Meatball Casserole Recipe

If you are looking for a new family dinner this Keto Meatball Casserole should be it. Juicy, flavorful meatballs baked until golden and then covered with tomato sauce and cheese. My low carb Meatball Parmesan Casserole was a hit with my family and should be a hit with yours.

Prep Time: 15mins

Cook Time: 45mins

Total Time: 1hr

Course: dinner, Main Course

Cuisine: American, Italian Servings: 8 servings 


Large 9×13 Casserole Dish


Meatball Ingredients:

  • 1 lb ground turkey
  • 1 lb Italian sausage
  • 1 cup shredded mozzarella
  • ⅓ cup grated or shredded parmesan
  • 1 shredded zucchini about 1 cup
  • 1 egg
  • 2 teaspoon dried minced onion
  • 2 teaspoon dried minced garlic
  • 2 teaspoon dried basil
  • 1 teaspoon salt

Casserole Ingredients:

  • 1 cup marinara sauce
  • 8 oz shredded cheese (I used a two cheese pizza blend of mozzarella and provolone)


  1. Preheat oven to 400. Spray a casserole dish with cooking spray
  2. Combine all the ingredients for the meatballs and mix thoroughly. Make about 24 meatballs and put them in the casserole dish.
  3. Bake for 30 minutes or until the meatballs are cooked through. Carefully drain the cooking liquid from the casserole dish.
  4. Top with the sauce and cheese. Bake for an additional 10-15 minutes or until the cheese is melted.
  5. Optional: I broiled for 3-4 minutes at the end to toast the cheese. Watch it carefully if you put it under the broiler. The cheese can burn easily.


Substitutions: you can use any type of ground meat (beef, pork, turkey, chicken) and any type of Italian sausage (pork, chicken, or turkey) in these meatballs.

You may also omit the zucchini or sub in chopped spinach if you prefer.

Make sure you choose a no sugar added marinara or make your own!


Serving: 3meatballs | Calories: 382 | Carbohydrates: 5g | Protein: 36g | Fat: 24g | Saturated Fat: 11g | Cholesterol: 129mg | Sodium: 734mg | Potassium: 543mg | Fiber: 1g | Sugar: 2g | Vitamin A: 477IU | Vitamin C: 8mg | Calcium: 298mg | Iron: 2mg

Leave a Comment