Rx Recipes: Chocolate Gravy

A sweet topping for classic southern biscuits, courtesy of Dr. Charlene Williams

Recipe by Charlene Williams | Published January 10, 2023

Our Rx Recipes series explores recipes provided by faculty, staff, students, and alumni of the UNC Eshelman School of Pharmacy. Dr. Charlene Williams, Director of Preceptor Development and Clinical Associate Professor, shares her family’s recipe for Chocolate Gravy.

2 Tbsp cocoa powder
1/2 cup sugar
3 Tbsp all-purpose flour
2 cups whole milk
2 Tbsp vanilla


  1. Pour milk and vanilla into a cooking pot
  2. Stir together dry ingredients (cocoa, sugar, flour) in a separate bowl
  3. Slowly stir dry ingredients into the milk mixture
  4. Cook over low to medium heat, stirring continuously, until the dry ingredients are dissolved and gravy is at desired thickness
  5. Serve as a liquid topping over warm biscuits

If more thickness is desired, mix 1 additional tablespoon of flour with one additional tablespoon of milk, strain, pouring liquid mixture into the gravy during cooking. Higher heat will also thicken the gravy, temporarily.

This recipe comes to us from Charlene Williams, PharmD, BCACP, CDCES. Charlene is the Director of Preceptor Development and a Clinical Associate Professor at the UNC Eshelman School of Pharmacy on our Asheville campus. She is also a 1999 alumna of the School’s PharmD program. Her research interests in preceptor development include technological methods to enhance preceptor development, creating productive experiential environments, and preceptor facilitation of student learning.

Charlene enjoys making this recipe for her family in honor of her Appalachian roots and her late grandmother, Marie Hedden. She says her grandmother, “taught me much about southern cooking and about life.”

May this recipe be a sweet taste of home for all our North Carolina pharmily who now live far away.