Paleo Italian Meatballs with Creamy Tomato Sauce

These Homemade Italian Paleo Meatballs with creamy tomato sauce are the best combination. The meatballs are so juicy and packed with flavors. Paired with an easy dairy free tomato sauce, this recipe is the perfect dinner for the whole family! This recipe is paleo, whole 30, and keto friendly too.



Smothered in the easiest dairy free tomato sauce, this recipe is perfect for a dinner on a date night, the whole family to enjoy and meal prep for the week.


You know I love making


Why do I love these Italian Paleo Meatballs


So tender and juicy


Packed with Flavors


Healthy and Easy Dinner for the Family


Perfect for Meal Prep


These meatballs freeze really well! I know sometimes I drag a little bit when it comes to making meatballs. As much as I love eating them, it is a lot of chopping and rolling.


That’s why I only make them when my husband is home.


Those extra hands come in handy.


And every time when we do make these juicy and flavorful meatballs. We double the batches.


Because they freeze beautifully for a couple of months. All you need is to store cooked and cooled meatballs in an airtight container or a storage bag. Freezer they go.


Tip: To prevent meatballs from sticking to each other due to the moisture, you can place them on a sheet pan or a plate and freeze them for a couple hours with room between each meatball. Then you can throw them in a container or bag.


How to Make Paleo meatballs


1 Chop All the Veggies

2 Mix them all up

3 Roll the mixture in to Balls

4 Pan Fry

5 Mix in the Creamy Tomato Sauce


How to Make Creamy Tomato Sauce


Since we had done all the work to make the paleo Italian meatballs, I will make this step of making the creamy tomato sauce easy




How to Serve these Paleo Italian meatballs


Spaghetti and Meatballs will always be the classic. Smothered in the homemade creamy tomato sauce, this is one of our all time favorite dinners.


Meatball Sub Sandwich


Serving these paleo meatballs on a sliced hearty sub sandwich, scoop some marinara sauce, sprinkle some extra basil, and you have the easiest lunch to go.


Italian Version of Buddha Bowl


I can never skip a good loaded Buddha bowl. Fill a bowl with cooked quiona, sweet potato, broccoli, and zucchini noodles. Top it off with a few Italian meatballs, sprinkle some extra parmesan cheese, and you have a healthy low carb lunch ready.



Paleo Italian Meatballs

These Homemade Italian Paleo Meatballs with creamy tomato sauce are the best combination.

Course Main Course
Cuisine Italian
Keyword paleo recipe, healthy dinner
Prep Time 10 minutes
Cook Time 15 minutes
Servings 10 Servings


Italian Paleo Mealballs

  • 1 lb Ground Chicken
  • 1 lb Ground Beef
  • 1/4 cup Onion Minced
  • 2 -3 cloves Garlic Mince
  • 1/4 cup Poblano pepper Chopped
  • 2 tsp Italian Seasoning
  • 1 tsp salt

Creamy Tomato Sauce

  • 1 jar Marinaria Sauce
  • 1/2 cup coconut milk
  • 1/4 cup Mushroom Chopped


Italian Paleo Meatballs

  1. Finely chop onion, garlic, poblano pepper, set aside

  2. Combine all meatball ingredients in a large mixing bowl and mix until combined well, using your hands. Roll into balls (approx. 24 - 26 meatballs for 2 lb of meat)

  3. Heat 1-2 tbsp avocado oil in a large cast iron skillet over medium heat. Fry meatballs in batches until browned on all sides and cooked through. Transfer to a plate.

Creamy Tomato Sauce

  1. Pour a jar of your favorite marinara sauce and 1/2 cup coconut milk in a small pot

  2. Fold in chopped mushroom. Bring to boil then simmer until mushroom is soft

  3. Pour the sauce over meatballs and serve with your favorite pasta and vegetables. Enjoy!

Recipe Notes

  1. When combining meatballs, do not overmix. Otherwise meatballs will tend to dry out during the cooking process.
  2. Using a Cast Iron Skillet will make the meatballs extra crispy on the outside while remaining juicy on the inside.
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Shuang Shuang

Hi Friends! My name is Shuang Shuang! I love creating healthy, delicious and accessible recipes that can nourish our bodies and improve our mood. Welcome to a Kitchen Sink full of yummy goodies that you’ll want to give a try yourself!
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