Easy Meatballs and Gravy Recipe (Keto + Paleo Option)

Ultra-comforting, this Meatballs and Gravy recipe is so delicious and easy to make! Loaded with pantry staples and amazing flavor, it’s warm, filling, and the perfect low-carb dinner anytime. Keto + Paleo option.

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This post was originally published on December 15th, 2021.

❤️ Why you will love this Meatballs and Gravy recipe

• Ultimate comfort food: These homemade meatballs in a rich gravy served over mash (cauliflower or potatoes) fill you right up and are so satisfying. It is my favorite recipe for meatballs and the best complete comfort food.
• Flavorful meatball: I really love the meat mixture for these Salisbury Steak Meatballs. I make it all the time! It’s loaded with ketchup, Worcestershire sauce, mustard, and garlic powder, and kept together with flaxseed meal and eggs which somehow makes them the most tender meatballs out there. Melt-in-your-mouth delicious!
• Homemade gravy: This is a super beefy gravy, laced with onions and mushrooms. It’s so easy to make!
• Perfect leftovers: This delicious recipe tastes just as good if not better reheated the next day, making it perfect for meal prep.
• It’s low carb. Yes! Even keto-friendly at just 7.6g net carbs per portion, this is one of the easiest meatball recipes to fit into your keto or low-carb diet!
• It’s low calorie: Comfort food without the hefty calorie number? Yes, please! Each portion is only 318 calories. Add a healthy vegetable and you’re looking at a 400-500 calorie meal!
• The whole family will love it! These tender meatballs are gluten and dairy-free, plus low carb but also…it has ketchup in the meatballs which is an easy selling point if you have picky mouths to feed. Ketchup meatballs for dinner! They may not even notice the mushrooms. It’s such an easy weeknight dinner!
• Use frozen meatballs: I have a detailed post on how to freeze your own delicious meatballs at home! I cooked meatballs (I used this meatball recipe) in the oven on a baking tray and froze a huge batch in no time at all.

?️ Key Ingredients

Meatballs

You can use freshly made or frozen meatballs for this recipe. Check out my step-by-step guide on making and freezing meatballs here! They are the same meatballs as this recipe.

• Beef: I used lean ground beef. I prefer 10% over 5% as it is better for flavor, however, either will work. You could also substitute ground turkey, ground chicken, or ground pork if desired. I’ve used a combination of ground beef and pork in the past (50/50) which turned out really well.
• Flaxseed meal & eggs: These two ingredients are binders. The large egg keeps the meatballs together, and the flaxseed meal is used instead of bread crumbs. It keeps the easy meatballs nice and moist.
• Ketchup: My Keto Ketchup is the best ketchup recipe for these meatballs and gravy, but sugar-free store-bought ketchup will work too. I prefer homemade as it has tonnes of flavor compared to pre-made.
• Worcestershire Sauce: Make sure to use gluten-free Worcestershire sauce! Lea and Perrins is gluten-free in the USA but not in the UK, Canada, and Europe. I’ll leave some GF options in a list below. In Australia, you can buy Spring Gully Worcestershire Sauce which is gluten-free.
• Mustard: Dijon mustard is perfect for this recipe! In a pinch, yellow mustard would be okay as well.
• Seasoning: Garlic powder plus salt and black pepper season the meatballs. If you don’t have garlic powder, onion powder would work in a pinch.

Gravy

• Mushrooms: I use white button mushrooms, you could use brown or another favorite that cooks down well with sauces.
• Onion: I always use red onion as that’s just what we usually buy. Yellow onion or white onion is perfectly acceptable too.
• Beef Broth: Adds salt as well as flavor. You can use homemade, store-bought, or even a gluten-free stock cube in 300ml of water. In a pinch, chicken broth is a good substitute.

? How to make Gluten Free Meatballs and Gravy

Meatballs

1. Mix the ingredients: Combine ground beef, flaxseed meal, egg, ketchup, mustard, Worcestershire sauce, garlic powder, salt & pepper in a large bowl. Mix the meatball ingredients well.

2. Form meatballs from the meatball mixture. I used my hands but a cookie scoop or ice cream scoop would keep your hands cleaner!

3. Cook the meatballs: Place a large skillet on the stove over medium-high heat and begin to cook the meatballs.

4. Turn to cook evenly: As the meatballs brown, turn them over to cook evenly on all sides. 

5. Set aside: Once finished cooking, transfer meatballs from the pan to a plate and keep them aside, leaving the grease in the pan for the sauce.

Gravy

1. Cook onions: Add the sliced onions to the pan with the leftover grease and begin to sauté over medium heat. 

2. Add mushrooms: After 2 minutes add the sliced mushrooms and sauté for a further 5 minutes. 

3. Add sauce: Add the rest of the gravy ingredients: ketchup, Worcestershire sauce, beef broth, and salt and pepper, and simmer for 15 minutes, or until the sauce reduces and thickens. 

4. Place meatballs back in, mix with the flavorful sauce, and place a lid on the pan. Cook for a further 5 minutes.

 5. Serve meatballs and gravy over a vegetable like mashed potatoes or mashed cauliflower. See below for more serving suggestions!

? How do I make this recipe paleo-friendly?

I sometimes substitute balsamic vinegar for the Worcestershire sauce and add a little honey if it needs more sweetness. You’ll also need a paleo-compliant Ketchup like my Paleo Ketchup recipe.

❓ Which brands have Gluten-Free Worcestershire Sauce?

UK

• Chippa (affiliate)
• Biona Organic (affiliate)
• Biona Organic Vegan (affiliate)
• Thornley’s (affiliate)

USA

• Lea & Perrin’s (affiliate)
• WanJaShan (affiliate)
• Wizard Sauces (affiliate)

Canada

• French’s

Australia

• Spring Gully Worcestershire Sauce

?️ What goes well with Meatballs?

I chose mashed cauliflower to keep it low carb, but here are some other options:

• Mashed Potatoes
• Parsnip Puree
• Mashed Rutabaga (Swede)
• Carrots
• Roasted veggies
• Green Beans
• Gluten-free pasta
• Egg noodles
• Spiralized vegetable noodles
• White rice
• Quinoa

? What makes these meatballs gluten-free?

By adding the flaxseed meal and skipping the breadcrumbs, plus using gluten-free Worcestershire Sauce or replacing it with balsamic vinegar, these meatballs are 100% gluten-free.

❔ Do I have to cook meatballs before putting them in sauce?

Yes! The sauce will disappear and the meatballs will disintegrate if you don’t cook them first! They can be partially cooked and finished off with the sauce, but make sure they’re completely seared on the outside so they don’t fall apart.

? Is it better to bake or pan-fry meatballs?

In this case, I like to pan-fry them in a non-stick pan, so that I can sauté the onions for the gravy in the leftover fat. If you do want to bake them, this step-by-step guide to freezing meatballs also shows you how to bake the meatballs for this recipe in the oven.

? Storage & reheating

• Store the meatballs and gravy in an airtight container in the fridge for up to 4 days, or freeze them for up to 4 months.
• Reheat in a pan on the stove. I usually make the gravy again (minus the onions, mushrooms, salt, and pepper) just to boost the sauce as it seems to disappear a little in the fridge. Add the beef broth, ketchup, and Worcestershire sauce to a pot on the stove along with the leftover gluten-free meatballs and gravy, and reheat until the sauce is thick.
• Freeze for up to 3 months in an airtight container in the freezer. Thaw completely before reheating.

? Recipe Notes and Tips

• Use a cookie scoop or an ice cream scoop to easily form the meatballs. It keeps your hands clean as well!
• Don’t want to make your own meatballs? Use frozen meatballs instead!
• Make your own frozen meatballs by following this step-by-step guide!
• Prefer a creamy gravy? Add 1/4 cup (4 tbsp) of sour cream to the rich brown gravy. So delicious!
• Use a deep skillet to cook the meatballs. It’ll need to hold the meatballs and the gravy later!
• To check if your meatballs are fully cooked, the internal temperature should reach 160°F (71°C).

? More Comfort Food You Will Love

• SUGAR-FREE ORANGE CHICKEN
• NO TORTILLA CHICKEN ENCHILADA CASSEROLE
• KETO BRAZILIAN CHICKEN STROGANOFF
• HEALTHY POPPY SEED CHICKEN CASSEROLE
• HEALTHY CHICKEN RAMEN RECIPE

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