This Post May Contain Affiliate Links. Please Read Our Disclosure Policy.

This is the best paleo meatball recipe you’ll ever make! Homemade Whole30 meatballs, full of meat and veggies, are smothered in a creamy tomato sauce for a satisfying Italian dinner that’s also dairy-free and low-carb.

Italian Whole30 meatballs in creamy tomato sauce in a skillet on a dish towel

What Makes This Recipe So Good

  • They’re made with shredded zucchini, which keeps the meatballs super tender, plus ups your daily veggie intake (and the kids will never even know it’s there!).
  • The creamy tomato sauce is super simple but also kind of life-changing. The coconut cream cuts the tomato’s acidity just enough to make you want to treat the sauce left in the bowl as a soup… Slurp up, my friends.
  • These Italian paleo meatballs are actually quite easy to make, especially if you use a disher to portion out the individual meatballs, so they’re fantastic for meal prep. They keep so well, too!

Is your Whole30 M.O. like ours? In my house, the month of squeaky clean eating and elimination of allergenic foods could otherwise be called “The Month of Meatballs.” They’re just so easy to throw together for a dinner or to meal prep for the week, aren’t they? To dip in Whole30 dump ranch or stir into a creamy sauce. Oh, oh oh.

Meaning your girl is pretty well versed when it comes to the paleo meatballs out there, and Italian paleo meatballs are no exception. So you should know when I make this claim that I’m really saying something:

These are the best ever Italian paleo meatballs.

Italian Whole30 meatballs in creamy tomato sauce in a skillet on a dish towel

How to Make Them

Mix together all meatball ingredients.

Use a disher to portion out the meatballs and roll slightly to form even spheres. If you don’t have a disher, use a spoon to try and portion out the meatballs mixture evenly then roll between your palms.

Fry meatballs in coconut or avocado oil in a large skillet, working in batches. Transfer to a plate.

Sauté garlic in the same pan, adding a bit of oil, then add remaining sauce ingredients. Bring to a low boil and reduce heat slightly; simmer until a bit thickened. Return meatballs to skillet and simmer a couple minutes in sauce. Serve over zoodles or alone!

Italian Whole30 meatballs in creamy tomato sauce in a bowl with skillet in background

Chef’s Tips

  • This recipe makes a good amount of sauce, because sauce = life. However, you can cut things down to 1 can crushed tomatoes and 1/2 cup coconut cream, if you prefer. Simply neatly halve the sauce ingredients, and there you go!
  • Use a food processor with a shredding blade attached to make prepping the zucchini super easy.
  • Chop the spinach pretty fine so it blends beautifully with the meat mixture.
  • Use a disher to evenly and quickly portion out the meatballs. I like this one.

Variations

  • Use ground chicken or beef in place of the ground pork in this recipe. I prefer chicken and pork for these Italian Whole30 meatballs, since it stays more tender in my opinion, but a ground beef that’s not too terribly lean would be good, too!
  • Swap out the chopped spinach for chopped chard leaves or even kale!
  • Increase the coconut cream for an even creamier tomato sauce.
Italian meatballs in creamy tomato sauce in a skillet on a dish towel

More Paleo Recipes You’ll Love

5 from 25 votes

Best Ever Italian Paleo Meatballs with Creamy Tomato Sauce

Prep 10 minutes
Cook 30 minutes
Total 40 minutes
Tender Italian paleo meatballs loaded with veggies and flavor, served with a rich, creamy, garlicky tomato sauce. Whole30 and low carb.
8 servings

Ingredients

Italian Paleo Meatballs

  • 1 pound ground pork
  • 1 pound ground chicken or more ground pork
  • 2 cups shredded zucchini
  • 2 cups chopped fresh spinach
  • 2 cloves garlic minced
  • 1 ½ teaspoons Italian seasoning
  • 1 teaspoon salt
  • refined coconut oil or avocado oil for frying

Creamy Tomato Sauce

  • 2 teaspoons avocado or refined coconut oil
  • 4 cloves garlic
  • 2 14-ounce cans crushed tomatoes
  • 1 cup coconut cream just the solid white part from 1-2 cans of coconut cream or milk
  • 2 teaspoons Italian seasoning
  • 1 – 1 ½ teaspoons salt
  • fresh chopped parsley for garnish

Instructions

  • Combine all meatball ingredients in a large mixing bowl and mix until combined well, using your hands. Do not overmix.
  • Use a disher and portion out meatball mixture into even balls; repeat until all meatball mixture is used.
  • Heat a layer of refined coconut or avocado oil in a large skillet over medium heat. Fry meatballs in batches until brown on all sides and cooked through. Transfer to a plate.
  • Pour out oil if excess remains. Add 2 teaspoons avocado or refined coconut oil to skillet over medium-low heat. Add garlic and, stirring constantly, cook until fragrant, about 30 seconds.
  • Add remaining sauce ingredients and stir to combine well. Bring to a low boil then reduce heat slightly and simmer for about 5-10 minutes or until a bit thickened.
  • Return meatballs to skillet and simmer 3-5 minutes to absorb sauce. Serve over zoodles or alone and top with fresh chopped parsley.

Video

For a dish with less sauce, use 1 teaspoon oil, 2 cloves garlic, 1 can crushed tomatoes, 1/2 cup coconut cream, 1 teaspoon Italian seasoning, and 1/2 to 3/4 teaspoons salt.

Approximate Information for One Serving

Calories: 414calProtein: 23gFat: 32gSaturated Fat: 18gCholesterol: 89mgSodium: 502mgPotassium: 997mgTotal Carbs: 12gFiber: 3gSugar: 5gNet Carbs: 9gVitamin A: 1000IUVitamin C: 19.1mgCalcium: 80mgIron: 3.7mg
Nutrition Disclaimers
Number of total servings shown is approximate. Actual number of servings will depend on your preferred portion sizes.
Nutritional values shown are general guidelines and reflect information for 1 serving using the ingredients listed, not including any optional ingredients. Actual macros may vary slightly depending on specific brands and types of ingredients used.
To determine the weight of one serving, prepare the recipe as instructed. Weigh the finished recipe, then divide the weight of the finished recipe (not including the weight of the container the food is in) by the desired number of servings. Result will be the weight of one serving.

Did You Make This Recipe?

Tag @40aprons on Instagram and be sure to leave a review on the blog post!

Leave A Review

Your email address will not be published. Required fields are marked *

Recipe Rating




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

60 Comments

  1. I make dinner for the family several nights a week, and I can’t remember the last time a recipe got so many comments. Everyone at the table (including our two guests) had something to say about it, and people kept commenting on how good it was! Four of them went back for seconds and were disappointed to see that there was very little left. This will definitely be a repeat recipe. Thank you!5 stars

  2. Delicious!! Had my parents over for dinner and it was a hit! My little ones and hubby loved it as well!

  3. Thoughts on using only ground turkeyy? We do not eat pork. I dont do great on beef. I imagine they need more fat though … Could I add extra avocado oil??

  4. These were incredible!! So moist and with a fantastic depth of flavor. The meatballs and sauce stand on their own. I’m a salt lover and didn’t need to use any when I sat down to eat. Perfectly seasoned! I’m going to try to bake the meatballs next time. That was the part I found most time consuming. But all the time put into these is well worth it. This one I will make repeatedly. Thank you so much for your creativity and desire to come up with and share these recipes.5 stars

  5. I think I messed up on this. The sauce was extremely watery but I didn’t have coconut milk? I’m guessing that really does make this work.

Where To Next?