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Keto Italian Meatballs with Marinara Sauce

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If there’s one dish I could eat over and over again without getting tired, it’s these Keto Italian Meatballs with Marinara Sauce. They’re juicy, full of bold Italian flavors, and coated in a rich, garlicky tomato sauce that tastes like it’s been simmering all day—even when it hasn’t. Best of all, they’re low-carb and totally keto-friendly, so they satisfy cravings without breaking your goals.

I first made these meatballs on a weeknight when I needed something hearty but healthy. The result? Perfectly browned meatballs with a cheesy surprise inside and a robust sauce that clings to every bite. Whether you’re prepping for a family dinner or meal prepping for the week, this recipe fits the bill beautifully.


Why You’ll Love This Keto Italian Meatballs with Marinara Sauce

These meatballs hit that magical balance of being indulgent and guilt-free. They’re made with simple ingredients, yet the flavor is anything but basic. They’re naturally gluten-free, thanks to the use of almond flour instead of breadcrumbs, and the cheese inside keeps them moist and flavorful. This recipe is perfect for meal prep, freezer-friendly, and pairs with just about any low-carb side.


What Kind of Ground Meat Should I Use?

You can use ground beef, ground pork, or a mix of both for a more traditional Italian flavor. I personally prefer a 50/50 blend of beef and pork to get the best texture—juicy, tender, and full of flavor. Avoid very lean meats; fat brings moisture and richness that make these meatballs truly shine.


Options for Substitutions

  • Almond Flour: If you don’t have almond flour, you can use crushed pork rinds as a low-carb binder.
  • Cheese: Mozzarella adds that gooey center, but provolone or even cream cheese can be used for a different flavor.
  • Fresh Herbs: Don’t worry if you don’t have fresh basil—dried Italian seasoning works well in a pinch.
  • Marinara Sauce: A sugar-free store-bought marinara keeps this recipe easy, but homemade keto marinara makes it even better.

Ingredients for this Keto Italian Meatballs with Marinara Sauce

  • Ground Beef and Pork (50/50 mix) – This blend creates a perfect balance of flavor and fat content, giving you juicy and tender meatballs.
  • Eggs – Essential for binding the meat mixture together.
  • Almond Flour – A low-carb alternative to breadcrumbs that helps with texture without the carbs.
  • Garlic (minced) – For that deep, savory aroma and classic Italian flavor.
  • Onion (grated) – Adds moisture and a gentle sweetness to the meatballs.
  • Italian Seasoning – A mix of herbs like oregano, basil, and thyme to bring out traditional flavors.
  • Salt and Pepper – For seasoning and balance.
  • Mozzarella Cheese (cubed) – Stuffed in the center for a melty, cheesy surprise.
  • Parmesan Cheese (grated) – For added richness and umami.
  • Fresh Basil (chopped) – A bright, fresh herb to garnish at the end.
  • Sugar-Free Marinara Sauce – The perfect low-carb tomato base to simmer the meatballs in.
  • Olive Oil – For browning the meatballs and adding a rich flavor.

Step 1: Prepare the Meatball Mixture

In a large bowl, combine the ground beef and pork, almond flour, grated onion, minced garlic, Parmesan cheese, egg, Italian seasoning, salt, and pepper. Mix gently using your hands or a spatula until everything is just combined. Avoid over-mixing, as that can make the meatballs tough.


Step 2: Stuff with Mozzarella

Take a small scoop of the meat mixture and flatten it slightly in your hand. Place a cube of mozzarella cheese in the center and wrap the meat around it, rolling it into a ball. Repeat until all meatballs are formed.


Step 3: Brown the Meatballs

Heat olive oil in a large skillet over medium heat. Add the meatballs in batches, making sure not to overcrowd the pan. Brown them on all sides for about 5–7 minutes. They don’t need to be fully cooked at this point—just nicely seared.


Step 4: Simmer in Marinara Sauce

Transfer the browned meatballs into a large saucepan or oven-safe dish. Pour in the sugar-free marinara sauce, ensuring all the meatballs are covered. Simmer on low heat for about 25–30 minutes or until fully cooked through.


Step 5: Garnish and Serve

Once the meatballs are done, sprinkle with freshly chopped basil and extra Parmesan cheese before serving. You can enjoy them as-is or pair with spiralized zucchini or cauliflower rice for a full keto-friendly meal.


How Long to Prepare the Keto Italian Meatballs with Marinara Sauce

Prep Time: Most of the prep involves mixing and forming the meatballs, which takes about 15–20 minutes. Stuffing the mozzarella inside adds a few extra minutes, but it’s well worth it for that gooey center.

Cook Time: Browning the meatballs in batches takes roughly 10–15 minutes, and simmering them in marinara sauce requires an additional 25–30 minutes. From start to finish, expect the full process to take about 45–60 minutes.


Tips for Perfect Keto Italian Meatballs with Marinara Sauce

  • Don’t overmix the meat mixture—gently combining keeps the meatballs tender.
  • Use freshly grated Parmesan for the best texture and flavor.
  • Chill the meatballs for 10–15 minutes before browning if you have time; it helps them keep their shape.
  • Use a cookie scoop to keep the meatballs uniform in size.
  • Make sure your marinara sauce is sugar-free to stay keto-compliant.

Watch Out for These Mistakes While Cooking

  • Overcooking the meatballs: This can dry them out, especially if you’re using leaner meat.
  • Not sealing the cheese inside properly: The mozzarella can leak out during cooking.
  • Crowding the pan while browning: It causes steaming instead of searing.
  • Using marinara with added sugars: Always check the label or make your own.
  • Skipping the browning step: Browning adds a deep flavor base that simmering alone can’t provide.

What to Serve With Keto Italian Meatballs with Marinara Sauce?

1. Zucchini Noodles

A light, pasta-like base that soaks up the marinara beautifully.

2. Cauliflower Mash

Creamy and satisfying, a great alternative to mashed potatoes.

3. Grilled Vegetables

Adds smoky flavor and a nutritious side to your plate.

4. Keto Garlic Bread

Made with almond flour or cheese dough—perfect for dipping into the sauce.

5. Arugula Salad with Lemon Vinaigrette

Peppery and fresh, the acidity balances the richness of the meatballs.


Storage Instructions

Refrigeration: Store leftover meatballs in an airtight container in the fridge for up to 4 days. Reheat gently in the microwave or on the stovetop with a bit of added marinara.

Freezing: These meatballs freeze beautifully. Place cooked meatballs in a single layer on a baking sheet to freeze individually, then transfer to a freezer-safe bag. Freeze for up to 3 months. Reheat from frozen in a covered skillet with marinara over low heat.


Estimated Nutrition (per serving, approx. 3 meatballs)

  • Calories: 370 kcal
  • Fat: 28g
  • Saturated Fat: 11g
  • Carbohydrates: 5g
  • Fiber: 2g
  • Sugar: 2g
  • Protein: 25g
  • Sodium: 620mg
  • Cholesterol: 90mg

Frequently Asked Questions

What kind of marinara sauce is keto-friendly?

Look for sauces with no added sugars and minimal ingredients—tomatoes, olive oil, garlic, and herbs. Rao’s and Yo Mama’s are good store-bought options.

Can I make these meatballs ahead of time?

Yes! You can prepare the meatballs and refrigerate them up to 24 hours in advance. Or freeze them uncooked and thaw before browning and simmering.

Can I cook these meatballs in the oven?

Absolutely. After forming the meatballs, bake them at 400°F (200°C) for about 20 minutes, then transfer to a pan with marinara and simmer for an additional 10 minutes.

What cheese works best for stuffing?

Mozzarella is classic, but low-moisture provolone or even a small cube of cheddar can add a fun twist.

Are these meatballs spicy?

Not by default, but you can add red pepper flakes or a bit of hot Italian sausage if you want to dial up the heat.


Conclusion

These Keto Italian Meatballs with Marinara Sauce are the kind of recipe that turns a simple dinner into something unforgettable. Packed with flavor, comfort, and keto-friendly ingredients, they’re easy to make and even easier to love. Whether you’re making a batch for tonight’s dinner or freezing some for future cravings, this dish is sure to become a favorite in your rotation.


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Keto Italian Meatballs with Marinara Sauce


  • Author: Sara McKenney
  • Total Time: 50 minutes
  • Yield: 4 servings

Description

Looking for a hearty, comforting, and low-carb dinner option? These *Keto Italian Meatballs with Marinara Sauce* bring together everything you love about classic Italian comfort food—without the carbs. Juicy meatballs stuffed with melty mozzarella, simmered in a sugar-free marinara sauce, make this an ideal easy recipe for weeknight dinners or meal prep. It’s perfect if you’re browsing quick dinner ideas, low-carb food ideas, or need a healthy snack that feels indulgent. These meatballs deliver big flavor and are completely gluten-free, keto-friendly, and family-approved.


Ingredients

1/2 lb ground beef

1/2 lb ground pork

1/4 cup almond flour

1/4 cup grated Parmesan cheese

1/4 small onion, grated

2 cloves garlic, minced

1 large egg

1 teaspoon Italian seasoning

1/2 teaspoon salt

1/4 teaspoon black pepper

4 oz mozzarella cheese, cut into cubes

2 tablespoons olive oil

2 cups sugar-free marinara sauce

2 tablespoons chopped fresh basil

2 tablespoons grated Parmesan for garnish


Instructions

1. In a large mixing bowl, combine the ground beef, ground pork, almond flour, Parmesan, grated onion, garlic, egg, Italian seasoning, salt, and pepper. Mix gently to combine without overworking the meat.

2. Take a scoop of the meat mixture and flatten it slightly in your palm. Place a cube of mozzarella in the center, wrap the meat around it, and form into a ball. Repeat until all meatballs are formed.

3. Heat olive oil in a skillet over medium heat. Brown the meatballs in batches, turning to get color on all sides, about 5–7 minutes.

4. Transfer meatballs into a saucepan or baking dish. Pour marinara sauce over them, covering completely. Simmer on low heat for 25–30 minutes until fully cooked.

5. Garnish with fresh basil and extra grated Parmesan. Serve hot.

Notes

Use a cookie scoop for even-sized meatballs that cook uniformly.

Grate the onion instead of chopping for better moisture and even distribution.

Chill formed meatballs for 10 minutes before browning to help retain shape.

  • Prep Time: 20 minutes
  • Cook Time: 30 minutes
  • Category: Dinner
  • Method: Simmered
  • Cuisine: Italian

Nutrition

  • Serving Size: 3 meatballs
  • Calories: 370
  • Sugar: 2g
  • Sodium: 620mg
  • Fat: 28g
  • Saturated Fat: 11g
  • Unsaturated Fat: 14g
  • Trans Fat: 0g
  • Carbohydrates: 5g
  • Fiber: 2g
  • Protein: 25g
  • Cholesterol: 90mg

Keywords: keto meatballs, low carb dinner, Italian recipe, healthy meatballs, keto meal prep

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