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This Keto Meatballs recipe features Italian sausage meat with other simple ingredients formed into juicy meatballs and simmered in marinara sauce. It comes together in the Ninja Foodi or a skillet with in less than 30 minutes, making it the perfect easy dinner for a busy weeknight.
Why Make Keto Sausage Meatballs
- Meatballs without breadcrumbs: Meatballs are a classic comfort food, but the breadcrumbs used to hold them together can be a challenge if you’re eating keto or need a gluten-free meatball option. These Italian sausage meatballs with almond flour are one of my favorite keto remakes to Italian food.
- Easy Recipe: to keep this super easy and perfect for even beginner cooks, I get most of the flavor from Italian sausage that I picked up at the store. Everything else is basically toss and go in the Ninja Foodi or a skillet.
- Freezer-friendly: make this recipe for meal prep or toss it in the freezer until you’re ready to eat it.
Ingredients in Keto Pork Meatballs
You likely already have many of the ingredients for this recipe on hand in your keto pantry. To make this, you’ll need to gather, Italian Sausage with the casing removed, almond flour, a large egg, heavy cream, grated parmesan, your favorite no sugar added keto tomato sauce, and spices.
The exact amounts of ingredients can be found in the recipe card. If you don’t have some, you can click on the underlined ingredients the recipe card to buy them.
Substitutions for Italian Sausage Meat
Italian sausage is very popular, which means there are several variations to choose from. To start, you can choose hot or mild/sweet. Be sure to read your labels to ensure that your version doesn’t have a sugar-filled spice mix.
If you don’t eat pork, don’t fret, you also use other Italian-flavored meats. In most markets, you should be able to find ground turkey or chicken sausage meat.
Most times, you can find these in the meat display at the supermarket. But, if not, you can get sausage links from your market’s butcher department. In both cases, you just need to remove the casing.
Keto Substitutes for Breadcrumbs
Breadcrumbs are the typical binding agent in meatballs, which are not keto-friendly or low-carb. For my recipe, I use almond flour in place of breadcrumbs.
I find that almond flour is one of the best substitutes. I’ve tried coconut flour, but that generally makes meatballs and other dishes dry. That’s not what we want for our meatballs.
If you prefer, you can also try using pork rind breadcrumbs. Just make sure that you get the unseasoned variety.
How to Make Keto Italian Sausage Meatballs
Combine the Seasonings and Sausage Meat
Keto Italian sausage meatballs are easy to make and usually take me less than 5 minutes to prepare. To start, mix the spices, almond flour, heavy cream, and egg in a medium to a large bowl. Once the ingredients are well combined, add in the sausage meat and mix it all together.
Form Meatballs
When the Italian sausage meat and other ingredients are thoroughly mixed together, form them into 18-20 meatballs. To do this, take a scoop out of the mixture using either a large spoon or ice cream scoop. Roll the meat into a ball shape and set aside. I cook them after all of the balls are formed.
Sear the Meatballs in the Ninja Foodi or a skillet
Once all of the meatballs are formed, it’s time to brown them on the top and bottom.
If you’re using the Ninja Foodi, like I am, all you need to do is turn on the “Sear/Sautee” mode on “high.” Sear the top and bottom of the meatballs for 5 minutes. When both sides are seared, pour in the sauce. Let the sauce come to a simmer and simmer the sauce and meatballs for 15 minutes.
If you are not using a Ninja Foodi, you can use a large deep pan instead. The steps are very similar. Heat the large pan on medium-high heat. Sear both sides for about 5 minutes per side. Then add the sauce and let it simmer for 15 minutes.
How to Make Sausage Meatballs in the oven
If you prefer, you can make these Italian sausage meatballs in the oven. I don’t like to do this because it means not having a one-pot meal. But, if you prefer to bake them, here is how to do it.
Preheat your oven to 400 degrees while you get the meatballs prepared. Place the formed meatballs onto a parchment-lined baking sheet. Leave a little space between the meatballs so they can cook evenly.
Bake the meatballs for 20 minutes at 400 degrees. As they are cooking, use a medium-sized pot to heat up the sauce on the stovetop. This can be done at medium-low to medium heat. When the meatballs have cooked, you can add them to the sauce in the pot or plate the meatballs and pour or spoon the sauce over the meatballs.
What to Serve with Keto Meatballs
Here are some of my favorite pairing options:
- Ninja Foodi Air Fryer Spaghetti Squash
- Easy Air Fryer Green Beans Recipe
- Sautéed Green Beans with Garlic Recipe
- Air Fryer Eggplant
- Easy Garlic Parmesan Zucchini Noodles (Zoodles)
- Easy Keto Parmesan Garlic Bread Bites
More Keto Meatball Recipes
More Keto Italian Sausage Recipes
If you enjoy Italian Sausage, here are some other recipes to make using it:
An easy variation to this recipe would be to swap tomato basil sauce for my easy keto alfredo sauce.
Keto Italian Sausage Meatballs Recipe
Use DRDAVINAHS at checkout to save on some equipment & ingredients!
Ingredients
- 28 oz Italian Sausage, casing removed, mild or hot
- 1/4 cup Almond Flour
- 1 large Eggs, beaten
- 1/4 cup Organic Heavy Whipping Cream
- 1 tsp Onion Powder
- 1 tsp Garlic Powder
- 1 tsp Dried Parsley
- 3 tbsp grated parmesan
- 25 oz Tomato Basil Sauce, Check the label to ensure no added sugar
Instructions
- Add the spices, almond flour, heavy cream, and egg to a bowl and mix to incorporate
- Add the sausage meat and incorporate it
- Form 18-20 meatballs by scooping the meat with a large spoon or ice cream scoop
- Sear the meatballs for 5 minutes in the Ninja Foodi cooking pot using the "Sear/Saute" function on High. You can also add the meatballs to a large pan.
- Flip the meatballs and sear them for another 5 minutes.
- Add the tomato basil sauce to the pot. Simmer the meatballs in the sauce for 15 minutes
Nutrition Details
The nutrition facts come from entering the recipe ingredients into Spoonacular API, a database of food ingredients. They may vary for any recipe based on the exact product used. The keto sweeteners I use have 0g net carbs & are not included because sugar alcohols do not impact most people. This is provided as a courtesy, but you can do your own calculations if you wish!
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