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Melt the butter and set it aside to cool.
Meanwhile, preheat oven to 375° F and line a large baking sheet with non-stick foil or parchment paper.
Brown the sausage, chopping it into small chunks. Pat it dry with a paper towel to remove excess grease; set aside.
In a large bowl, whisk together the melted butter, eggs, sour cream, salt and garlic.
Add the coconut flour (slightly more than ⅓ cup) and baking powder to the mixture and combine well.
Stir in the browned sausage and cheese.
Roll or drop batter into 1 inch balls onto your lined baking sheet. I make 35 and they fit perfectly (5 rows of 7). They only need to be about ½ inch apart.
Bake for 14-18 minutes or until slightly browned. Store any leftovers in the fridge for up to a week. You can reheat them in the microwave or air fryer!