What To Order At A Sushi Restaurant On Keto Exposed

Get ready to ditch the rice and the rolls and find some new keto favorites at the sushi restaurant. Sushi on keto may not be the most natural choice, but with a little creativity, you can do it.

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What To Order At A Sushi Restaurant On Keto
If you're willing to skip the rice and batter-fried foods, you'll be pleasantly surprised at all of the keto options available at a sushi restaurant.

Sushi on Keto? Not Easy But Definitely Possible...and Delicious!

A night out at the sushi restaurant often poses many problems for anyone on a ketogenic diet.

Everything tastes so delicious but what can you eat, knowing most of what is available at your favorite sushi restaurant is either rice-filled or covered in a carb-laden batter?

Can you have sushi on keto, or at least not starve when you go to the sushi restaurant with family or friends?

Well, it comes down to savvy ordering, an understanding of the terms used in Japanese cuisine, and a tweak in perspective, but the answer is yes.

With a little knowledge, you can go to sushi night with your friends and walk away happy, full, and without the carb-guilt!

Appetizers at a Sushi Restaurant on Keto

Very few sushi restaurants in the United States (and other Western countries) exclusively serve sushi; most are traditional Japanese  restaurants serving a variety of regional cuisine.

This simple fact is very advantageous to the keto dieter.

Japanese cuisine offers a wide variety of barely-altered foods that are keto-friendly, or can be made low carb with a little modification.

In fact, the appetizers are one of the easiest parts of the menu to navigate on keto. Check out a few of my favorites.

Miso Soup On Keto - Yes, Please!

Clear broth flavored with fermented soybean paste, miso soup is a staple of Japanese cooking, often served as a side dish with your meal. The broth has no thickeners and it’s filled with keto-friendly vegetables like cabbage, mushrooms, or onions. Oftentimes there are also cubes of firm tofu to add another layer of deliciousness.

Miso Soup On Keto - Yes, Please!

Miso soup is an umami experience, full of unique and subtle flavors, while still being light enough to prevent filling you up before your next course.

If you’re avoiding soy because you’ve heard it’s unhealthy, please don’t. Unless you’re allergic, soy is a safe, healthy, vegetarian source of protein and perfectly ketosis-friendly.

Take off your coat and “Satay” awhile

Grilled meats on skewers, often served with a peanut sauce, satay actually originated in Indonesia, but the dish now gets co-opted by Vietnamese, Japanese, Chinese, and Indian restaurants alike, all adding their own spin.

The good news is that satay generally consists of simply grilled meat, allowing you to choose the sauce you add.

It’s a high-protein treat that tastes delicious and is a great keto-friendly option while your friends chow on tempura.

Oshinko - A Keto Friendly Option

Thin-sliced pickled Japanese vegetables, oshinko makes a great Keto appetizer. Very low in calories and carbs, oshinko is a great way to experience new tastes, often encompassing spicy radish, refreshing cucumbers, and the unique flavor of lotus root.

Oshinko Vegetables

Edamame - Not Nearly as Bad as You Thought

Are you surprised to see this on here? Edamame pods are simply soybeans, steamed and salted, and are a cheap appetizer for any occasion.

Edamame - Not too bad for a low-carb dieter

They’re great because they’re full of fiber and protein, and popping the little beans out of the pods is pretty fun. Again, don’t be dissuaded by the soy; it’s not bad for you!

Of course, you don’t want to go crazy on edamame on a keto diet. A 3.5-ounce (100 gram) serving has 6.8 grams net carbs.


Check out our low carb vegetable guide to get a handle on how any veggies you eat at the sushi restaurant will affect your keto diet.

Main Dishes at a Sushi Restaurant on Keto

It’s time we broke the bad news – you cannot have traditional sushi on keto.

Sushi actually refers to the rice, and you cannot have rice no matter what the devil on your shoulder tells you.

That said, you can enjoy the wonderful array of fresh seafood your sushi restaurant offers while on keto, just in a different form.

While some sushi restaurants offer “low carb sushi” (which is often seaweed smeared with cream cheese to bind the ingredients), you cannot bank on this option. We’ve seen many places put many non-keto ingredients in here.

Other sushi restaurants may offer cauliflower rice. Again, if you can confirm it’s just cauliflower, then that would work fine for keto, but again, it’s best to assume you won’t have that option.

Luckily there many options available to you at a sushi restaurant that will keep you in ketosis and fill your belly.

Sashimi - The No Carb Sushi

Now, we’re getting somewhere.  Sashimi is something you will find at literally every sushi or Japanese restaurant you come across.

Sashimi consists of just the fish without the rice, so if a place has sushi, they definitely have sashimi.

In fact, sashimi offerings are typically going to be the freshest, best-looking cuts of fish because the chef can’t hide imperfections with nori or other dressings.

When ordering sashimi, unless you have a strong preference for certain types of fish, it’s best to allow the chef to make a plate for you.

Sashimi - Keto Sushi
Most often, a sushi restaurant will have simply a “sashimi” offering that will come with several pieces of the best fish of that day. These meals will often be served with oshinko vegetables or a small salad, both of which are keto-friendly and can complete a very low carb keto lunch or dinner.
The beauty of sashimi is that you get the full flavor of the fish with a little soy sauce to bring out the flavor. It will definitely change the way you encounter Japanese food and sushi in general.

Negimaki - This Keto Dieters Favorite Choice

Some sushi and Japanese restaurants will offer negimaki, which is thin-sliced grilled beef.

It’s often served as an appetizer, makes a great main dish.


Part of adopting the keto lifestyle is understanding that your meal will look much different than your friends' meals. It’s important to be okay with that.

Negimaki contains both meat and veggies and is often served with a soy-based dipping sauce. While some keto dieters try to avoid soy, we have not found it to be a problem.  If you do have a problem with soy, ask for the sauce on the side.

Negimaki - Thin-sliced meat wrapped around veggies
Seriously, this is one of my favorite dishes to order at a Japanese restaurant – keto or non-keto. Fortunately, this negimaki fits my macros and keeps me in ketosis.

Foods To Avoid At A Sushi Restaurant On Keto

After checking out the delicious selections above, you should now be able to easily navigate a sushi menu, making sure you both stay in ketosis and still go home full.

BUT, there are some potential food pitfalls that you need to avoid.

While rice and fried tempura are obvious non-keto foods, there are more subtle sources of carbs, of which you need to be wary.

Seaweed Salad - Skip It On Keto

If you’re like me, knowing that seaweed salad isn’t keto friendly (not even close) makes you very sad.

Made from thin strips of various kelps and sprinkled with sesame seeds, seaweed salad is a Japanese cuisine staple.  Unfortunately, the brine in which it’s prepared contains a lot of sugar.

Therefore, you definitely want to skip this dish. If you find yourself craving veggies, go for the oshinko instead.

Teriyaki Anything - Don’t Do It. Just Don’t.

Similarly, teriyaki might lure you in with its grilled meats, but the sauce it’s slathered in is sugary and sticky, often made with molasses or rice syrup. Utterly delicious but completely anti-ketogenic. If the restaurant offers teriyaki, however, you might be able to get it without the sauce if you’re in a pinch; just ask.

Imitation Crab Meat - You Don’t Know What’s In There

Often represented on menus as Kanikama or Surimi, imitation crab meat consists of white fish that’s been pulverized and reshaped into crab leg structures.
In addition, it’s often mixed with wheat and other binders and fillers, and then cured with sugar.

It’s pretty but it’s not at all keto friendly and should be avoided.

Stay Keto and Stay Full at the Sushi Restaurant

Sushi Menu - What you can and can't eat
Put the calculator away, sister! This is Lazy Keto!

Now you know what you can eat at the sushi restaurant and not blow your keto diet out of the water.  Most importantly, with a little preparation and knowledge, you’re guaranteed to get full.

Remember to avoid:

And don’t forget to indulge in:

Do you have a favorite meal at your local sushi spot that helps you stay in keto? Let us know!

Got any questions about how to order keto at a sushi restaurant? Ask away in the comments below. We’re always here and we love to help.


What To Order At A Sushi Restaurant On Keto Exposed

What To Order At A Sushi Restaurant On Keto - Pinterest Image
What To Order At A Sushi Restaurant On Keto Exposed

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11 thoughts on “What To Order At A Sushi Restaurant On Keto Exposed”

        1. Very helpful! I’m going tomorrow with my daughter and this just helped me out tremendously! Never thought of the sugar for the kelp salad tho dang lol! Thank you for the information 😁

  1. My favorite sushi place makes me rolls without rice. There’s 3 or 4 rolls that can stay stable that way. I’m keto but I also can’t tolerate rice for medical reasons. They started doing this before I even started keto. Aki Nom Nom in Philly is the best.

  2. Naruto roll is great on keto… instead of rice wrapped around the tuna, ( or salmon or whatever fresh raw fish you like), they wrap cucumber around the fish.

  3. I appreciate the advice about staying away from teriyaki on keto since it has a lot of sugar. My brother is visiting me this weekend and I want to take him to the best Japanese restaurant in town. I’ll be sure to remember these tips so I can keep with my keto diet.

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