Skip to Content

Low Carb Meatballs with Low Carb Spaghetti Sauce

Low Carb Meatballs with Low Carb Spaghetti Sauce
Home » Low Carb Lifestyle » Low carb dinner ideas » (Updated 4-21-2022)

This “Winter” spaghetti sauce is rich and robust, made with canned tomatoes. It makes a large batch of sauce that will keep for weeks in the fridge or months in the freezer. When you want to get a quick but tasty low carb dinner on the table, use some premade meatballs, shirataki noodles and this made-ahead tomato sauce. Who says low carb meals can’t be comfort food?!

Jump to Recipe
Pork meatballs with shirataki and tomato sauce
Pork pre-made meatballs with shirataki and tomato sauce

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.

If you prefer to make your own low carb meatballs here are two different versions that are great:

The “Noodles”:

I used shirataki noodles which are also available in most grocery stores these days. They are sometimes 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, then try spaghetti squash or zucchini noodles for your “spaghetti”.

The Sauce:

Ingredients for low carb Winter spaghetti and meatballs.
Ingredients for low carb Winter spaghetti and meatballs.

The recipe below is what I make in the Winter when there are no fresh tomatoes around of any quality. It is very rich and uses 3 different tomato products: tomato paste, tomato sauce and crushed tomatoes.

For a truly easy dinner, there is quite a range of spaghetti sauces in the store these days, but it pays to compare the labels for sugar. Rao’s brand is the one that I have found with the least amount of sugar.

Making your own sauce allows you to control the amount of sugar. I used 1 tsp of sugar in my sauce and the batch of sauce was quite large. It is not difficult to make your own and very forgiving if you want to modify to your own tastes.

Now if you made enough freezer tomato sauce with fresh tomatoes to last through the season, of course this would make an easy low carb dinner. This is my favorite recipe for making a low carb freezer tomato sauce made with fresh tomatoes.

Other Great Meatball Favorites:

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 Spaghetti and Meatball Dinner

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 homemade part of the recipe, and it is designed for when fresh tomatoes are out of season.
5 from 1 vote
Prep Time 20 minutes
Cook Time 30 minutes
Servings 6


  • 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 ½ tsp kosher salt
  • 1 bay leaf
  • 28 oz can crushed tomatoes preferably Italian
  • 28 oz can tomato sauce
  • ½ 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.


Did you make this recipe?If you tried this recipe, please give it a star rating! To do this, just click on the stars above. Comments are always helpful also and I respond to all of them (except rude ones)

Online Diet/Health Coaching:

Although I am not currently taking clients for diet & health coaching, I have been a coach for many years with the online service called It is a great platform for all kinds of coaching – anything from specific diets, writing a blog, getting up early, or getting rid of that pesky procrastination.  

There are some wonderful coaches and the testimonials will tell you what you need to know.  Contact me at [email protected] to get a referral to some of the tested, experienced online coaches on

If you’d like to start with a plan for a low carb or keto lifestyle, check out this detailed guide in ebook form. It may be all you need to lose weight on this lifestyle. Or it may be used as a supplement to one-to-one coaching.

Recipe Rating

This site uses Akismet to reduce spam. Learn how your comment data is processed.

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 […]

This site uses Akismet to reduce spam. Learn how your comment data is processed.