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Preheat your oven to 375°F and line a large baking sheet with parchment paper.
In a large skillet, cook your sausage, onion and bell pepper, using a wooden spoon to break up the meat, until no longer pink. Should take 7 minutes. Remove from your pan to drain in a paper towel lined plate and to cool slightly.
In a large bowl, whisk together the almond flour, baking powder, salt and pepper. Add in the eggs and ¾ cups of the cheese - mix to combine. Lastly fold in the sausage mixture. Use a cookie scooper/melon baller to transfer your balls to the cookie sheet. Top each ball with some of the remainder of the cheese and gently flatten with your fingers. Bake for 10-12 minutes.