Here’s a rich, creamy, comfort-food Keto Swedish Meatball Casserole — all the classic flavors of Swedish meatballs baked into one cozy low-carb dish. Perfect for weeknights!
🍽️ Keto Swedish Meatball Casserole
Ingredients
Meatballs
- 1 ½ lbs ground beef (or beef + pork mix)
- 1 egg
- 1/3 cup almond flour
- 1/3 cup grated parmesan
- 1 tsp garlic powder
- 1 tsp onion powder
- 1 tsp dried parsley
- 1 tsp salt
- 1/2 tsp black pepper
- 2 tbsp butter or olive oil (for browning)
Creamy Swedish Sauce
- 2 tbsp butter
- 1 cup beef broth
- 1 cup heavy cream
- 2 oz cream cheese
- 1 tsp Dijon mustard
- 1 tsp Worcestershire sauce
- 1/2 tsp garlic powder
- 1/2 tsp onion powder
- Salt & pepper to taste
- Optional: 1–2 tbsp sour cream for extra richness
Instructions
1. Preheat
Heat oven to 375°F (190°C).
2. Make the Meatballs
- Mix ground meat, egg, almond flour, parmesan, and seasonings.
- Roll into 1–1.5 inch meatballs.
- Brown in a skillet with butter/oil until golden (they don’t need to cook through).
- Place browned meatballs into a baking dish.
3. Make the Swedish Cream Sauce
- In the same skillet, melt 2 tbsp butter.
- Add beef broth, scraping browned bits.
- Add heavy cream + cream cheese and whisk until melted and smooth.
- Stir in Dijon, Worcestershire, garlic/onion powder, salt, pepper.
- Let simmer 3–4 minutes until thickened slightly.
4. Assemble & Bake
- Pour the creamy sauce over the meatballs in the baking dish.
- Bake 20–25 minutes until the sauce is bubbly and meatballs are fully cooked.
- Optional: Sprinkle with fresh parsley.
🍴 Serve With (Keto Options)
- Cauliflower mash
- Zucchini noodles
- Shredded sautéed cabbage
- Roasted green beans
- Keto cloud bread or drop biscuits
⭐ Macros (per serving, 6 servings) – Approx
- Calories: 430–480
- Net Carbs: 3–5g
- Protein: 25–28g
- Fat: 35–40g

