Italian keto meatballs with mozzarella cheese

Italian keto meatballs with mozzarella cheese

Tomato sauce, rich and comforting. Mozzarella, fresh and creamy. Meatballs, with just the right touch of onion and basil. It's like spaghetti night, without the carbs. Enjoy every ketolicious bite!

Italian keto meatballs with mozzarella cheese

Tomato sauce, rich and comforting. Mozzarella, fresh and creamy. Meatballs, with just the right touch of onion and basil. It's like spaghetti night, without the carbs. Enjoy every ketolicious bite!
USMetric
4 servingservings

Ingredients

  • 1 lb 450 g ground beef or ground turkey
  • ¾ cup (2 oz.) 180 ml (60 g) shredded Parmesan cheese
  • 1 1 eggeggs
  • 1 tsp 1 tsp salt
  • ½ tbsp ½ tbsp dried basil
  • ½ tsp ½ tsp onion powder
  • 1 tsp 1 tsp garlic powder
  • ½ tsp ½ tsp ground black pepper
  • 3 tbsp 3 tbsp olive oil
  • 1¾ cups (1 lb) 425 ml (425 g) canned whole tomatoes
  • 2 tbsp 2 tbsp fresh parsley, finely chopped
  • 7 oz. (6½ cups) 200 g (1.6 liters) fresh spinach
  • 2 oz. 55 g butter
  • 5 oz. (1¼ cups) 140 g (300 ml) fresh mozzarella cheese
  • salt and pepper
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Instructions

  1. Place ground beef, parmesan cheese, egg, salt and spices in a bowl and blend thoroughly. Form the mixture into meatballs, about 1 oz (30 grams) each. It helps to keep your hands wet while forming the balls.
  2. Heat up the olive oil in a large skillet and sauté the meatballs until they're golden brown on all sides.
  3. Lower the heat and add the canned tomatoes. Let simmer for 15 minutes, stirring every couple of minutes. Season with salt and pepper to taste. Add parsley and stir. You can prepare the dish up to this point for freezing.
  4. Melt the butter in a separate frying pan and fry the spinach for 1-2 minutes, stirring continuously. Season with salt and pepper to taste. Add the spinach to the meatballs, and stir to combine.
  5. Serve with mozzarella cheese on top, torn into bite-sized pieces.

Tip!

Like it hot-hot-hot? Swap out half the ground beef with spicy Italian sausage. Add red pepper flakes, as needed.

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💬 Have you tried this recipe?

What did you think? Please share your thoughts in the comment section below!
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119 comments

  1. Kerry Merritt Team Diet Doctor

    Is it ok to eat with a lil pasta i am oj my 5th day and body feels a lil fatigue

    No, we would not recommend adding carbohydrates. If you're feeling fatigued, you may be experiencing a bit of the "keto flu." Here's more info and tips on how to feel to better! https://www.dietdoctor.com/low-carb/keto/flu-side-effects

  2. jan
    So delicious !!! I added two small red chillies which gave a great kick!!! With 30g per meatball, there was 4 1/2 meatballs per serving, needs nothing else - damn delcious !!!
  3. Julie
    Hi, in the UK we get ground beef (mince) in different fat percentages - 5%, 10%, 15% and sometimes even 20% fat. Surely the fat percentage of the beef will hugely affect the "ketoness" of the meal. I used 10% fat pasture-fed beef mince. Is that about right Diet Doctor? Thanks
    I thought the recipe was delicious - i had never made meatballs before.
    Reply: #104
  4. Crystal Pullen Team Diet Doctor

    Hi, in the UK we get ground beef (mince) in different fat percentages - 5%, 10%, 15% and sometimes even 20% fat. Surely the fat percentage of the beef will hugely affect the "ketoness" of the meal. I used 10% fat pasture-fed beef mince. Is that about right Diet Doctor? Thanks
    I thought the recipe was delicious - i had never made meatballs before.

    The basic recommendation is to use what you prefer and what is on sale. 85/15 is a good bet for most recipes, but 90/10 will work as well.

  5. Robin
    Just made these tonight. I think next time I'll use Italian diced tomatoes. It didn't make a whole lot of sense to use whole tomatoes, I ended up cutting them up with kitchen shears. I also added two packs of Miracle Noodle fettuccine to the sauce to let them absorb the flavors.
  6. Robin
    I also wanted to say, when making the meatballs, I pulled out my kitchen scale and weighed each as I made them most were between 30 and 32 grams. Made 25 meatballs (I used 1.5 lbs ground beef).
    Reply: #107
  7. Crystal Pullen Team Diet Doctor

    I also wanted to say, when making the meatballs, I pulled out my kitchen scale and weighed each as I made them most were between 30 and 32 grams. Made 25 meatballs (I used 1.5 lbs ground beef).

    Thanks for sharing!!

  8. michaela.allard
    Hello , I made this yesterday and used chopped tomatoes and fresh Garlic . Also I replaced the Parsly with fresh Basil and to make it more spicy a little smoked chilli flakes. Very tasty and I love it ;)
    Reply: #109
  9. Crystal Pullen Team Diet Doctor

    Hello , I made this yesterday and used chopped tomatoes and fresh Garlic . Also I replaced the Parsly with fresh Basil and to make it more spicy a little smoked chilli flakes. Very tasty and I love it ;)

    Nice variation! I am glad you enjoyed it.

  10. donnasaunders575
    Hi, I want to make this recipe today but don't have any parmesan cheese. could I grate in cheddar?
    Thank you
    Reply: #111
  11. Kristin Parker Team Diet Doctor

    Hi, I want to make this recipe today but don't have any parmesan cheese. could I grate in cheddar?
    Thank you

    Cheddar has a higher fat percentage than parmesan does and may result in greasy meatballs.

  12. Genevieve
    Can you add more spinach to this recipe and stay keto?
    Reply: #113
  13. Kerry Merritt Team Diet Doctor

    Can you add more spinach to this recipe and stay keto?

    Yes, you could add a bit more spinach if you'd like. A cup of raw spinach adds less than a net carb.

  14. Michele
    Diced tomatoes have an ingredient that makes them keep the dice shape. I think whole tomatoes break down better and make a more appealing textured sauce so I agree this is the best choice. You can just squeeze them to pieces with your hands.
  15. 1 comment removed
  16. 4aip48
    Company quality dish! So delicious. I used diced tomatoes, had on hand. Turned out perfectly. Easy to make and looks beautiful and tastes even better.
  17. Bori88
    Could you help me? Why does some meal say it's 10g and it's in a green circle while the other meal is 7g and it's in an orange? This is so confusing! And how many grams one serving should be? So, for example, this meal has 5g. Is this for one serving? So if I make 2 servings and I eat 2x1 serving in a day I will end up with 10g in total? I swear I tried to search for the answer in the sight but I haven't found it.
    Reply: #118
  18. Kristin Parker Team Diet Doctor

    Could you help me? Why does some meal say it's 10g and it's in a green circle while the other meal is 7g and it's in an orange? This is so confusing! And how many grams one serving should be? So, for example, this meal has 5g. Is this for one serving? So if I make 2 servings and I eat 2x1 serving in a day I will end up with 10g in total? I swear I tried to search for the answer in the sight but I haven't found it.

    The nutrition information is per serving. This meal is 5g net carbs per serving so yes, 5g for dinner and 5g for lunch. For the green and orange circles, that also has to do with protein and fat percentages. Generally, as long as the meal you're choosing will keep you at 7-10g net carbs for the meal, you're on the right track!
    https://www.dietdoctor.com/how-low-carb-is-low-carb

  19. Mrs N
    OMG!! The flavour is fantastic. You must try. I've done number a of serves and frozen them. Too convenient.
    Reply: #120
  20. Kristin Parker Team Diet Doctor

    OMG!! The flavour is fantastic. You must try. I've done number a of serves and frozen them. Too convenient.

    Great idea to make a big batch and freeze for another day.

  21. Turks
    Is the nutrition correct? 49g of fat in one serving?
    Reply: #122
  22. Kristin Parker Team Diet Doctor

    Is the nutrition correct? 49g of fat in one serving?

    Yes, that is correct.

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