# Best Ever Italian Paleo Meatballs with Creamy Tomato Sauce

Tender Italian paleo meatballs loaded with veggies and flavor, served with a rich, creamy, garlicky tomato sauce. Whole30 and low carb.

- Servings: 8 servings
- Total time: 40 min
- Cuisine: Italian
- Category: Sauce & Condiment
- Language: en

## Ingredients

- 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
- 1.5 teaspoons Italian seasoning
- 1 teaspoon salt
- for frying refined coconut oil or avocado oil
- 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
- for garnish fresh chopped parsley

## Instructions

1. Combine all meatball ingredients in a large mixing bowl and mix until combined well, using your hands, without overmixing.
2. Use a disher to portion out the meatball mixture into even balls; repeat until all meatball mixture is used.
3. Heat a layer of refined coconut or avocado oil in a large skillet over medium heat.
4. Fry meatballs in batches until brown on all sides and cooked through.
5. Transfer the cooked meatballs to a plate.
6. Pour out excess oil from the skillet if any remains.
7. Add 2 teaspoons avocado or refined coconut oil to the skillet over medium-low heat.
8. Add garlic and, stirring constantly, cook until fragrant, about 30 seconds.
9. Add the remaining sauce ingredients and stir to combine well.
10. Bring the sauce to a low boil then reduce heat slightly and simmer for about 5-10 minutes or until a bit thickened.
11. Return meatballs to the skillet and simmer 3-5 minutes to absorb the sauce.
12. Serve over zoodles or alone and top with fresh chopped parsley.

## Equipment

- large mixing bowl
- disher
- large skillet
- food processor with a shredding blade

## Tips

- To make less sauce, cut down to 1 can crushed tomatoes and 1/2 cup coconut cream by halving the sauce ingredients.
- Use a food processor with a shredding blade for easy zucchini prep.
- Chop spinach finely to blend well with the meat mixture.
- Use a disher to evenly and quickly portion out meatballs.
- Ground chicken or beef can be used instead of ground pork.
- Chopped chard leaves or kale can replace spinach.
- Increase coconut cream for a creamier sauce.
- Meatballs can be air-fried for 12 minutes at 400 degrees, flipping halfway through.
- Meatballs can be baked on a sheet pan instead of pan-frying.

## Source

- Original video: https://40aprons.com/italian-paleo-meatballs-whole30-keto/#wprm-recipe-container-17402
- Recipe page: https://www.cliprecipe.com/recipe/de54a17e-f3d8-4b4f-ac8c-8895c6603cc2
- Extracted: 2025-11-08

Extracted from the video by Clip Recipe (https://www.cliprecipe.com). Quantities and steps are as stated or shown in the video. Site guide for agents: https://www.cliprecipe.com/llms.txt