Italian Keto Meatballs

Mains

Italian Keto Meatballs

Juicy beef meatballs simmered in a rich tomato sauce — low carb, big flavour

GF❄ Freezer Friendly

17 May 2026

These meatballs are everything you want from an Italian classic — juicy, garlicky, and simmered in a rich tomato sauce — without the breadcrumbs. The secret is chilli oil for frying, which adds a gentle warmth to the whole dish. Serve straight from the pan with fresh basil and a mountain of parmesan, or pile onto zucchini noodles for a proper keto dinner.

Ingredients

4 serves
  • Meatballs

  • 500g lean beef mince
  • 1 egg
  • 1 heaped tsp minced garlic
  • ½ Tbs dried basil
  • 1 Tbs onion salt
  • ½ tsp black pepper
  • Olive oil or chilli oil, to fry
  • Sauce

  • 1 x 425g can crushed tomatoes
  • 1 x 425g can tomato soup
  • ⅔ cup tomato paste
  • Salt and pepper, to taste
  • To serve

  • Fresh basil (a must)
  • Finely grated parmesan or mozzarella cheese

Method

  1. 1

    Combine the beef mince, egg, garlic, dried basil, onion salt, and black pepper in a bowl. Mix well and roll into golf ball-sized meatballs.

  2. 2

    Heat a generous splash of olive oil or chilli oil in a large frying pan over medium-high heat. Brown the meatballs in batches, turning to colour all sides. They don't need to be cooked through at this stage.

  3. 3

    Transfer the browned meatballs to a baking dish or return them all to the pan. Pour over the crushed tomatoes, tomato soup, and tomato paste. Stir gently to combine.

  4. 4

    Simmer over low heat for 20 minutes, or bake in a 180°C oven for 25 minutes, until the meatballs are cooked through and the sauce has thickened.

  5. 5

    Scatter generously with fresh basil and serve with finely grated parmesan or mozzarella.

Kitchen Notes

Chilli oil instead of plain olive oil makes a real difference here — it adds a gentle background warmth to the whole dish. Both the meatballs and sauce freeze beautifully. Cool completely and freeze in portions for up to 3 months.

What I'd serve with this

With zucchini noodles or cauliflower rice for a full keto meal, or over spaghetti if you're not keeping it low carb. Fresh basil and a heavy hand with the parmesan are non-negotiable.

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