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McDonald’s • Keto & Low-Carb Guide • Updated June 2026

Keto Options at McDonald’s

Quick Answer: McDonald’s has 8 keto options. The lowest-carb option at McDonald’s is the Americano (Medium) with 0g carbs (0 cal). Top pick overall: the Side Salad (15 cal, 1g protein, Nom Score A).

8Keto Options
155Total Analyzed
ABest Grade
Top rated

Top Keto Picks at McDonald’s

1
A
Side Salad
Cal
15
Prot
1g
Sod
15
Sug
1g
2
A
Premium Roast Coffee (Medium)
Cal
0
Prot
2g
Sod
20
Sug
0g
View full ingredients
Premium Roast Coffee: 100% Arabica Coffee.
3
B
Scrambled Eggs (2)
Cal
140
Prot
13g
Sod
120
Sug
0g
Contains: Egg
View full ingredients
Ingredients: Eggs, Citric Acid. Contains: Egg., Clarified Butter Ingredients: Pasteurized Cream (butterfat).
Item
Grade
Cal
Protein
Carbs
Sodium
1
Side SaladNom’s Top Pick
Great sodium & sat fat. Light on protein.
A
15
1g
3g
15mg
2
Premium Roast Coffee (Medium)
Great sodium & sat fat. Light on fiber.
Premium Roast Coffee: 100% Arabica Coffee.
A
0
2g
1g
20mg
3
Scrambled Eggs (2)
Great sodium & sugar. Watch the sat fat. Light on fiber. · Contains: Egg
Contains: Egg
Ingredients: Eggs, Citric Acid. Contains: Egg., Clarified Butter Ingredients: Pasteurized Cream (butterfat).
B
140
13g
1g
120mg
4
Apple Slices
Low on nutrients. Great sodium & sat fat. Watch the sugar. Light on fiber & protein.
Apple Slices: Apples, Calcium Ascorbate (a blend of Calcium and Vitamin C to maintain freshness and color).
B
15
0g
4g
0mg
5
Americano (Medium)
Low on nutrients. Great sodium & sat fat. Light on fiber & protein.
Espresso: Espresso.
B
0
0g
0g
0mg
6
Coffee Cream Portion Cup
Low on nutrients. Great sodium & sugar. Light on fiber & protein. · Contains: Milk
Contains: Milk
Ingredients: Skim Milk, Sodium Phosphate, Sodium Polyphosphate, Datem, Tetra Sodium Pyrophosphate, Sodium Citrate, Carrageenan.
B
20
0g
1g
10mg
7
Cappuccino (Medium)
Great sodium & portion. Watch the sat fat & sugar. Light on fiber. · Contains: Milk
Contains: Milk
Espresso: Espresso.. Whole Milk: Milk, Vitamin D3 Added. CONTAINS: MILK.
C
110
6g
10g
75mg
8
Iced Latte (Medium)
Great sodium & portion. Watch the sat fat & sugar. Light on fiber. · Contains: Milk
Contains: Milk
Espresso: Espresso.. Whole Milk: Milk, Vitamin D3 Added. CONTAINS: MILK.
C
100
6g
8g
80mg
The Nom Score read

McDonald’s’ 8 keto options are led by the Side Salad: Nom Score A (93/100), 15 calories, 1g protein, and 15mg sodium. The Scrambled Eggs (2) carries the most protein at 13g. The lightest is the Premium Roast Coffee (Medium), at 0 calories. Most come from the McCafe menu (4 of 8). Net carbs across the picks run 0–10g.

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Watch-outs

What to Avoid

These items at McDonald’s don’t meet keto criteria:

!
Big Breakfast
128g net carbs (max 10) — 56g sugar (max 8)
!
Chocolate Shake (Medium)
dessert/bakery item — 84g net carbs (max 10)
!
Vanilla Shake (Medium)
dessert/bakery item — 80g net carbs (max 10)
!
Strawberry Shake (Medium)
dessert/bakery item — 77g net carbs (max 10)
!
Coca-Cola (Medium)
drink, not a meal — 59g net carbs (max 10)
Order smarter

Pro Tips: How to Order Keto at McDonald’s

Order any burger without the bun—they’ll put it in a lettuce wrap or bowl
Skip the fries (40g carbs), hash browns (15g carbs), and all baked goods
Plain hamburger patties with cheese and toppings are essentially zero carb
Heading out or stuck without options? Keep keto snacks on hand  so a keto choice is always within reach.
FAQ

Common questions about keto at McDonald’s

Is McDonald’s good for keto diets?

Yes — McDonald’s has 8 keto options, topped by the Side Salad (Nom Score A).

What’s the best keto option at McDonald’s?

The Side Salad is the best choice with 15 calories, 1g protein, and a Nom Score of A.

What is the lowest-carb item at McDonald’s?

The lowest-carb option at McDonald’s is the Americano (Medium) with 0g carbs (0 cal).

How we ranked these: Every item is scored by the Nom Score, which weighs sodium, saturated fat, sugar, portion size, fiber, and protein per calorie against FDA daily-value guidance. Data comes from McDonald’s’ published nutrition information.

Nutrition data verified. Calorie counts and macros are taken from McDonald’s’ official published nutrition data. How the Nom Score works →

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Nom. (2026). How to Eat Keto at McDonald's: Best Low-Carb Options (2026). Retrieved from https://nom.now/guides/mcdonalds-keto
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