Easy Cheesy Keto Meatball Casserole

This Easy Cheesy Keto Meatball Casserole is the perfect low carb meal. The whole family will enjoy this super filling, delicious meal that serves up homemade meatballs topped with creamy ricotta cheese, mozzarella, and parmesan.

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Why You’ll Love This Recipe

This cheesy meatball casserole makes it easy to get a healthy meal on the dinner table without a lot of prep.

So, the next time you want an easy keto dinner recipe with little meal prep for busy nights, this is a clear winner. 

Made with basic ingredients that fit into a low-carb lifestyle, these juicy homemade meatballs make a delicious recipe with so much flavor you won’t believe it fits into a keto diet. 

Plus, the whole family is going to enjoy this busy weeknight meal.

Ingredients You’ll Need

This keto casserole can be made from common ingredients found at your local grocery store. 

• Ground Meat: Choose from ground venison, turkey, beef, pork, or a mix. Experiment with different meats to keep things interesting.
• Almond Flour: A low-carb alternative to bread crumbs.
• Cheese: Parmesan, ricotta, cheese sticks, and mozzarella for a rich, cheesy experience.
• Tomato Sauce: Homemade from Roma tomatoes or use keto-friendly options like Rao’s sauce.
• Large Eggs: Acts as a binder for the meatballs.
• Olive Oil: Prevents meatballs from sticking.
• Spices: Italian seasoning, black pepper, garlic powder, onion powder, salt, and pepper. Add fresh basil for extra flavor.

How to Make a Meatball Casserole

To get the complete recipe with instructions and ingredients in one easy-to-read place, head down to the recipe card below.

Prepare the Meatballs

1. This low carb meatball casserole recipe comes together by combining the meat, beaten egg, parmesan, and half of the seasoning in a large mixing bowl.
2. Mix everything together in one big batch and then form into balls. I usually make around 20 meatballs so they will cover the bottom of the dish although you can make large meatballs if you prefer but this will change the amount of net carbs per serving.
3. You can use a small cookie scoop or a meatball master to get perfect circles but I usually do this part with my hands.

Cook the Meatballs

1. Place meatballs in a single layer in a well-oiled frying pan.
2. Cook on medium heat until slightly crispy on the outside and cooked through on the inside.

Assemble the Meatball Casserole

1. Add the tomato sauce and remaining seasoning on top, to the baking dish.
2. Add ricotta cheese or cream cheese to add a gooey cheese center to this casserole. 
3. Once the meatballs are thoroughly cooked, add them to a casserole dish and then top the meatballs with the cheese. 

I use a combination of cheese sticks and shredded mozzarella cheese for this step. Peeling the sticks takes an additional 2-3 minutes but the chunks are always a big hit with my family when melted in keto recipes, so it’s worth the extra trouble. 

Bake Casserole in the Oven

Finally, bake the casserole dish in a preheated oven set to 375 degrees for about 15 minutes, or until the cheese is melted completely.

Be sure to check the recipe card at the bottom of the post for a detailed list of ingredients and instructions. 

Variations on this Homemade Meatball Recipe

If you want to limit the carbs in this recipe so you can increase your serving size without adding more carbs, you can swap out the almond flour for pork rinds.

They have zero carbs which makes them perfect for a low carb lifestyle.

If you aren’t sure of which kind of pork rinds to use for meatball recipes, check out this post sharing a list of the best keto pork rinds. 

You can use store-bought meatballs or premade keto Swedish meatballs to make easy recipes even easier but be sure to check the carb count. 

Storage Instructions

To Store: You can prepare this meatball casserole the night before, making it easy to bake whenever you’re ready to eat. Keep any leftovers in an airtight container in the refrigerator for 3 to 4 days, perfect for meal prep!

To Freeze: This dish is also ideal for freezing and can be kept in your freezer for up to 3 months before baking. Just thaw it in the refrigerator overnight and bake it the next day.

What to Serve with Keto Meatballs

Serve this meatball casserole with zucchini noodles or spaghetti squash for a keto pasta-like dish. 

Elevate the meal further by serving it with a refreshing side salad, offering an additional burst of flavors and nutrients.

Enhance the meal by complementing it with a small bowl of green beans.

A one-cup serving of green beans, according to the USDA provides 7 grams of total carbs, with 4 grams as net carbs – making it a suitable choice for those following a keto diet.

Another great idea is to serve this keto meatball casserole with cabbage. I like to fry cabbage with a little bit of butter in a skillet and then top it with a scoop of this casserole. 

Can I Freeze Keto Meatballs?

Yes! You can make this keto meatball casserole with frozen meatballs. I like to make a double batch and freeze it so I don’t have to go through all of the steps to make this recipe the next time the craving hits.

Just be sure to fully defrost the meatballs before topping with sauce and cheese. 

More Easy Keto Recipes to Try

This slow cooker beef stew is so simple to make, all you have to do is dump the ingredients into a crockpot and go about your day.

When dinner time rolls around your whole family will enjoy this hearty meal. If you enjoy easy crock pot recipes for the whole family click here.

Craving a keto chicken crockpot dump meal? This keto chicken and rice soup is a time-saving recipe with lots of flavor. Simple and delicious, the way healthy cooking should be. 

If you are looking for different methods to prepare the meatballs for this recipe you may enjoy learning how to make meatballs with a variety of meats. This post includes low carb diet recipes for baked, stovetop, in sauce & more. 

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