Keto Italian Meatballs Bake

Section: Hearty Meals to Satisfy Your Hunger

Enjoy perfectly seasoned keto meatballs made with ground beef and Italian sausage, combined with eggs, Parmesan, and spices for a flavor-packed dish. The meatballs are seared for a golden crust, then simmered in a savory tomato sauce and topped with mozzarella and more Parmesan. Baked until bubbly and browned, these meatballs deliver rich Italian flavors in a low-carb format. A comforting, hearty option for those seeking a satisfying meal without the carbs.

A woman in a white shirt and apron smiles for the camera.
By Barbara Barbara
Information updated on Sun, 22 Feb 2026 13:57:40 GMT
A pan of meatballs covered in cheese. Save
A pan of meatballs covered in cheese. | tastefullyeats.com

There is something so satisfying about keto meatballs that makes them an instant comfort food favorite. This recipe was born out of my search for a low carb dish that did not feel like a dieting compromise and still pleased everyone sitting around my table. Juicy beef and sausage are seasoned just right and tucked under a bubbly blanket of melted cheeses—the perfect crowd-pleaser for anyone wanting big flavor while keeping things keto friendly.

I remember making a double batch ahead of a busy week and they disappeared by Wednesday—everyone wanted leftovers for lunch and there were none left by Friday.

Ingredients

  • Ground beef: preferably 85 15 for a perfect juicy bite look for bright red color and avoid brown spots
  • Italian sausage: for an extra layer of flavor go for a fresh sausage with visible herbs
  • Egg: helps the meatballs hold together farm fresh if possible
  • Salt and black pepper: to heighten all the flavors
  • Onion powder: for subtle sweetness and aroma
  • Parmesan cheese: grated finely for binding and salty umami use authentic Parmigiano Reggiano if you can
  • Pizza sauce: choose a no sugar added version with simple ingredients
  • Tomato paste: enhances the richness and gives depth
  • Mozzarella cheese: grated for a perfect gooey topping pick a block and shred it yourself
  • More parmesan cheese: for sprinkling over the top a little goes a long way

Instructions

Mix the Meatball Base:
Combine ground beef Italian sausage eggs salt pepper onion powder and finely grated parmesan in a large bowl Use your hands to mix until just combined and no streaks remain Take care not to overmix which can toughen the meatballs
Shape the Meatballs:
Scoop out portions about the size of a heaping tablespoon Roll gently between your palms to form smooth uniform balls Line up on a plate ready for searing
Sear for Flavor:
Heat a skillet over high with a little oil Carefully sear each meatball turning to brown just one or two sides Do not overcrowd the pan Work in batches to allow each meatball enough room for a great crust
Simmer with Sauce:
Remove meatballs and lower the heat to medium Add tomato paste directly to the pan and stir for ten seconds until fragrant This step intensifies the tomato note Immediately pour in pizza sauce Stir together until smooth Slide meatballs back into the sauce Nudge down so they are partly nestled in but not submerged Turn off the heat
Cheese Blanket and Bake:
Scatter mozzarella and parmesan over the tops of the meatballs Transfer skillet to a hot oven and bake twenty minutes The cheese will melt brown and bubble and the meatballs will finish cooking through
Check for Doneness:
Ensure meatballs are firm and reach an internal temperature of at least one hundred sixty degrees for safety
Let Cool Slightly and Serve:
Allow meatballs to rest five minutes before serving This helps the juices settle so every bite is moist
A pan of meatballs with cheese and sauce.
A pan of meatballs with cheese and sauce. | tastefullyeats.com

Parmesan is always my favorite in this recipe I sneak a little extra in the meatball mix and on top for that irresistible golden edge I still remember my youngest insisting they tasted better than the ones from our favorite Italian restaurant and that always makes me smile

Storage Tips

Store leftover meatballs in an airtight container in the fridge for up to four days They reheat well in the microwave or gently in a covered skillet If you want to keep them longer pop them in the freezer After cooling completely arrange in a single layer on a tray to freeze then transfer to a bag or container

Ingredient substitutions

If you do not have ground Italian sausage you can use all ground beef and boost flavor with a teaspoon of fennel seed and Italian herbs Dairy free mozzarella can substitute for the regular cheese if needed You can use homemade marinara instead of pizza sauce as long as it is low in sugar

Serving Suggestions

Serve keto meatballs over spiralized zucchini for a light meal They also pair with a crisp green salad or even cauliflower mash For entertaining I like to make smaller meatballs and offer toothpicks for a cheesy appetizer platter

Cultural Context

Meatballs have roots in Italian cuisine but have been embraced and adapted across the globe Making them keto friendly is just one way to honor the comfort and tradition while fitting any eating style I love how a classic recipe transforms but the spirit stays the same

Seasonal Adaptations

In summer serve these meatballs with fresh tomatoes or grilled vegetables For fall top with roasted butternut or spaghetti squash Winter calls for keeping them extra cheesy and serving with a side of garlicky sautéed greens

Success Stories

A friend swapped sausage for ground turkey and was amazed at how juicy they stayed My niece who is gluten sensitive said these let her finally enjoy classic meatballs without worry One time we served them during a holiday potluck and they vanished before anything else I always keep some in the freezer for unexpected guests

Freezer Meal Conversion

Shape and sear meatballs as directed but stop before baking Flash freeze the raw seared meatballs on a tray then store in a zip bag When ready to eat thaw overnight arrange in sauce and cheese in a baking dish and bake as usual for a quick meal

A bowl of meatballs in a tomato sauce.
A bowl of meatballs in a tomato sauce. | tastefullyeats.com

Give these keto meatballs a try and see just how crave-worthy tradition with a twist can be. I hope your family loves them as much as mine!

Common Recipe Questions

→ How do you keep keto meatballs juicy?

Mixing eggs and finely grated Parmesan into the meat helps maintain moisture and tenderness during baking.

→ Can I use only ground beef instead of sausage?

Yes, but combining beef and Italian sausage adds more flavor. Pure beef works, though you may want to adjust seasonings.

→ Is it necessary to sear the meatballs before baking?

Searing creates a flavorful crust and helps lock in juices but if short on time, you can bake directly.

→ Which tomato sauce works best for this dish?

Choose a low-sugar pizza or marinara sauce to keep carbohydrates minimal and flavors bold.

→ What can I serve with keto meatballs?

They pair well with spiralized zucchini, roasted vegetables, or a fresh green salad for a complete meal.

Keto Italian Meatballs Bake

Tender baked keto meatballs, loaded with cheese and robust tomato sauce for a hearty, low-carb meal.

Prep Duration
20 min
Cooking Duration
25 min
Overall Time
45 min
By Barbara: Barbara

Recipe Category: Main Dishes

Preparation Difficulty: Moderate

Culinary Origin: American Italian

Total Output: 8 Portions (Approximately 8 servings (4 ounces meat per serving))

Dietary Attributes: Low-Carbohydrate, Gluten-Free

Ingredient List

→ Meatballs

01 16 ounces ground beef (85/15 blend)
02 16 ounces ground Italian sausage
03 2 large eggs
04 1/2 teaspoon salt
05 1/2 teaspoon black pepper
06 1/2 teaspoon onion powder
07 1/4 cup finely grated Parmesan cheese

→ Sauce

08 14 ounces pizza sauce
09 2 tablespoons tomato paste

→ Topping

10 1/2 cup grated mozzarella cheese
11 1/4 cup grated Parmesan cheese

Preparation Steps

Step 01

Preheat oven to 400°F (204°C).

Step 02

Combine ground beef, ground Italian sausage, eggs, salt, black pepper, onion powder, and Parmesan cheese in a large bowl. Mix until evenly blended.

Step 03

Form the mixture by hand into evenly sized meatballs.

Step 04

Heat a drizzle of oil in a skillet over high heat. In batches, sear each meatball on one or two sides, avoiding overcrowding. Transfer seared meatballs to a plate.

Step 05

Reduce skillet heat to medium. Add tomato paste and cook for about 10 seconds, stirring constantly. Pour in the pizza sauce, stirring to incorporate.

Step 06

Return meatballs to the pan with the sauce. Turn off the heat to prevent overcooking at this stage.

Step 07

Evenly sprinkle grated mozzarella and Parmesan cheeses over the meatballs. Place uncovered skillet or baking dish in preheated oven. Bake for 20 minutes, or until cheese is golden and meatballs are cooked through.

Step 08

Each serving portion is approximately 4 ounces of cooked meat.

Supplementary Details

  1. Allow the meat mixture to rest for a few minutes before shaping to enhance binding.

Essential Tools

  • Oven
  • Large mixing bowl
  • Skillet capable of oven use
  • Measuring cups and spoons

Allergy Advisories

Review each item for possible allergens. Consult a medical expert with any concerns.
  • Contains eggs and dairy (cheese).

Nutritional Values (per serving)

This information serves as a guide and does not replace advice from qualified health professionals.
  • Calories: 375
  • Fat: 28 g
  • Carbohydrate: 6 g
  • Protein: 25 g