Preheat oven to 350℉. Spray a muffin tin with nonstick cooking spray and set aside.
In a medium bowl, using a hand mixer, combine the cream cheese and egg until well blended.
Add the garlic, salt and baking powder and mix.
Add the almond flour, cheese, heavy cream and water. Mix until ingredients are incorporated.
Fold in the sausage.
Scoop the dough evenly into 8 muffin cups.
Bake 20 to 25 minutes or until muffins are golden brown and done through.
Cool in pan for 5 minutes. Remove from pan to a cooling rack. If refrigerating cool completely before storing in a airtight container.