If you are looking for a new family dinner this Keto Meatball Casserole should be it. Juicy, flavorful meatballs baked until golden and then covered with tomato sauce and cheese. My low carb Meatball Parmesan Casserole was a hit with my family and should be a hit with yours.
When I was in college I was still a vegetarian. One of my favorite meals from the dining hall takeout was a vegetarian Italian meatball parmesan sub. I have no idea what those "meat"balls were made of, and I probably don't want to know, but it was terriffic.
It was smothered in tomato sauce and topped with provolone. I'd look forward to Tuesdays so I could get dining hall take-out and my favorite meatball parmesan sub. Almost fifteen years later that is the only dining hall food I recall and that is my inspiration for my cheesy meatball casserole.
This casserole with meatballs was a perfect substitute. I could eat this Italian meatball casserole recipe once a week for the rest of my life and never get sick of it. And my whole family would agree. We enjoy it with a side salad, vegetables, or any of the main low carb pasta options out there such as palm noodles and zoodles. This easy family dinner is also low carb, gluten-free, grain-free, and a THM S recipe.
To make this meatball casserole you only need a handful of common ingredients:
Ground Meat - I typically use ground turkey but ground beef, ground pork, or ground chicken work as well.
Ground Sausage - I use sweet Italian sausage but hot Italian sausage is fine or a combination of the two. If you are doing low carb or keto just watch for added sugar in the sausage.
Egg - The egg is the binder in this in addition to the grated parmesan cheese.
Shredded Zucchini - You can't taste it and it gives a lot of moisture to the meatballs.
Shredded Mozzarella Cheese - You can also use a blend of Italian cheese.
Keto Marinara Sauce - I like to make my own but any pasta sauce or tomato sauce without added sugar is fine.
Spices - I prefer to use dried onion, garlic, and basil in these. You can use Italian seasoning in place of the basil if you prefer the flavor of that.
Salt & Pepper
How to make a Keto Meatball Casserole
Step One: I just dump all the ingredients in a large mixing bowl and mix it by hand. In the photo above you can see all the different layered ingredients for the low carb meatballs in my meatball parmesan. For a bowl of raw meat, it looks pretty nice.
Step Two: Next, scoop the meatballs. You should end up with 24 meatballs. Bake in a baking dish coated with cooking spray until they are almost completely cooked. I shoot for 150-155 on my meat thermometer.
Step Three: Top with sauce and sprinkle mozzarella cheese on top and finish baking. For the best golden brown cheese on top broil the low carb meatball casserole for 2-3 minutes, watching it carefully.
Expert Tip - you can make the Italian meatballs ahead of time, cook until fully cooked, and then freeze the cooked meatballs in a freezer bag. Just place the frozen meatballs in the casserole dish, bake until thawed, and then top with the sauce and cheese. This easy prep idea is always a perfect meal on busy weeknights. I don't meal prep much but I do do this.
Leftovers: Store any leftovers in an airtight container in the fridge for 3-4 days.
Fresh Basil - If you have fresh basil feel free to mix some into the ground meat mixture, add some to the marinara, or sprinkle on top after baking.
Spices - Swap the dried minced onion and garlic for onion powder and garlic powder, or sub in Italian seasoning.
What should I serve with meatball casserole?
Our family favorite ways to serve this is on top of zucchini noodles or spaghetti squash. For any non-keto eaters you can serve with garlic bread or a side of al dente pasta.
Alternatively, you can serve with a side of roasted broccoli or green beans or a green salad.
A Cookie Scoop for Meatballs?
Yup! Here the meatballs are after forming them. I use a large cookie scoop to simplify the process. Since there is no need to get up to your elbows in raw meat this is a great task to get the kids involved in. Mine are pros at scooping low carb meatballs by now. Make sure to also check out the video below.
Do I Have to use Zucchini?
That hidden zucchini in my juicy meatballs is my sneaky mom favorite addition. My kids don't even notice it's in there. If you really want to hide it you can peel the green skin off first.
If you would like to substitute another veggie for the zucchini I would recommend chopped spinach. You can also just leave the green stuff out and serve this with some Caesar salad, green beans, or roasted broccoli. The low carb meatball parmesan will still work.
Can I Freeze Keto Meatballs?
Absolutely! This easy meatball recipe also freezes really well! Go ahead and make a double batch and then next time you want an easy Meatball Casserole just thaw, dump into the baking dish, and cover with sauce and cheese. Meatball Parmesan in a jiffy!
I love to always have a bag of low carb homemade meatballs in the freezer for nights that I don't want to cook. Those and frozen taco meat have saved us from spending too much money on take-out more than once.
What Casserole Dish Should I Use?
I need to give a little shout out to the Emile Henry ceramic company for this beautiful casserole dish. I absolutely love it. It is gorgeous, distributed the heat evenly for this casserole, and washed up in a cinch.
This sausage parmigiana is also a great choice if you need more dinner recipes! Or for a vegetarian version sub in cauliflower and try my Cauliflower Parmesan.
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- 1 lb ground turkey
- 1 lb Italian sausage
- 1 cup shredded mozzarella
- ⅓ cup grated or shredded parmesan
- 1 shredded zucchini about 1 cup
- 1 egg
- 2 teaspoon dried minced onion
- 2 teaspoon dried minced garlic
- 2 teaspoon dried basil
- 1 teaspoon salt
- 1 cup marinara sauce
- 8 oz shredded cheese (I used a two cheese pizza blend of mozzarella and provolone)
- Preheat oven to 400. Spray a casserole dish with cooking spray
- Combine all the ingredients for the meatballs and mix thoroughly. Make about 24 meatballs and put them in the casserole dish.
- Bake for 30 minutes or until the meatballs are cooked through. Carefully drain the cooking liquid from the casserole dish.
- Top with the sauce and cheese. Bake for an additional 10-15 minutes or until the cheese is melted.
- Optional: I broiled for 3-4 minutes at the end to toast the cheese. Watch it carefully if you put it under the broiler. The cheese can burn easily.
Originally Published September 23, 2016. Revised and Republished April 24, 2023.
Just made them one with spinach and another with out I love the idea of using the broiler for a couple min to get that brown color now to taste sure looks delicious … thanks for sharing your recipe
These were very yummy! Nice size of meatball and 3 of them per serving is perfect. Thank you for the recipe.
Robin Gentry says
Could you add spinach?
This looks delicious. Can’t wait to make it!
Janice Anderson says
Very tasty! Will definitely make this again!
This looks amazing…going to try it over the weekend!
Phyllis Lindburg says
Looks really good
Melissa Owens says
Hubby licked his plate clean! Delicious recipe.
this is delicious! even my non-thm family members like this one 🙂 we actually have a number of favorites from joyfilledeats....
lisa a jacobs says
I'm really excited to try the keto meatball casserole.
Cana Best says
My kids gobbled these up!! We all loved them! Thanks so much!
U say to bake theml 4 30 min, but u don't say what the degree the oven should be??? They sound fab!
Hi Cindy, if you scroll up a bit above the comments you will see the complete recipe. 400 degrees.
I made this last weekend and added some leftover pepperoni, did meatballs and mild Italian sausage. I served it over egg noodles and it was like an easy lasagne! We all loved it! Thanks for taking the time to share this winner!
I’m trying this tonight for supper. I didn’t have zucchini, so we are trying it without it. I sure hope it turns out well.
It should be fine. Hope you like it!
This has been a huge hit in my family too. The kids would die if they knew they were eating zucchini.
M. Ackland says
These were incredible! Friends were having us over for dinner and raided my Pinterest account for ideas. I was so glad they did. We all just loved these. Two days later I made them. Can't stop raving over them. I've sent the recipe on to several others now. They are a new family favorite.
We really loved this recipe and I used lean hamburger instead of turkey meat plus have a little bit left over so today I'm going to make cheeseburgers out of it 🤗🤗