This sauce is a low histamine version of classic béchamel—without any aged cheese or irritants. It’s quick to make and incredibly versatile. The result is a silky, dairy-rich sauce that coats pasta or rice beautifully. Easily adjustable and freezer-friendly too.
Ingredients Needed:
- 2 tbsp unsalted butter: Fresh, soft texture base.
- 2 tbsp all-purpose flour: Thickens the sauce.
- 2 cups heavy cream (fresh): Smooth, creamy, and low histamine if fresh.
- Salt to taste: Optional and adjustable.
- White pepper or no pepper (optional): Only if tolerated.
- (Optional) ½–1 cup mild ricotta or cream cheese: Adds richness without aged ingredients.
How To Make Low Histamine Cream Sauce:
Make a Roux:
Melt butter in a medium saucepan over medium heat. Add flour and stir constantly to form a smooth paste.
Add Cream Gradually:
Pour in 1 cup of heavy cream while stirring with a whisk. Stir until thickened—about 1 minute. Add remaining cream and continue stirring.
Simmer Until Thick:
Cook for 3–5 minutes, stirring frequently, until sauce thickens to desired consistency.
(Optional) Add Cheese:
If using, stir in ricotta or mild cream cheese until melted and smooth.

Recipe Tips:
- Always use fresh cream, not shelf-stable cartons.
- Avoid black pepper unless tolerated—use white pepper instead.
- Blend in mild ricotta for added richness without aged flavor.
- Stir constantly to prevent lumps or burning.
How to Store & Reheat:
- Room Temperature: Use within 1 hour.
- Fridge: Store in sealed container up to 3 days.
- Freezer: Freeze in small containers up to 1 month. Reheat gently and whisk to smooth.
Nutrition Facts (approx. per 2 tbsp serving):
- Calories: 95
- Sodium: 25mg
- Protein: 0.5g
- Fat: 10g
- Carbs: 1g
- Fibre: 0g
- Sugar: 0.5g
FAQs:
Is heavy cream low histamine?
Yes, fresh heavy cream is typically well tolerated in a low histamine diet.
Can I add cheese to a cream sauce on a low histamine diet?
Yes, but only use fresh, mild cheeses like ricotta or cream cheese—avoid aged cheeses.
How do I make it gluten-free?
Use gluten-free flour or cornstarch instead of all-purpose flour.
Can I freeze this cream sauce?
Yes, but it may separate slightly. Reheat gently and whisk to restore texture.
What can I serve this with?
Great over gluten-free pasta, chicken, rice, or steamed vegetables.
Try More Recipes:
Low Histamine Cream Sauce
Course: SauceCuisine: AmericanDifficulty: Easy16
servings5
minutes5
minutes95
kcalThis creamy white sauce is smooth, gentle, and versatile—made without any aged ingredients for a low histamine-friendly base.
Ingredients
2 tbsp unsalted butter
2 tbsp all-purpose flour
2 cups fresh heavy cream
Salt to taste
White pepper (optional)
(Optional) ½–1 cup ricotta or cream cheese
Directions
- Melt butter in saucepan over medium heat.
- Add flour and stir into a smooth paste.
- Slowly whisk in 1 cup of cream. Once thickened, add the rest.
- Stir 3–5 minutes until creamy and thick.
- Optional: Add cheese and stir until smooth. Serve warm.
