Preheat oven to 425°F. Whisk flour, baking powder, baking soda, and salt.

Cut in cold butter until coarse crumbs form. Stir in buttermilk until dough comes together.

Roll dough to 1-inch thickness, cut biscuits, and bake 12–15 minutes until golden.

Cook sausage patties in a skillet over medium heat until browned and cooked through.

Split warm biscuits, add sausage (and cheese if desired), and serve.