If you’re craving a hearty, cheesy comfort meal while staying committed to your low-carb lifestyle, the Keto Meatball Parmesan Casserole is exactly what you need. This satisfying dish delivers all the familiar flavors of classic Italian comfort food—juicy meatballs, rich tomato sauce, and layers of gooey melted cheese—without the added carbohydrates that typically come with traditional casseroles.

Perfectly suited for keto followers and non-keto eaters alike, this casserole proves that eating low-carb doesn’t mean sacrificing flavor. Tender meatballs with a lightly crisp exterior are baked in a savory, sugar-free marinara sauce and topped with generous amounts of mozzarella and parmesan cheese. The result is a bubbling, golden casserole that’s both filling and indulgent.
A Keto-Friendly Dish the Whole Family Will Love
One of the standout qualities of this Keto Meatball Parmesan Casserole is how approachable it is. Made with simple, wholesome ingredients like lean ground turkey, beef, or pork, fresh herbs, and low-carb pantry staples, this recipe fits seamlessly into busy schedules. It’s easy enough for weeknight dinners yet impressive enough to serve at family gatherings or potlucks.
This casserole shines especially during fall and winter months, when cozy, oven-baked meals are most appealing. Pair it with a crisp green salad, roasted broccoli, or sautéed zucchini noodles to create a complete and balanced keto-friendly meal.
Quick Facts
Active Time: 30 minutes
Total Time: 1 hour
Servings: 8
Nutrition Tags: Keto · Low Carb · High Protein
Key Highlights

Flavor
A rich blend of garlic, onion, Italian herbs, and melted cheese delivers bold, satisfying flavor in every bite.
Nutrition
High in protein and healthy fats, this dish supports satiety and steady energy levels on a keto diet.
Versatility
Easily customizable—use different meats, adjust seasoning, or add low-carb vegetables for variety.
Test Kitchen Tips
- Swap ground turkey for beef or pork to change flavor and fat content.
- Add crushed red pepper flakes for a subtle spicy kick.
- Mix finely chopped spinach, zucchini, or mushrooms into the meatballs for extra nutrients.
- Prepare meatballs ahead of time and freeze for fast future meals.
- Garnish with fresh basil or parsley before serving for added freshness and visual appeal.
Nutrition Notes
The Keto Meatball Parmesan Casserole is an excellent source of protein, vitamin B12, and essential minerals like phosphorus and selenium. Rich in dietary fiber from low-carb ingredients can also aid in digestion and help maintain steady blood sugar levels. For more insights on healthy eating, visit the Harvard T.H. Chan School of Public Health.
Nutrition Facts per Serving

Calories: 320
Fat: 20g
Carbohydrates: 6g
Fiber: 2g
Protein: 28g
Sodium: 600mg
Frequently Asked Questions
Can I make this casserole ahead of time?
Yes. Assemble the casserole up to one day in advance, cover, and refrigerate. Bake or reheat when ready to serve.
What can I substitute for ground turkey?
Ground beef or pork work perfectly. You can also use a plant-based ground meat for a vegetarian version.
How can I add more vegetables?
Finely chopped spinach, zucchini, mushrooms, or bell peppers blend well into the meatball mixture.
Is this dish good for meal prep?
Absolutely. It stores well in the refrigerator and freezes beautifully for up to three months.
How do I make it spicier?
Add crushed red pepper flakes, chili powder, or diced jalapeños to the meatball mixture.
Conclusion
The Keto Meatball Parmesan Casserole is the ultimate low-carb comfort food—rich, cheesy, filling, and incredibly satisfying. Whether you’re following a keto lifestyle or simply looking for a healthier twist on a classic favorite, this dish delivers warmth, flavor, and nourishment in every bite. Easy to prepare, freezer-friendly, and endlessly customizable, it’s a recipe you’ll return to again and again.






