Low Carb Sausage Meatball Casserole

This sausage meatball casserole is comforting and delicious! A low carb, keto, and gluten free recipe.

This post may contain affiliate links.

Sometimes all you want is some comforting food to warm you up, make you feel better - or both! This recipe combines the delicious flavors of sausage and mushrooms, with healthy spinach and tomatoes - and all combined with melted cheese. It might not be the most beautiful dish - but it sure is a tasty one!

And if you love this recipe, check out all my low carb casseroles!

How to Make Low Carb Sausage Meatball Casserole

Make the sausage meatballs by combining the sausage meat with salt and black pepper in a bowl. If you don't have sausage meat available, you could use regular ground pork, or even remove the casings from sausage links and use the meat from that. (However, if you're going to do that, you may as well just chop up the sausages instead!) Form the meat into small balls -  I made about 24.

Add some oil to a large skillet and fry the sausage meatballs until browned all over.

Transfer them to a baking dish, then use the leftover oil to fry some sliced mushrooms and minced garlic. Add a can of diced tomatoes and some baby spinach, then continue to cook until the spinach has wilted.

Stir in some shredded cheese (I use an Italian blend), then test for seasoning, adding salt and pepper if necessary. Transfer everything to the baking dish using a slotted spoon, then mix in with the meatballs.

Roast in a preheated oven for 15 minutes, then sprinkle some extra cheese over the top. Continue to bake until the cheese has melted.

Garnish with some fresh parsley and serve with a salad for a delicious low carb meal!

📖 Recipe

StepAwayFromTheCarbs.com

Low Carb Sausage Meatball Casserole

4.60 from 5 votes

This sausage meatball casserole is comforting and delicious! A low carb, keto, and gluten free recipe.

Print Recipe Pin Recipe

Prep Time 10 minutes mins

Cook Time 40 minutes mins

Total Time 50 minutes mins

Makes: 4 Servings

Net Carbs: 5

Calories: 473

Ingredients Method Nutrition Notes

Ingredients

 

US CustomaryMetric

• 1 lb sausage meat
• salt and black pepper
• 1 tbs oil
• 4 oz sliced mushrooms
• ½ teaspoon minced garlic or garlic paste
• 14.5 oz 411g canned diced tomatoes
• 6 oz fresh baby spinach
• ¾ cup shredded cheese divided
• fresh parsley to garnish optional

Step-by-Step Instructions

 

Cook ModePrevent your screen from going dark

1. Preheat the oven to 350F.
2. Make the sausage meatballs by combining the sausage meat with salt and black pepper in a bowl. Form the meat into about 24 small balls.
3. Add the oil to a large skillet and fry the sausage meatballs until browned all over.
4. Transfer them to a baking dish, then use the leftover oil to fry the mushrooms and garlic. After the mushrooms have softened, add the can of tomatoes and baby spinach, then continue to cook until the spinach has wilted.
5. Stir in ½ cup of the shredded cheese, then test for seasoning, adding salt and pepper if necessary. Transfer everything to the baking dish using a slotted spoon, then mix in with the meatballs.
6. Roast for 15 minutes, then sprinkle the remaining cheese over the top. Continue to bake until the cheese has melted.
7. Garnish with parsley, if using.

Nutrition

Calories: 473kcalCarbohydrates: 7gProtein: 24gFat: 38gSaturated Fat: 13gCholesterol: 98mgSodium: 1034mgFiber: 2gSugar: 3gNet Carbs: 5g

Notes

5g net carbs per serving (quarter of recipe, approx 6 meatballs per person)

Tried this recipe?

Let us know how it was!

Nutritional information is provided as a courtesy and is my best approximation. Net carbs are calculated as the total grams carbs minus the total grams of fiber.