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    Home » Recipes » Keto Casserole Recipes

    Published: Mar 4, 2020 · Modified: Oct 15, 2023 by Jennifer Banz· 10 Comments

    Keto Meatball Casserole

    Servings: 6
    |
    Cals: 629
    |
    Fat: 48
    |
    Carbs: 7
    |
    Fiber: 1
    |
    Protein: 44
    |
    Time: 45 minutes mins
    Jump to Recipe Pin for Later

    This Keto Meatball Casserole is the perfect weekday dinner that will have everyone in the house running to the dinner table. Savory Italian style meatballs with classic marinara and topped with melted mozzerella cheese. You don't have to make two separate meals when you have a keto casserole dish this good!

    keto meatball casserole in a green casserole dish with a wooden spoon

    Easy Low Carb and Keto Meatball Casserole

    This meatball recipe is one I have been using for years.  You may have seen it before accompanied by a bacon tomato sauce.

    I use shredded parmesan as a binder instead of breadcrumbs or almond flour.  I think this gives the meatballs so much flavor.

    My husband raved over this recipe so it is definitely making another appearance on our dinner table sometime soon.

    What meat is best?

    I like to use a combination of ground beef and sausage for the best flavor.  The ground beef I use is 85/15 but you can use a leaner ground beef if you like.  The sausage I use is either plain pork sausage or ground Italian sausage.  You can use links but you will need to remove the meat from the casings first.

    Can I use frozen meatballs?

    This recipe would work perfectly with frozen meatballs.  This recipe makes about 12 large meatballs but if you are using frozen meatballs, you would probably double that amount since they are usually smaller.

    For frozen meatballs, pour them into the casserole dish and top with the marinara and shredded cheese.  bake in the oven until the meatballs are cooked to 165F on the inside.  This may take 30 minutes or longer depending on their size.

    Keep in mind that frozen store-bought meatballs contain fillers such as breadcrumbs and soy.

    How to keep meatballs from sticking in the skillet when browning

    Heavy bottom skillets are recommended by chefs for browning meat but since these skillets are not non-stick, the meat tends to stick.  Chefs avoid this by leaving the meat to sear and develop a thick crust but sometimes us home cooks are impatient and try to flip the meatballs too soon.

    I prefer to use a non-stick skillet with spray oil to avoid sticking.  I still get browned meatballs but without the headache of them sticking to the pan!

    browned meatballs with keto marinara sauce in a casserole dish

    Do I use pre-shredded cheese?

    I always use pre-shredded cheese in my recipes and that is reflected in the nutrition info.  Pre-shredded cheese are usually coated in a starch such as potato starch.  If you want to avoid this, you can shred your own.

    Can this be made ahead and frozen?

    This would be a perfect casserole to make ahead or make 2 and freeze one for later.  To freeze, make the meatballs and brown as instructed, then put them in a freezer safe casserole container.  Top with the sauce and cheese and cover with foil.  You can also freeze just the meatballs and assemble the casserole when you are ready to serve.  Freeze for up to 4 months.  If you froze the entire casserole, let it thaw for 1 day in the refrigerator before cooking and serving.

    Checkout some of my other tasty and family approved casseroles: 

    • Keto Chicken Fajita Casserole
    • Loaded Cauliflower Rice Casserole
    • Keto Meat Lovers Pizza Casserole
    • Chicken Cordon Blue Casserole
    keto meatball bake in a casserole dish

    Keto Meatball Casserole

    This Keto Meatball Casserole is the perfect weekday dinner that will have everyone in the house running to the dinner table. Savory Italian style meatballs with classic marinara and topped with melted mozzerella cheese. You don't have to make two separate meals when you have a keto casserole dish this good!
    5 from 7 votes
    Course: dinner, Main Course
    Cuisine: Italian
    Prep Time: 10 minutes minutes
    Cook Time: 35 minutes minutes
    Total Time: 45 minutes minutes
    Servings: 6
    Calories: 629
    Author: Jennifer Banz

    This post may contain affiliate links

    Tip: Hitting your 20–30g protein per meal goal helps you stay full and supports muscle.

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    Ingredients

    • ½ Pound Ground breakfast sausage or Italian sausage
    • 2 Pounds Ground beef
    • ½ Cup Grated Parmesan cheese
    • ⅓ cup Chopped fresh parsley
    • 2 cloves Garlic, minced
    • 2 Tablespoons Olive oil
    • 2 Large Eggs, beaten
    • 1 ½ teaspoons Kosher salt
    • ½ teaspoon pepper
    • 1 24 oz sugar free Jar Marinara
    • 2 Cups Shredded Mozzarella Cheese

    Equipment

    • Meat Thermometer (Click here for the one I like best on Amazon

    Instructions

    • Preheat your oven to 350F and spray a 9x9 casserole dish with cooking spray.
    • Combine ground beef, sausage, parmesan, parsley, olive oil, eggs, garlic, salt and pepper in a large mixing bowl. Careful not to overwork the meat.
    • Roll your mixture into 12 -13 meatballs.
    • Spray avocado oil in a large skillet and fry each meatball over medium heat until brown on all sides. Use a non stick skillet with the spray oil for even more assurance that your meatballs do not stick.
    • Place your meatballs inside a 9x9 casserole dish. Add the jar of marinara sauce around the meatballs
    • Sprinkle the shredded mozzarella cheese evenly over the top of the meatballs.
    • Bake in the oven for 20 minutes or until an internal meat thermometer reads 165F in the center of the meatballs. If you would like your cheese to get a little more brown, you can set your oven to broil for a few minutes extra.
    • Serve.

    Notes

    • Use Frozen Meatballs for an even quicker dish: Frozen meatballs will work in this recipe, but since frozen meatballs are generally smaller you would use more.  Fill the bottom of the casserole dish with the meatballs.  Note that store bought frozen meatballs are a little higher in carbs than these homemade ones.
    • Jar Marinara: The one I have linked is my favorite keto friendly marinara but you can use any brand that is your favorite.  Look for one that has no sugar added.  You can also make your own with my recipe for keto marinara sauce.
    • Ground Beef: I use 85/15 ground beef for this recipe 
    • Pre-shredded Cheese: I always use pre-shredded cheese and this fact is reflected in the nutrition info.  You can shred your own if you like.
    Servings: 6

    Nutrition per serving

    Calories: 629 | Carbohydrates: 7g | Protein: 44g | Fat: 48g | Fiber: 1g
    Keyword :gluten free, keto, recipe for keto meatball casserole

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    Reader Interactions

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      Recipe Reviews




    1. Kimberly Miller says

      October 31, 2025 at 7:06 pm

      5 stars
      This meatball recipe is THE BEST tasting meatball recipe I’ve ever made. I’ve tried so many recipes over the years, and this is the flavor I’ve been searching for. Thank you for your approachable and delicious recipe!

      Reply
    2. Princess says

      November 11, 2022 at 8:19 am

      I always bake my meatballs and meatloaf on a rack in the oven so the grease fall away in the tray under the rack. I remove my meatballs or meatloaf to my casserole dish to add my sauce, toppings, etc or just freeze for future use.

      Reply
    3. Helen says

      February 22, 2021 at 9:10 am

      Are the macros per 6 meatballs? This was delicious!

      Reply
    4. Don W says

      July 12, 2020 at 7:39 pm

      This was a big hit at our house. I used frozen meatballs, so it was super simple to make. And we al loved it! It's definitely on the "make this again" list.

      Reply
    5. Yvonne C says

      July 07, 2020 at 7:26 pm

      5 stars
      Loved this, it is so delicious! Everyone enjoyed this dish. I served noodles for my husband and the grandkids. I had zucchini noodles. I make a lot of dishes with your recipes, love them!!!

      Reply
    6. Amy W. says

      May 28, 2020 at 8:42 pm

      5 stars
      This is so yummy!! We all loved it. Kids and hubby already want me to make it again! Curious, what is the Fat per serving?

      Reply
    7. wilhelmina says

      March 08, 2020 at 1:30 pm

      5 stars
      This was a huge hit at my table! So cheesy and delicious, a total winner that I will be making again soon!

      Reply
    8. Claudia Lamascolo says

      March 08, 2020 at 12:46 pm

      5 stars
      This was such an easy recipe and the kids devoured it, I will being making this soon again!

      Reply
    9. Debi says

      March 04, 2020 at 5:20 pm

      5 stars
      Loved this, easy & quick to make

      Reply
      • Linda Smith says

        June 02, 2022 at 9:29 pm

        5 stars
        Very good dish!

        Reply

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