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Italian Keto Meatballs

A family favorite that everyone will enjoy. These meatballs and low-carb and full of rich flavor.

June 10, 2020 1 min read

Italian Keto Meatballs topped with basil

Serving Size
Serving size
Prep Time
Prep time
5 min
Cook Time
Cook time
30 min
Recipe Author


  • 2 tbsp olive oil butter or ghee
  • 1 small onion finely diced (70g)
  • 3 cloves garlic minced
  • 500 g / 17.6 oz / 1.1 pounds grass-fed beef mince
  • 2 tbsp dried oregano 10.8g
  • 2 tbsp coconut aminos
  • 1 large egg
  • 1/3 - 1/2 tsp salt
  • 1/3 tsp pepper
  • 3 tbsp pecorino 15g
  • 1.5 tins chopped tomatoes 600g / 21.1 oz
  • 2 tbsp tomato puree 30g
  • 1 cup grated mozzarella 113g
  • Few sprigs of fresh oregano optional

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  1. Preheat the oven to 400°F / 200°C / 180 fan.
  2. Heat 1 tbsp of butter, ghee or oil in a skillet or non stick sauté pan. Add the onion and fry for 3 minutes until soft and translucent. Add the garlic and sauté for a further 30 seconds. Remove from the pan and wipe out the pan ready for the meatballs.
  3. Place the meat, 1 tbsp dried oregano, half of the cooked onion and garlic mix, 1 tbsp coconut aminos, egg, a good pinch of salt and pepper and 1 tbsp pecorino in a bowl and mix to combine. Using wet hands, roll into meatballs about 3 cm in size.
  4. Heat 1 tbsp of butter, ghee or oil in your skillet or sauté pan and cook the keto meatballs, turning frequently for 5 - 7 minutes until browned. Remove from the heat. (Transfer to an oven proof dish if you’re not using a cast iron pan that can go in the oven or temporarily remove the meatballs from the skillet whilst you make the sauce.)
  5. To a clean skillet / pan, add the chopped tomatoes, tomato puree, remaining garlic and onion, 1 tbsp coconut aminos, 1 tbsp oregano, season and bring to the boil. Reduce to a simmer and cook for about 5 minutes until thicker in consistency.
  6. Coat the meatballs in the tomato sauce. Top with mozzarella, 2 tbsp pecorino and bake for about 15 - 20 minutes until the cheese has fully melted. Top with fresh oregano and cracked black pepper.

Nutrional info: Calories: 531kcal | Carbohydrates: 12.3g (7.8 g net carbs per portion) | Protein: 33g | Fat: 39g | Saturated Fat: 17.4g | Sodium: 710mg | Potassium: 805mg | Fiber: 4.6g | Sugar: 6.1g

*Nutritional information is approximate.

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