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Gather the ingredients. The Spruce Cook the breakfast sausage in a medium skillet over medium-low heat, stirring and breaking up with a spatula. The Spruce With a slotted spoon, removed the browned crumbled sausage to a paper towel-lined plate. The Spruce Add the shortening or lard to the drippings in the skillet. Add the flour, stirring until blended and bubbling. Continue to cook, stirring, for 2 minutes. The Spruce Gradually add 1 1/2 cups milk; continue stirring and cooking until thickened and bubbly. The Spruce Add the crumbled sausage. If too thick, add a little more milk. The Spruce Taste and add salt and pepper. The Spruce Stir in a dash of cayenne pepper, if desired. The Spruce Serve over the hot split and buttered biscuits or as part of another dish. The Spruce Enjoy!
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