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

Keto Options at McDonald’s

Quick Answer: Yes — McDonald’s has 5 keto options. The lowest-carb option at McDonald’s is the Premium Roast Coffee (Medium) with 1g carbs (0 cal). Top pick overall: the Side Salad (15 cal, 1g protein, Nom Score A).

5Keto 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).
The Nom Score read

McDonald’s’ 5 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 Sides menu (2 of 5). Net carbs across the picks run 1–4g. Figures are computed from McDonald’s’ published nutrition data (June 2026).

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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
FAQ

Common questions about keto at McDonald’s

Is McDonald’s good for keto diets?

McDonald’s has 5 keto options; the best is the Side Salad (Nom Score A). For more variety, Jersey Mike’s Subs has 24 keto options.

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 Premium Roast Coffee (Medium) with 1g 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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Cite this page
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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