Appetizers/ Dinner/ Keto snack/ Lunch

Thai keto fish cakes

Picture of keto Thai fish cakes with shrimp

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Thai keto fish cakes are nutritious Thai fish and shrimp cakes in keto version. This is one of my family’s favorite keto fish recipes and definitely keto kids approved!

My children love these low carb fish cakes. Usually fish is not so popular among kids but my children love fish in this form.

Flavor of these low carb Thai fish and shrimp cakes is wonderful for kids palates and the form of the patties is winning too.

Children generally love when they can have their food in their hands, like a finger food. My children are 3 and 6 but this could be perfect recipe for babies who are starting with solid food, especially for baby led weaning.

Of course adults love these keto Thai fish cakes, too! Who doesn’t love Thai street food! Especially keto Thai street food! And fish cakes are one of the stars of versatile Thai street food. All these smells and flavors combined in a savory cake, crispy and golden brown outside and flavorful and tender inside!

If you don’t have kids you can make these patties spicy if you like. I love spicy food but my children are not huge fans so I put chili in half of the amount or I just make spicy dipping sauce and enjoy!

Keto Thai fish and shrimp cakes


Prepare white fish fillets and shrimp

I love this combination of fish and shrimp/prawns. If you have only fish, it will be really good with fish only. However, combination of white fish with shrimp really makes this flavor and smell special. If you like shrimp flavor, of course!

It’s fantastic if you have fresh fish fillets, but frozen are equally good, only you need to thaw/defrost fish completely, pat dry and then use.

Combining ingredients in food processor

Combine fish cut in small pieces, shrimp, salt, pepper, red paprika, fresh cilantro, Thai curry powder, dried basil, fish and oyster sauce and egg and mix in a food processor until nicely ground/minced. 

Add in almond flour and chopped spring onion and make patties and cook.

Frying Thai keto fish patties 

If you like deep frying you can do it. I do it very fast on a pan/skillet and I think pan frying is really convenient and patties taste great when prepared like this. I use lard or coconut oil, more often lard. You can use avocado oil too. 

I am used used to fry on lard and that’s fat for cooking and frying I use the most. That’s something what is actually in my family’s tradition here in Croatia. We fry and cook everything on lard and pour our food with a lot of extra virgin olive oil! 🙂

Low carb Thai fish patties

Serving Keto Thai fish cakes

I love serving these with mashed cauliflower or with fried cauliflower rice. It goes perfect with any leafy green salad and with dipping sauce. 

I love to prepare just sour cream with salt, pepper and some crushed chili or with pinch of curry powder and dip fish cakes into that dipping sauce. It’s so good!

Do you like keto Thai recipes?

Here, I have few really delicious low carb Thai recipes you might try!

Thai pork tenderloin with spinach

Fried cauliflower rice

Keto chicken with peanut butter sauce


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Thai keto fish cakes

Picture of keto Thai fish cakes with shrimp

Thai keto fish cakes are nutritious Thai fish and shrimp cakes in keto version. This is one of my family's favorite keto fish recipes and definitely keto kids approved!

Cook Time 20 minutes
Total Time 20 minutes


  • White fish fillets of snapper, tilapia, John Dory, monkfish or cod (skinless and pin boned, cut into small pieces) 500 g/17.6 oz
  • Shrimp 200 g/7 oz
  • 1 egg
  • Salt 1 tsp
  • Freshly ground pepper to taste
  • Red ground paprika 1/2 tsp
  • Thai curry powder 1/2 tsp
  • Fish sauce 2 TBS
  • Dried basil 1 tsp
  • Fresh cilantro 1 TBS
  • Lime juice 1 TBS
  • Almond flour 1/4 cup/25 g/0.88 oz
  • 1 spring onion finely chopped
  • Coconut oil or lard for frying 6 TBS
  • Fresh lime slices
  • Fresh cilantro leaves


  1. Cut fish into smaller chunks and combine in a food processor with shrimp, egg, salt, pepper, paprika, curry powder, fish sauce, basil, cilantro and lime juice.
  2. If using frozen fish, thaw completely and pat dry before cutting into a smaller chunks and putting in a food processor.
  3. When all nicely ground/minced and combined, transfer into a large bowl and add almond flour and chopped spring onion, stir until combined and form patties with your hands. You will get 10 patties.
  4. Heat the oil or lard in a pan, over a medium high heat to cover the base.
  5. Place patties in oil, cook from 2 to 3 minutes on each side until golden brown. When cooked, transfer to paper towel on a plate.
  6. Garnish with cilantro leaves and fresh lime slices.
  7. Serve with your favorite sauce or salad.
  8. Enjoy!

Nutrition Information:


10 patties

Amount Per Serving: Calories: 109Total Fat: 5.2gNet Carbohydrates: 1.4gProtein: 14g

This is for your information only, please calculate your own macros with ingredients you use.

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  • Reply
    May 11, 2021 at 10:56 am

    Hey! How many patties are in one serving? 🙂

    • Reply
      Family On Keto
      May 16, 2021 at 10:00 am

      Hi Laila, I was changing my plugin for recipes so now could be confusing. I put here nutrition value per patty. You get 10 of them, I would take 2 patties per serving. I will definitely fix this info soon. Thanks for the question!

  • Reply
    Stanisava Husa
    September 15, 2020 at 11:10 am

    Can theese fish cakes bake in oqen? Thanks
    Ps.chocolate cake with squash is delucious !

    • Reply
      Family On Keto
      October 12, 2020 at 6:32 pm

      Hi Stanisava, I believe it could be baked in the oven!

  • Reply
    September 10, 2020 at 11:58 pm

    Made these and they fell apart in the skillet – could not cook as patties :(. Very disappointed. Also way too salty with the salt and fish sauce

    • Reply
      Family On Keto
      October 12, 2020 at 6:40 pm

      Hi Dee, sorry to hear. Try putting more almond flour and cook on a really hot oil.

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