What is the best way to serve sausage balls?
Sausage balls are versatile and can be served alone, with dipping sauces like ranch or marinara, or as part of a larger appetizer spread.