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Meatball Casserole Image TK

Cheesy Meatball Casserole

Cheesy Meatball Casserole is a great Trim Healthy Mama & low carb dinner recipe everyone will love. Packed with spinach and a yummy creamy tomato sauce, plus it's covered in melty cheese - the pure warming comfort food!
Course Main Course
Cuisine American
Prep Time 30 minutes
Cook Time 30 minutes
Total Time 1 hour
Servings 8 servings
Calories 330kcal
Author Nora


For the meatballs:

  • 2 pounds ground meat beef, pork or sausage; or a mix
  • 1 cup defrosted frozen chopped spinach excess water squeezed!
  • 1/2 cup shredded cheese I used mozzarella
  • 1/2 cup sour cream
  • 2 teaspoons psyllium husk can substitute sour cream + psyllium with 2 large eggs
  • 2 teaspoons dried parsley
  • 1 teaspoon dried onion powder
  • 1/2 teaspoon fine sea salt
  • Black pepper to taste (I only use a tiny bit because of my kids)

For the sauce:

  • 1 28- oz can diced tomatoes not drained
  • 1/2 cup tomato paste
  • 1/2 cup sour cream
  • 2 teaspoons Italian seasoning
  • Salt + pepper to taste

To top:

  • Cheese optional (I used a mix of mozzarella and grated parmesan)


  • Make the meatballs: Preheat the oven to 430°F. Combine all ingredients for the meatballs in a large bowl (I like using my KitchenAid with the paddle attachment to do this - quick and easy!). Shape into meatballs and place in a lightly greased 9x13 casserole dish in a single layer (it's ok if they sit close together). Bake for 15 minutes. Carefully drain excess liquid from the dish.
  • Make the sauce: While meatballs are baking, mix all ingredients for the sauce in a large measuring jug.
  • Bake the casserole: Pour sauce over drained meatballs, stirring a little to coat them all. Bake for 15 minutes. Top with cheese and bake until bubbly, about 3-4 minutes.


The recipe has 5g net carbs per serving according to My Fitness Pal.


Serving: 0g | Calories: 330kcal | Carbohydrates: 0g | Protein: 0g | Fat: 0g | Saturated Fat: 0g | Polyunsaturated Fat: 0g | Monounsaturated Fat: 0g | Trans Fat: 0g | Cholesterol: 0mg | Sodium: 0mg | Potassium: 0mg | Fiber: 0g | Sugar: 0g | Vitamin A: 0IU | Vitamin C: 0mg | Calcium: 0mg | Iron: 0mg