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This pan-seared Tuscan salmon is a low-carb, diabetic-friendly dinner recipe made with salmon, garlic, tomatoes, and a light cream sauce, designed for easy weeknight cooking and ready in about 25 minutes.

This Tuscan salmon delivers rich, restaurant-style flavor without a heavy or greasy sauce. It’s built for home cooks who want reliable results, tender salmon, and a one-pan meal that feels elevated but stays simple.

Why You’ll Love This Recipe

  • Ready in under 30 minutes
  • Naturally low-carb and diabetic-friendly
  • Creamy sauce that doesn’t overpower the salmon
  • One-pan cooking with minimal cleanup
  • Clear temperature guidance to prevent overcooking

Ingredients You’ll Need

  • Salmon fillets (skin on)
  • Olive oil (2–3 tablespoons, as needed)
  • Salt
  • Black pepper
  • Garlic
  • Cherry tomatoes
  • Sun-dried tomatoes
  • Chicken broth
  • Heavy cream
  • Italian seasoning
  • Paprika
  • Parmesan cheese
  • Baby spinach (optional)
Tuscan salmon fillets simmering in a creamy garlic tomato sauce in a skillet

Creamy Tuscan Salmon

Prep Time 5 minutes
Cook Time 20 minutes
Total Time 25 minutes
Servings: 3

Ingredients
  

  • 3 salmon fillets skin-on (4–5 oz each)
  • 2 –3 tablespoons olive oil as needed
  • ½ teaspoon salt divided
  • ¼ teaspoon black pepper
  • 3 cloves garlic minced
  • ½ cup cherry tomatoes halved
  • 2 tablespoons sun-dried tomatoes finely chopped and patted dry
  • ½ cup chicken broth
  • ½ cup heavy cream
  • ¼ teaspoon Italian seasoning
  • ¼ teaspoon paprika
  • ¼ cup grated parmesan cheese
  • 1 cup baby spinach

Method
 

  1. Place a large skillet over medium heat and allow it to heat for 2–3 minutes.
  2. Add 2 tablespoons olive oil, adding more as needed so the bottom of the pan is lightly but fully coated.
  3. Pat the salmon fillets completely dry with paper towels.
  4. Season both sides evenly with ½ teaspoon salt and ¼ teaspoon black pepper.
  5. Place the salmon skin-side down in the hot pan. Cook undisturbed for 4–5 minutes, until:the skin is golden and crisp, the salmon releases easily from the pan
  6. Carefully flip the salmon and cook for 1–2 minutes, just until the internal temperature reaches 120–125°F at the thickest part.
  7. Remove salmon from the pan and set aside. The salmon will finish cooking later in the sauce.
  8. Reduce heat to medium-low.
  9. Add garlic and cook for 30 seconds, stirring constantly.
  10. Add cherry tomatoes and sun-dried tomatoes and cook for 2–3 minutes, until softened.
  11. Pour in ½ cup chicken broth and simmer for 2 minutes, scraping up any browned bits from the pan.
  12. Stir in: ½ cup heavy cream, ¼ teaspoon Italian seasoning and ¼ teaspoon paprika
  13. Simmer gently for 3–4 minutes, until the sauce thickens slightly.
  14. Stir in ¼ cup parmesan cheese until smooth.
  15. Add spinach, if using, and cook just until wilted.
  16. Return salmon to the pan and spoon sauce over the top.
  17. Simmer gently for 1–2 minutes, until the salmon reaches:125–130°F for medium or 135–140°F for fully cooked
  18. Remove from heat and serve immediately.

Notes

We tested this recipe using different pans and found that salmon cooks best when seared skin-side down first and finished gently in the sauce. Some skillets require more oil to prevent sticking, especially if they are not nonstick or well-seasoned. For best results, start with 2 tablespoons of oil and add more as needed so the pan is lightly but fully coated before adding the salmon.

Tips for Best Results

  • Always pat salmon skin dry before cooking
  • Use enough oil to fully coat the pan — exact amounts may vary
  • Do not move the salmon until it releases naturally
  • Finish cooking gently in the sauce to avoid dryness
  • Use a thermometer for consistent results

Variations & Substitutions

  • No spinach: Omit without affecting the sauce
  • Dairy-lighter: Use half-and-half instead of heavy cream
  • Extra herbs: Add fresh basil or thyme at the end
  • Keto: Keep ingredients as written
  • Dairy-free: Use coconut cream and omit parmesan
Does it matter which side of the salmon goes down first?

Yes. Cooking salmon skin-side down first protects the flesh, helps the skin crisp, and prevents sticking.

What temperature should salmon be cooked to?

Salmon is done at 125–130°F for medium or 135–140°F for fully cooked, measured at the thickest part.

Can I use frozen salmon?

Yes, as long as it’s fully thawed and patted dry before cooking.

Why do you remove the salmon before making the sauce?

Removing the salmon prevents overcooking and allows it to finish gently in the sauce.

Serving Suggestions

Serve Tuscan salmon with:

  • Cauliflower mash
  • Zucchini noodles
  • Roasted broccoli or asparagus
  • Spaghetti squash

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