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IHOP Country Gravy

High histamine

IHOP Country Gravy is high, driven by the buttermilk plus a flour and cream base.

Most of this is cooked to order, which is the best case for histamine. Even so, a restaurant kitchen preps ahead and holds things warm through a service, so freshness varies more than it would at home. The rating above comes from the chain's published ingredients. If a dish is borderline for you, asking how it is prepared tells you more than the menu does.

This is a creamy white gravy built on heavy cream, butter, flour, and buttermilk, and it comes out high.

  • Buttermilk — this is the main driver; buttermilk is a cultured dairy, and that fermentation is what pushes the gravy into the high range.

  • Country gravy base and flour — the finished gravy and the flour thickener both sit at moderate, so even setting the buttermilk aside the dish stays elevated.

There is no clean way to make this one lower, so a fresh butter or plain oil topping is a better bet.

This rating comes from IHOP's own published ingredient statement, read on August 11, 2026. Restaurant recipes vary by location and change over time, so always check the current listing: source 1, source 2. How we rate foods →

IHOP Country Gravy and IHOP are trademarks of their respective owners. This page is an independent histamine reference and is not affiliated with, endorsed by, or sponsored by the brand.

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References

  1. SIGHI Food Compatibility List — SIGHI (2026)
  2. Histamine and histamine intolerance — Maintz & Novak (2007)
  3. Histamine Intolerance: The Current State of the Art — Comas-Basté et al. (2020)
  4. Low-Histamine Diets: Is the Exclusion of Foods Justified by Their Histamine Content? — Sánchez-Pérez et al. (2021)
  5. Histamine Intolerance: Symptoms, Diagnosis, and Beyond — Jochum (2024)
  6. Guideline on management of suspected adverse reactions to ingested histamine — Reese et al. (2021)