Irresistible Keto Meatball Parmesan Casserole : Easy, Cheesy, and Comfort Food

Posted on August 26, 2025 ·

By Lyndy

keto meatball parmesan casserole in a white dish with text overlay

If you’ve been craving a cheesy, hearty dinner that feels indulgent but still fits your low-carb lifestyle, this Keto Meatball Parmesan Casserole is the answer. Juicy meatballs are smothered in tomato sauce, layered with gooey melted cheese, and baked until golden. It’s a comfort food classic with a keto twist.

This recipe is everything you want in a keto casserole: satisfying, family-friendly, easy to make, and packed with flavor. Whether you’re new to keto or simply looking for an easy low-carb weeknight meal, this dish delivers. And the best part? No one will even realize it’s keto.

Let’s dive into why this dish is one of the best keto-friendly meatball recipes and how you can make it in your own kitchen tonight.

What Makes This a Keto-Friendly Meatball Recipe?

Traditional meatballs usually include breadcrumbs, which add carbs and can throw off your macros. This recipe swaps those out for low-carb binders like almond flour, grated Parmesan, or even pork rinds. The result is juicy, tender meatballs that taste just as good (if not better) than the classic version.

Paired with sugar-free marinara sauce and plenty of cheese, you end up with a low carb meatballs casserole that’s perfect for keto. It’s high in protein, rich in healthy fats, and low in net carbs. The flavors are bold, cheesy, and satisfying—exactly what you want in a comfort dish.

It’s the same concept that makes recipes like Keto Quiche such a hit—indulgence without the carbs.

Ingredients for Easy Keto Meatballs Baked in Casserole Form

Here’s what you’ll need to make this dish:

  • 1 ½ lbs ground beef (or a mix of beef and pork)
  • ½ cup grated Parmesan cheese
  • ½ cup almond flour (or crushed pork rinds)
  • 2 large eggs
  • 2 cloves garlic, minced
  • 1 teaspoon Italian seasoning
  • ½ teaspoon salt
  • ½ teaspoon black pepper
  • 2 cups sugar-free marinara sauce
  • 2 cups shredded mozzarella cheese
  • ½ cup shredded Parmesan cheese (for topping)
  • Fresh basil or parsley, for garnish

This recipe keeps it simple yet flavorful, making it one of the best easy keto meatballs baked casseroles around.

Kitchen Tools You’ll Need

  • Mixing bowls
  • Baking sheet
  • 9×13-inch casserole dish
  • Measuring cups and spoons
  • Cheese grater
  • Wooden spoon or spatula

Just like when you make our One-Pan Ground Chicken Casserole, the equipment is basic—no fancy gadgets required.

Step-by-Step Instructions: How to Make Low-Carb Meatballs Parmesan Casserole

Step 1: Make the Meatballs
Preheat your oven to 400°F (200°C). In a large bowl, combine ground beef, Parmesan, almond flour, eggs, garlic, Italian seasoning, salt, and pepper. Mix until just combined—don’t overwork the meat.

Step 2: Shape and Bake
Form the mixture into meatballs, about 1 ½ inches in size. Place them on a greased baking sheet and bake for 15–20 minutes, until browned and cooked through.

Step 3: Layer the Casserole
Lower the oven to 375°F (190°C). Spread a thin layer of marinara sauce in the bottom of a casserole dish. Add baked meatballs in a single layer. Cover with the remaining sauce. Sprinkle mozzarella and Parmesan cheeses evenly over the top.

Step 4: Bake Until Bubbly
Bake uncovered for 20–25 minutes, until the cheese is melted and golden brown.

Step 5: Garnish and Serve
Let rest for 5 minutes before serving. Garnish with fresh basil or parsley for color and freshness.

Why This Keto Casserole Is the Perfect Weeknight Dinner

This dish checks all the boxes:

  • Quick prep: 15 minutes of mixing and rolling meatballs.
  • Hands-off cooking: The oven does most of the work.
  • Crowd-pleaser: Even picky eaters love it.
  • Meal-prep friendly: Stores and reheats beautifully.

It’s just as convenient as our Slow Cooker Chicken Stew, but with the bonus of cheesy, baked comfort.

Variations: Keto Meatballs With Bacon Tomato Sauce and More

Want to put your own spin on this dish? Try these variations:

  • With Bacon Tomato Sauce: Cook chopped bacon, then stir it into the marinara before layering.
  • Different Proteins: Swap beef for ground turkey or chicken for lighter meatballs.
  • Spicy: Add red pepper flakes or hot Italian sausage.
  • Veggie-Boosted: Mix in chopped spinach, mushrooms, or zucchini.

This kind of flexibility is what makes recipes like our Stuffed Acorn Squash so fun—you can always adjust to what’s in your kitchen.

Pairings: What to Serve With Keto Meatball Parmesan Casserole

Since this casserole is rich and cheesy, it pairs well with lighter, keto-friendly sides:

  • Zucchini noodles or spaghetti squash
  • Cauliflower rice
  • A fresh Cucumber Dill Salad
  • Keto garlic bread made with almond flour

Each of these keeps the meal low-carb while adding balance.

How to Make Low-Carb Meatballs Perfectly Every Time

Getting the texture of keto meatballs just right can be tricky without breadcrumbs. Here are some tips:

  • Don’t overmix: Mix ingredients just until combined.
  • Use a binder: Almond flour, Parmesan, or pork rinds help hold them together.
  • Keep them moist: Don’t skip the eggs, and consider adding a splash of cream if needed.
  • Bake, don’t fry: Baking keeps them evenly cooked and lower in fat.

Follow these and you’ll get juicy, tender meatballs every time.

Meal Prep & Storage Tips

This casserole is a meal prep dream:

  • Fridge: Store in airtight containers for up to 4 days.
  • Freezer: Freeze in individual portions for up to 3 months.
  • Reheat: Warm in the oven at 350°F or microwave until hot.

It’s just as convenient as our Freezer Breakfast Sandwiches and makes sticking to keto so much easier.

If you loved this recipe, try these other keto-friendly favorites:

These are all yum and yummier recipes that keep you satisfied while eating low-carb.

Common Mistakes to Avoid When Making Keto Meatballs

  • Overcooking: Leads to dry meatballs. Keep an eye on them.
  • Not enough binder: Causes crumbling. Use almond flour or pork rinds.
  • Using sweetened sauce: Always check marinara labels for hidden sugars.
  • Burning the cheese: Cover with foil if it browns too quickly.

Avoiding these ensures your keto meatballs come out perfect every time.

Frequently Asked Questions About Keto Meatballs and Casseroles

Can I freeze raw meatballs?
Yes! Shape and freeze on a baking sheet, then store in freezer bags.

Can I use ground chicken or turkey?
Absolutely. Just add extra seasoning since they’re milder.

How do I make this dairy-free?
Use dairy-free cheese alternatives and omit Parmesan.

Is this gluten-free?
Yes, as long as you use almond flour or pork rinds instead of breadcrumbs.

Can I make it in advance?
Yes. Assemble and refrigerate unbaked for up to 24 hours.

Joy Filled Eats Inspiration: More Keto Creations

This recipe comes from Joy Filled Eats, a go-to source for low-carb comfort foods that never sacrifice flavor. From casseroles to desserts, the site is packed with keto-friendly recipes that prove healthy eating can still be indulgent.

For another cozy family meal, try Creamy Wild Rice and Mushroom Soup or Vegetable Casserole. Both are hearty, nutritious, and just as satisfying.

Final Thoughts: Why This Recipe Belongs in Your Keto Rotation

This Keto Meatball Parmesan Casserole is the ultimate comfort food for low-carb eaters. It’s cheesy, flavorful, and filling without breaking your diet goals. From weeknight dinners to family gatherings, this dish is versatile enough to fit any occasion.

If you loved this recipe, don’t forget to share it with friends and family. And be sure to subscribe for more delicious keto-friendly creations.

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Cheesy Pasta Bake with Pumpkin-Tomato Sauce – The Perfect Fall Comfort Dish


  • Author: Lyndy
  • Total Time: 40 minutes
  • Yield: 6 servings 1x

Description

This Cheesy Pasta Bake with Pumpkin-Tomato Sauce is the ultimate fall comfort food. Creamy ricotta, tender pasta, and a velvety pumpkin-tomato sauce bake together under a golden cheesy topping. Cozy, nourishing, and family-friendly, it’s a hearty vegetarian dish perfect for weeknights, meal prep, or seasonal gatherings.


Ingredients

Scale
  • 12 ounces pasta (penne, rigatoni, or ziti)
  • 1 tablespoon olive oil
  • 1 small onion, finely chopped
  • 3 garlic cloves, minced
  • 1 can (15 ounces) pumpkin puree (not pie filling)
  • 1 can (14 ounces) crushed tomatoes
  • 1 teaspoon dried oregano
  • ½ teaspoon ground nutmeg
  • 1 teaspoon dried basil
  • ½ teaspoon red pepper flakes (optional)
  • Salt and black pepper, to taste
  • 1 cup ricotta cheese
  • 1½ cups shredded mozzarella cheese
  • ½ cup grated Parmesan cheese
  • Fresh sage or parsley, for garnish
  • Optional: gluten-free pasta or dairy-free cheese alternatives

Instructions

  1. Cook pasta: Boil pasta in salted water until just al dente (1–2 minutes less than package). Drain and set aside.
  2. Make sauce: Heat olive oil in a skillet. Sauté onion for 5 minutes, add garlic for 1 minute. Stir in pumpkin puree, crushed tomatoes, oregano, nutmeg, basil, red pepper flakes, salt, and pepper. Simmer for 10 minutes.
  3. Mix ricotta: In a bowl, combine ricotta with a ladle of sauce to loosen.
  4. Assemble: In a 9×13-inch dish, combine pasta, sauce, and ricotta mixture. Stir gently. Top with mozzarella and Parmesan.
  5. Bake: Bake uncovered at 375°F (190°C) for 20–25 minutes, until golden and bubbly.
  6. Serve: Cool slightly, garnish with sage or parsley, and enjoy warm.

Notes

  • Cook pasta slightly underdone since it will bake further.
  • Add fresh sage or thyme for deeper autumn flavor.
  • Sprinkle breadcrumbs on top before baking for extra crunch.
  • Let the bake rest 5 minutes before serving for easier slicing.
  • Swap pumpkin with butternut squash puree for variation.
  • Prep Time: 15 minutes
  • Cook Time: 25 minutes
  • Category: Dinner, Pasta, Vegetarian
  • Method: Baked
  • Cuisine: Italian-Inspired

Nutrition

  • Serving Size: 1 slice
  • Calories: 420
  • Sugar: 7g
  • Sodium: 580mg
  • Fat: 18g
  • Saturated Fat: 9g
  • Unsaturated Fat: 7g
  • Trans Fat: 0g
  • Carbohydrates: 46g
  • Fiber: 5g
  • Protein: 19g
  • Cholesterol: 45mg

Keywords: Cheesy pasta bake, pumpkin tomato pasta, fall comfort food, vegetarian pasta bake, healthy pasta casserole

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