Preheat your oven to 375°F and line a large baking sheet with parchment paper.
In a large mixing bowl, combine the softened cream cheese and drained Rotel, mashing together until mostly smooth.
Add the breakfast sausage and mix until evenly distributed throughout the creamy base.
Incorporate the shredded cheddar, almond flour, garlic powder, onion powder, baking powder, pepper, and salt. Mix until well combined.
Refrigerate the mixture for 20-30 minutes if it feels too soft to handle.
Scoop about 1½ tablespoons of mixture and roll between your palms to form 1-inch balls, placing them on the prepared baking sheet.
Bake for 20-25 minutes until golden brown and the internal temperature reaches 160°F.
Let rest on the baking sheet for 5 minutes before transferring to a serving platter.