Go Back
–+ servings
Print Recipe

Keto Spaghetti and Meatballs

This keto spaghetti is comfort food made healthy! Traditional Italian meatballs are made low-carb with extra cheese and a touch of heavy cream. Palmini noodles are tossed in a simple, yet delicious sauce for an easy keto meal.
Prep Time10 minutes
Cook Time30 minutes
Total Time40 minutes
Servings: 6 servings

Equipment

  • Large bowl
  • Large pot

Ingredients

For the Meatballs

  • 1 pound ground beef see Notes
  • 1 garlic clove minced
  • 2 tablespoons heavy cream
  • ¼ cup freshly grated parmesan cheese see Notes
  • ¼ cup freshly shredded mozzarella cheese
  • 1 teaspoon Italian seasoning
  • ½ teaspoon salt
  • ¼ teaspoon black pepper
  • 1 tablespoon olive oil

For the Sauce

  • 2 garlic cloves minced
  • 1 14.5-ounce can diced tomatoes no sugar added
  • 1 teaspoon Italian seasoning
  • ½ teaspoon salt

For the Spaghetti

  • 24 ounces Palmini noodles see Notes

Instructions

  • Mix together the ground beef, garlic, egg, heavy cream, parmesan cheese, mozzarella cheese, Italian seasoning, salt, and black pepper in a large bowl.
    Keto Spaghetti Process Photo 1
  • Using a tablespoon or cookie scoop, measure out 2 tablespoon of meat per meatball and roll into a ball using the palms of your hands.
    Keto Spaghetti Process Photo 2
  • Once all meatballs are prepped, add olive oil to a large pot or dutch oven over medium heat. Working in batches, sear meatballs for 2-3 minutes per side.
    Keto Spaghetti Process Photo 3
  • Sauté the garlic in the same pot you cooked your meatballs in over medium-low heat for 2 minutes. Add all other sauce ingredients and stir to combine.
  • Gently add your meatballs back into the pot. Cover pot with lid, reduce heat to low and let simmer for 15-20 minutes or until meatballs are cooked through.
  • Drain and rinse the Palmini noodles, then remove pot from heat and stir the noodles in. Divide into equal portions and serve.

Notes

  • Ground Beef: You can use anywhere from 70% to 95% lean ground beef.
  • Parmesan Cheese: For keto-friendly grated parmesan cheese, we recommend buying a block of parmesan cheese and grating it yourself. Pre-grated cheeses often times contain fillers which add unnecessary carbs.
  • Palmini Noodles: Feel free to use your favorite keto pasta in this recipe. Zucchini noodles would taste great!

Nutrition

Serving: 1serving | Calories: 310kcal | Protein: 18g | Fat: 22g | Saturated Fat: 9g | Trans Fat: 1g | Total Carbs: 10g | Fiber: 4g | Sugar: 2g | Net Carbs: 6g | Vitamin C: 1mg | Cholesterol: 66mg | Sodium: 730mg | Potassium: 232mg | Calcium: 104mg | Iron: 2mg
Recipe by Cheryl Malik