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Salmon filets in a skillet with sun-dried tomato sauce.
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4.37 from 38 votes

Creamy Tuscan Salmon (Paleo)

Creamy Tuscan Salmon is a healthy salmon recipe featuring a creamy dairy-free sauce with sun-dried tomatoes, garlic, and spinach. Serve it with steamed rice, noodles, or your choice of sides for an amazing meal!
Prep Time5 minutes
Cook Time20 minutes
Total Time25 minutes
Course: Main Dishes
Cuisine: Mediterranean
Servings: 4 Servings
Calories: 508kcal
Author: Julia

Ingredients

  • 3 Tbsp avocado oil
  • 1.5 to 2 lbs salmon cut into filets
  • Sea salt to taste
  • Black pepper
  • 5 cloves garlic minced
  • 1 15-ounce can full-fat coconut milk
  • 1 Tbsp cider vinegar or rice vinegar
  • cup sun-dried tomatoes chopped
  • ½ tsp paprika
  • 2 cups baby spinach optional

Instructions

  • Sprinkle the salmon filets with sea salt and heat the avocado oil in a large skillet (I recommend using a cast iron skillet or a quality nonstick skillet) over high heat. Allow the skillet to heat up for a few minutes until it is sizzling hot - you want it to be around 400 degrees Fahrenheit before you place the salmon on the skillet.
    Crispy Salmon - a simple, quick and easy approach to cooking salmon that wins every time!
  • Place the salmon in the hot pan flesh side down and sear for 5 minutes.
    Salmon cooking flesh-side down in a cast iron skillet
  • Carefully flip the salmon and cook for another 5 minutes on the skin side, or until the salmon has reached your desired level of doneness. Check the internal temperature of the salmon with a meat thermometer. The FDA considers salmon to be fully cooked at 145 degrees F. Transfer the salmon filets to a plate and set aside.
    Crispy salmon in a skillet
  • Place the skillet back on the stove top and adjust the heat down to medium-high heat. Add the garlic and sauté for a minute or two, until it is very fragrant.
    Garlic sautéing in a stainless steel skillet.
  • Add the coconut milk, vinegar, sun-dried tomatoes, and paprika to the skillet and stir well. Allow the sauce to cook at a full boil, stirring occasionally, until it has thickened to your desired thickness, about 8 to 12 minutes. 
    Creamy Tuscan Sauce in a skillet
  • Add the baby spinach and continue cooking until the spinach has wilted.
    Skillet with finished Tuscan sauce ready for the salmon
  • Transfer the salmon back to the skillet and spoon the sauce over the salmon. Cook for a few minutes, until the salmon is piping hot. Serve Tuscan Salmon with your favorite side dishes, and enjoy!
    Horizontal photo of creamy tuscan salmon in a stainless steel skillet

Notes

I recommend serving this dish with steamed rice, noodles, mashed potatoes, garlic bread, or cauliflower rice to soak up some of that lovely creamy sun-dried tomato sauce.

Nutrition

Serving: 1Serving (of 4) | Calories: 508kcal | Carbohydrates: 9g | Protein: 39g | Fat: 33g | Fiber: 2g | Sugar: 6g