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Meatballs in tomato sauce with melted cheese in a round dish and a spoon with a meatball.
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5 from 11 votes

Italian Keto Meatballs

Juicy, tender low carb meatballs in a rich tomato sauce topped with melted mozzarella - comfort food both grown-ups and children will love. I like to make a triple portion and freeze a big batch for later.
Prep Time5 minutes
Cook Time30 minutes
Course: DInner, Lunch, Main Course
Cuisine: Italian
Servings: 4
Calories: 531kcal

Ingredients

  • 2 tablespoon olive oil
  • 1 small onion finely diced (70g)
  • 3 cloves garlic minced
  • 1.1 lb ground beef 500g, fatty is best
  • 2 tablespoon dried oregano 10.8g
  • 2 tablespoon coconut aminos or soy sauce
  • 1 egg large
  • ⅓ - ½ teaspoon salt
  • teaspoon pepper
  • 3 tablespoon pecorino 15g, grated, or parmesan cheese
  • 21 oz chopped tomatoes 600g / 1.3lb
  • 2 tablespoon tomato puree 30g
  • 1 cup grated mozzarella 113g

Instructions

  • Preheat the oven to 400F / 200C / 180fan.
  • Heat 1 tablespoon of oil in a skillet or non stick sauté pan. Add the onion and fry for 3 minutes until soft and translucent. Add the garlic and sauté for a further 30 seconds. Remove from the pan and wipe out the pan ready for the meatballs.
  • Place the meat, 1 tablespoon dried oregano, half of the cooked onion and garlic mix, 1 tablespoon coconut aminos, egg, a good pinch of salt and pepper and 1 tablespoon pecorino in a bowl and mix to combine. Using wet hands, roll into meatballs about 3 cm in size.
  • Heat 1 tablespoon of oil in your skillet or sauté pan and fry the meatballs, turning frequently for 5 - 7 minutes until browned. Remove from the heat. (Transfer to an oven proof dish if you’re not using a cast iron pan that can go in the oven or temporarily remove the meatballs from the skillet whilst you make the sauce.)
  • To a clean skillet / pan, add the chopped tomatoes, tomato puree, remaining garlic and onion, 1 tablespoon coconut aminos, 1 tablespoon oregano, season and bring to the boil. Reduce to a simmer and cook for about 5 minutes until thicker in consistency.
  • Coat the meatballs in the tomato sauce. Top with shredded mozzarella, 2 tablespoon pecorino and bake 15 - 20 minutes until the cheese has fully melted. Top with fresh oregano and cracked black pepper.

Notes

The recipe makes 4 portions at 7.8 g net carbs per portion. 
I like to serve these meatballs with a fresh crunchy salad, zucchini noodles or cauliflower rice.
Store in an airtight container in the fridge for up to 5 days or freeze for up to 6 months. 

Nutrition

Calories: 531kcal | Total Carbohydrates: 12.3g | Protein: 33g | Fat: 39g | Saturated Fat: 17.4g | Sodium: 710mg | Potassium: 805mg | Fiber: 4.6g | Sugar: 6.1g