There’s something incredibly comforting about a plate of tender, juicy meatballs. After a long day at work, I often find myself craving something satisfying yet still aligned with my keto lifestyle. This Keto Meatballs Recipe delivers exactly that – all the classic Italian flavors without the carb overload. The aroma of herbs and garlic filling your kitchen as these meatballs cook is simply irresistible, and the first bite reveals a perfect balance of savory meat, cheese, and spices that will have everyone asking for seconds. Whether you’re hosting an impromptu gathering or simply want a healthy yet indulgent weeknight dinner, these low carb keto meatballs with almond flour are the perfect solution.
Why You’ll Love This Keto Meatballs Recipe
- ✅ These high protein keto meatballs for dinner keep you satisfied for hours while maintaining ketosis
- ✅ Perfect easy keto meatballs for meal prep – make once and enjoy all week
- ✅ Healthy baked meatballs for ketogenic diet with only 2g net carbs per serving
- ✅ Gluten free keto meatballs with mozzarella that everyone will love, regardless of dietary preferences
- ✅ These spicy keto meatballs with ground beef can be adjusted to your heat preference
- ✅ Ready in just 30 minutes from start to finish – perfect for busy weeknights
- ✅ Pairs beautifully with a variety of keto-friendly sides for endless meal possibilities
Ingredients for Your Keto Meatballs Recipe
Here’s everything you’ll need to make these delicious low-carb meatballs:
- 28 oz Italian Sausage, casing removed (mild or hot, depending on preference)
- 1/4 cup Almond Flour (a perfect low-carb substitute for breadcrumbs)
- 1 large Egg, beaten (acts as a binder)
- 1/4 cup Organic Heavy Whipping Cream (adds richness and moisture)
- 1 tsp Onion Powder (for flavor without added carbs)
- 1 tsp Garlic Powder (essential for that classic Italian taste)
- 1 tsp Dried Parsley (for color and subtle flavor)
- 3 tbsp Grated Parmesan Cheese (adds saltiness and helps bind)
- 25 oz Tomato Basil Sauce (use a low-sugar variety to keep it keto)
Ingredient Substitutions
- If you prefer, substitute half the Italian sausage with ground beef for spicy keto meatballs with ground beef
- For dairy-free option, omit the parmesan and use coconut cream instead of heavy whipping cream
- Add 1/2 cup shredded mozzarella to the meat mixture for gluten free keto meatballs with mozzarella
- Boost flavor with 1 tbsp Italian seasoning or 1/4 cup fresh chopped herbs if available
How to Make Keto Meatballs Recipe – Step by Step
Step 1: Prepare Your Workspace
Preheat your oven to 400°F (200°C). Line a large baking sheet with parchment paper or aluminum foil for easy cleanup.
Step 2: Mix the Meatball Ingredients
In a large mixing bowl, combine the Italian sausage (with casings removed), almond flour, beaten egg, heavy whipping cream, onion powder, garlic powder, dried parsley, and grated parmesan. Using clean hands, gently mix until just combined – overworking will result in tough meatballs.
Step 3: Form the Meatballs
Using a cookie scoop or tablespoon, portion out the meat mixture and roll between your palms to form 1.5-inch meatballs. Place them on the prepared baking sheet, spacing them about 1 inch apart.
Step 4: Bake to Perfection
Bake the healthy baked meatballs for ketogenic diet for 15-18 minutes or until they reach an internal temperature of 160°F (71°C) and are nicely browned on the outside.
Step 5: Prepare the Sauce
While the meatballs are baking, warm your tomato basil sauce in a large skillet over medium heat until it begins to simmer.
Step 6: Combine and Serve
Once the meatballs are fully cooked, carefully transfer them to the simmering sauce. Gently toss to coat each meatball evenly with the keto meatballs in marinara sauce and allow them to simmer for an additional 2-3 minutes to meld the flavors.

Pro Tips for Making the Best Keto Meatballs Recipe
- Chill the meat mixture for 30 minutes before rolling for easier handling
- Use a small ice cream scoop for uniformly sized meatballs that will cook evenly
- For extra flavor, add a tablespoon of minced fresh garlic instead of garlic powder
- Don’t overmix the meat mixture – this will result in dense, tough meatballs
- If you prefer air fryer keto meatballs with parmesan, cook at 375°F for 10-12 minutes, turning halfway through
- For a creamy garlic sauce for keto meatballs, mix 1 cup heavy cream with 3 cloves of minced garlic, 1/2 cup parmesan, and simmer until thickened
Best Ways to Serve Keto Meatballs Recipe
These versatile meatballs can be enjoyed in numerous ways:
- Serve over zoodle bowl with keto meatballs and sauce for a complete low-carb meal
- Pair with cauliflower mash for a keto version of the classic comfort food
- Create a meatball “sub” using lettuce wraps or a keto-friendly bread
- Serve as appetizers with toothpicks and a side of sugar-free BBQ sauce
- Add to a keto pizza topped with mozzarella and fresh basil
- Enjoy alongside a fresh green salad with a high-fat dressing for a balanced meal
Nutritional Information for Keto Meatballs Recipe
Per Serving (5 meatballs with sauce):
- Calories: 425 kcal
- Protein: 24g
- Fat: 34g
- Net Carbs: 2g
- Fiber: 1g
- Total Carbs: 3g
This Keto Meatballs Recipe is perfect for those on a ketogenic diet with its high fat content, moderate protein, and minimal carbs.
Storage & Leftovers
These easy keto meatballs for meal prep store beautifully:
- Refrigerator: Store cooled meatballs with sauce in an airtight container for up to 4 days.
- Freezer: For longer storage, freeze cooked meatballs (with or without sauce) in a freezer-safe container for up to 3 months.
- Reheating: Warm refrigerated meatballs in a covered skillet over medium-low heat until heated through, about 5-7 minutes. For frozen meatballs, thaw overnight in the refrigerator before reheating, or heat directly from frozen in a covered skillet on low heat.
Frequently Asked Questions About Keto Meatballs Recipe
What makes these meatballs keto-friendly?
These meatballs are keto-friendly because they use almond flour instead of breadcrumbs and contain high-fat ingredients like heavy cream and cheese. Each serving contains only 2g net carbs, making them perfect for a ketogenic diet.
Can I make these Keto Meatballs Recipe in advance?
Absolutely! These meatballs are perfect for meal prep. You can prepare and shape the meatballs up to 24 hours in advance and refrigerate until ready to bake. Alternatively, you can fully cook them, cool, and refrigerate for up to 4 days or freeze for up to 3 months.
Can I use ground beef instead of Italian sausage?
Yes, you can substitute ground beef for the Italian sausage. Since Italian sausage comes pre-seasoned, you’ll want to add extra seasonings to the ground beef version – try adding 1 tsp Italian seasoning, 1/2 tsp fennel seeds (optional), and an extra 1/4 tsp salt.
What sides pair best with these keto meatballs?
These meatballs pair beautifully with zucchini noodles (zoodles), cauliflower rice, sautéed greens like spinach or kale, a fresh Caesar salad, or roasted low-carb vegetables like Brussels sprouts or asparagus.
Conclusion
This Keto Meatballs Recipe proves that comfort food and low-carb eating can go hand in hand. Perfect for weeknight dinners, meal prep, or entertaining guests, these juicy, flavorful meatballs will satisfy your cravings without kicking you out of ketosis. The combination of Italian sausage, almond flour, and savory spices creates a meatball that’s not only keto-friendly but absolutely delicious.
Whether you’re a keto veteran or just starting your low-carb journey, these low carb keto meatballs with almond flour deserve a place in your meal rotation. The next time you’re craving Italian comfort food, skip the carb-heavy pasta and give these Keto Meatballs Recipe a try – your taste buds and your body will thank you!
Have you tried this recipe? Share your experience or variations in the comments below, and don’t forget to save this recipe for your next meal prep session!
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Keto Meatballs Recipe: Easy Italian Low-Carb Comfort Food
- Total Time: 30
- Yield: 5 servings 1x
- Diet: Gluten Free
Description
This Keto Meatballs Recipe is an easy Italian-inspired dish that delivers classic flavors without carb overload, perfect for a keto lifestyle.
Ingredients
- 28 oz Italian Sausage, casing removed (mild or hot, depending on preference)
- 1/4 cup Almond Flour
- 1 large Egg, beaten
- 1/4 cup Organic Heavy Whipping Cream
- 1 tsp Onion Powder
- 1 tsp Garlic Powder
- 1 tsp Dried Parsley
- 3 tbsp Grated Parmesan Cheese
- 25 oz Tomato Basil Sauce
Instructions
- Preheat oven to 400°F (200°C). Line a large baking sheet with parchment paper or aluminum foil.
- In a large bowl, combine sausage, almond flour, beaten egg, heavy whipping cream, onion powder, garlic powder, parsley, and parmesan. Mix until just combined.
- Form 1.5-inch meatballs and place on the baking sheet.
- Bake for 15-18 minutes or until internal temperature reaches 160°F (71°C).
- While baking, warm sauce in a skillet until it simmers.
- Transfer cooked meatballs to sauce, coating evenly and simmer for 2-3 minutes.
Notes
- Chill meat mixture before rolling for easier handling.
- Can be stored in the refrigerator for 4 days or frozen for up to 3 months.
- Prep Time: 12
- Cook Time: 18
- Category: Main Course
- Method: Baking
- Cuisine: Italian
Nutrition
- Serving Size: 5 meatballs
- Calories: 425
- Sugar: N/A
- Sodium: N/A
- Fat: 34
- Saturated Fat: N/A
- Unsaturated Fat: N/A
- Trans Fat: N/A
- Carbohydrates: 3
- Fiber: 1
- Protein: 24
- Cholesterol: N/A
Keywords: keto meatballs, low carb meatballs, keto italian meatballs, gluten free keto meatballs