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Low Carb Meatballs with Low Carb Spaghetti Sauce

Low Carb Meatballs with Low Carb Spaghetti Sauce

This is as easy as it gets if you want to get a low carb dinner on the table quickly.  If you use the pre-made low carb meatballs listed in this post, the whole dinner takes about 5 minutes of prep time and 30 minutes in the oven.  If you have a bit more energy or time, you can make a great low carb spaghetti sauce (recipe below) instead of using store-bought. Who says low carb meals can’t be comfort food?!

Pork meatballs with shirataki and tomato sauce
Pork meatballs with shirataki and tomato sauce
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The Low Carb Meatballs:

You can now find low-carb, pre-made meatballs at many grocery stores. They are made with pork and parmesan cheese and have only about 1 gram of carbs per meatball (no sugar). There are several different brands, including Stefano’s and Great Value. All you do is place them on a cookie sheet and bake for 30 minutes at 375 degrees F. Easy peasy.

The “Noodles”:

I used shirataki noodles which are also available in most grocery stores these days. They are generally made with tofu and considered a “shaped noodle substitute”. A package is 8 oz. and contains 20 calories and 6 carbs total. If you don’t like shirataki, spaghetti squash or zucchini noodles can also stand in as spaghetti.

The Sauce:

There is quite a range of spaghetti sauces in the store and it pays to compare the labels for sugar. Rao’s brand is the one that I have found with the least amount of sugar.

Of course you can make your own sauce, which allows you to control the amount of sugar. It is not difficult to make your own and very forgiving if you want to modify to your own tastes. The recipe below is the sauce I make when fresh tomato are out of season.

Click here for a great recipe for low carb tomato sauce made with fresh tomatoes. It freezes really well and is a wonderful treat to bring out in the middle of winter for a fresh-tasting low carb sauce that can be used with all kinds of dishes.

Other Great Recipes using Pre-made Low Carb Meatballs

Here are three other recipes for wonderful ways to use meatballs in low carb dinners:

  • Click here for a recipe for lamb meatballs with yogurt, cucumbers and chiles;
  • Click here for meatballs in Vietnamese spiced coconut broth;
  • Click here for Mexican Meatball Soup

Cooking Tutorial for Low Carb Spaghetti and Meatballs:

Low Carb & Keto Spaghetti and Meatballs: Easy - 3 ingredientsa
Watch this video on YouTube.
Watch the Step by Step Video for More Details
Cooking Tutorial for Low Carb Spaghetti and Meatballs

Low Carb Meatballs with Homemade Spaghetti Sauce

Pork meatballs with shirataki and tomato sauce
This is a meal of low carb spaghetti and meatballs using pre-made meatballs and shirataki noodles. The low carb sauce is the crux of the recipe therefore, but if you want to make it super simple, just use a low carb store-bought sauce (like Rao’s)
5 from 1 vote
Prep Time 20 mins
Cook Time 30 mins
Servings 5
Calories 498
Author dorothy stainbrook


  • 3 Tbsp olive oil or bacon fat
  • 1 large onion coarsely chopped
  • 2 cloves garlic chopped
  • 6 oz tomato paste small can or paste in tube
  • 1 tsp dried oregano
  • 1 Tbsp dried basil fresh if available
  • 1 tsp dried red pepper flakes
  • 1 1/2 tsp kosher salt
  • 1 bay leaf
  • 28 oz can crushed tomatoes preferably Italian
  • 28 oz can tomato sauce
  • 1/2 tsp sugar optional
  • 2 Tbsp fresh parsley roughly chopped
  • 4 small peperoncini
  • 16 oz pre-made pork & parmesan meatballs
  • 8 oz shirataki noodles
  • 3 oz parmesan cheese grated (for garnish)


  • In large pot, skillet or dutch oven, heat oil on medium and add onions. Saute for about 3 min. and then add garlic and cook 2 min. longer
  • Add tomato paste and stir. Add all spices and stir to combine
  • Add cans of tomatoes and tomato sauce, then 4 1/2 cup water. Stir in sugar (if using), parsley and peperoncini. Bring to gentle boil.
  • Turn heat down to a simmer partly cover and leave sauce to simmer about 2 hours or more, stirring occasionally.
  • After the sauce has been cooking for 2 hours, preheat the oven to 375 degrees. Line a cookie sheet with parchment paper or aluminum foil and empty pre-made meatballs onto the sheet. Place in oven pre-heated to 375 degrees F and turn the timer on for 30 minutes (*note: you can turn meatballs over at 15 minutes if desired to get browning on all sides)
  • Keep sauce on a low simmer. While meatballs are cooking, empty shirataki noodles into a strainer placed over a bowl. Rinse in a strainer over a bowl to get rid of offputting smell. Let drain while making sauce.
  • 5 minutes before meatballs are done, add drained shirataki noodles to sauce and heat through.
  • Remove meatballs from oven, cover with tomato sauce, garnish with fresh parmesan and serve.


Calories: 498kcalCarbohydrates: 27gProtein: 27gFat: 33gFiber: 6gSugar: 16gCalcium: 318mg
Did you make this recipe?If you tried this recipe, please give it a 5-star rating! To do this, just click on the stars above. And don’t forget to tag me at @dorothy_stainbrook_heathglen, if you share a picture on Instagram! You can also tag me at #heathglen!

Online Coaching Available:

I have followed the slow carb diet for 3 years and the keto diet for 2 years now, and I have put my “been there done that” knowledge to work helping people figure it out.  I am currently an online diet coach (info can be found here if you’re interested), and have just hit the 250-client mark.  Come and visit me and see if online coaching might be for you!

If not for diet, there are other coaches on the site that coach anything from writing a blog, to getting up early, to getting rid of that pesky procrastination.  Explore the site while you are there.  There are some wonderful coaches and the testimonials will tell you what you need to know.  Click here to get to my profile and then explore others from there.

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Ketogenic Meatballs - Lamb, Cucumber, Yogurt & Chiles - Farm to Jar Food

Tuesday 7th of March 2017

[…] if you like meatballs in general, but want a recipe that is quick and easy for weeknights, see this other idea for ketogenic meatballs.  If you used the prepared meatballs suggested in the post, the prepared shirataki and the leftover […]

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