Healthy Recipes Blog

  • ♥️ Saved Recipes
  • About
  • Newsletter
  • Index
menu icon
go to homepage
  • ♥️ Saved Recipes
  • About
  • Newsletter
  • Index
subscribe
search icon
Homepage link
  • ♥️ Saved Recipes
  • About
  • Newsletter
  • Index
×
Home » Meat Recipes » Meatballs in Tomato Sauce

Meatballs in Tomato Sauce

A photo of Vered DeLeeuw.
by Vered DeLeeuwUpdated May 26, 2025
4 Comments
5 from 26 votes

Jump to Recipe Review Recipe

The secret to perfectly tender and fluffy meatballs in tomato sauce: Add sour cream and Parmesan, and handle the meatballs lightly.

Meatballs in tomato sauce are served in a cast-iron skillet.

Meatballs are one of the easiest ways to use ground beef, a convenient and affordable ingredient. I always have a vacuum-sealed package in the fridge or freezer. I regularly make several meatball recipes, including Asian meatballs and cocktail meatballs, but these are the most often requested by my family. They are cooked in a flavorful tomato sauce to fluffy, tender perfection. Even the leftovers are good!

Ingredients and Substitutions

The ingredients needed to make meatballs in tomato sauce.

See the recipe card for exact measurements. Here are my comments on some of the ingredients.

For the meatballs:

  • Ground beef: Please use 85/15 or 80/20 ground beef. Leaner than that would result in dry, crumbly meatballs that fall apart. The fat is needed not just for flavor but also to hold the mixture together. 
  • Sour cream and egg: These ingredients help the meatballs stay soft and juicy. You can use whole-milk Greek yogurt instead of sour cream (but sour cream is better).
  • Grated Parmesan: Use finely grated and not coarsely shredded Parmesan. The cheese acts much like breadcrumbs and helps keep the juices inside the meatballs.

For the tomato sauce:

  • Olive oil: This delicious oil adds great flavor to the sauce.
  • Minced garlic: You can mince it yourself or use the stuff that comes in a jar. But freshly minced tastes better.
  • Canned tomato sauce: Pick one with no salt or sugar added.
  • Garnish: chopped fresh parsley. Cilantro is a good substitute.

Instructions

The detailed instructions and step-by-step photos are included in the recipe card. Here's a quick overview.

Mix the meatball ingredients and shape the mixture into 12 meatballs.

The ground beef mixture was shaped into meatballs.

Make the sauce: Cook the garlic in olive oil, then add the canned tomato sauce and spices. Add the meatballs, spooning the sauce over them. Cover, reduce the heat to medium-low, and simmer for 20-30 minutes.

The meatballs were added to the sauce in the skillet.

Remove the lid and turn the cooked meatballs in the sauce to coat. Garnish with parsley and serve.

The meatballs are served.

5 stars rating. Really easy to follow instructions and simple ingredients that can be interchanged, for example I used cottage cheese instead of sour cream and tasty cheese instead of Parmesan as that’s what I had. Very tasty. Thanks!
Jessica Patterson
Read more comments

Recipe Tips

  1. For tender and fluffy meatballs, handle the beef mixture lightly. Try not to overwork it, or the meatballs will turn out dense.
  2. If the ground beef you use has enough fat, there's no need for a binder like breadcrumbs or almond flour. In addition, the parmesan acts as a binder.
  3. These meatballs are mildly spicy. Depending on your personal preferences, you might consider using just ⅛ teaspoon of cayenne pepper. You can also omit the cayenne.
  4. Storage: You can keep the leftovers in an airtight container in the fridge for 3-4 days. Reheat them covered in the microwave at 50% power. You can also freeze the cooled leftovers for up to three months. Thaw them overnight in the fridge before reheating.

Serving Suggestions

I like to serve this saucy dish on top of cauliflower rice, zucchini noodles, or microwave spaghetti squash. Mashed cauliflower is another good choice that works well to absorb the flavorful sauce. You can use regular rice or pasta if you don't mind the carbs/gluten.

I also like to add an easy veggie side dish, such as microwave broccoli, sautéed spinach, or creamy cucumber salad.

Recipe Card

Meatballs in tomato sauce are served in a cast-iron skillet.
5 from 26 votes
Save this RecipeSaved! Rate this Recipe Print Recipe

Tender and Fluffy Meatballs in Tomato Sauce

The secret to tender and fluffy meatballs in tomato sauce: Add sour cream and Parmesan to the mixture and handle the meatballs lightly.
Prep Time20 minutes mins
Cook Time30 minutes mins
Total Time50 minutes mins
Course: Main Course
Cuisine: Italian
Servings: 4 servings
Calories: 412kcal
Author: Vered DeLeeuw
Prevent your screen from going dark

Video

Ingredients

Meatballs:

  • 1 pound lean ground beef - 85/15, not leaner
  • 2 tablespoons sour cream - full-fat
  • 1 large egg
  • ½ cup parmesan - grated, not shredded
  • ½ teaspoon Diamond Crystal kosher salt - see notes below
  • ¼ teaspoon black pepper

Tomato Sauce:

  • 1 tablespoon olive oil
  • 2 tablespoons garlic - minced
  • 15 ounces canned tomato sauce - no salt or sugar added; 1 ¾ cup
  • ½ teaspoon Diamond Crystal kosher salt - see notes below
  • ¼ teaspoon black pepper
  • 1 teaspoon onion powder
  • 1 teaspoon dried oregano
  • ¼ teaspoon cayenne pepper

Garnish:

  • 2 tablespoons parsley - chopped

Instructions

  • In a large bowl, use your hands to mix the ground beef, sour cream, egg, parmesan cheese, kosher salt, and black pepper. Wet your hands and shape the mixture into 12 meatballs, each weighing about 2 ounces.
    The ground beef mixture was shaped into meatballs.
  • In a large (12-inch) lidded saucepan or skillet, heat the olive oil over medium heat. Add the garlic and cook, stirring, about 1 minute, just until golden. Add the tomato sauce, kosher salt, black pepper, onion powder, oregano, and cayenne. Bring to a boil.
    Cooking the tomato sauce.
  • Add the meatballs, spooning the sauce on top. Cover, reduce the heat to medium-low, and simmer the meatballs until they are cooked through, about 30 minutes. Start checking on them after 20 minutes - depending on your stove, they might be ready faster.
    The meatballs were added to the sauce in the skillet.
  • Remove the lid and turn the cooked meatballs in the sauce to coat. Garnish them with parsley and serve.
    The meatballs are served.

Notes

  • If using any salt other than Diamond Crystal Kosher Salt, including Morton kosher salt, use half the amount listed.
  • For tender and fluffy meatballs, handle the beef mixture lightly. Try not to overwork it, or the meatballs will turn out dense.
  • Please use 85/15 or 80/20 ground beef. Leaner than that would result in dry, crumbly meatballs that fall apart. The fat is needed not just for flavor but also to hold the mixture together. 
  • The sauce is mildly spicy. Depending on your personal preferences, you might consider using just ⅛ teaspoon of cayenne pepper. You can also omit the cayenne.
  • You can keep the leftovers in an airtight container in the fridge for 3-4 days. Reheat them covered in the microwave at 50% power. You can also freeze the cooled leftovers for up to three months. Thaw them overnight in the fridge before reheating. 

Nutrition per Serving

Serving: 3 meatballs | Calories: 412 kcal | Carbohydrates: 13 g | Protein: 30 g | Fat: 27 g | Saturated Fat: 11 g | Sodium: 994 mg | Fiber: 2 g | Sugar: 6 g

Save this Recipe!

We'll email this recipe to you, so you can come back to it later!

We will also add you to our weekly newsletter. Unsubscribe anytime. See healthyrecipesblogs.com/privacy/ to learn how we use your email.

Disclaimers

Most recipes are low-carb and gluten-free, but some are not. Recommended and linked products are not guaranteed to be gluten-free. Nutrition info is approximate. Please verify it independently. The carb count excludes non-nutritive sweeteners. Please read these Terms of Use before using any of my recipes.

Share this Recipe

603 shares

More Meat Recipes

  • Pork burgers are served on a plate with fresh vegetables.
    Pork Burgers
  • Sirloin steak is served in a skillet, topped with butter.
    Sirloin Steak for Two
  • Picadillo in a cast-iron skillet.
    Cuban Picadillo
  • Beef shanks are served on a white platter.
    Beef Shanks

Comments

    Leave a Comment or Ask a Question: Cancel reply

    If you had any issues, I would love to help you troubleshoot before you rate the recipe. Have a photo? Email it to healthyrecipesblog@gmail.com and I might post it!

    Your email address will not be published. Required fields are marked *.


    Recipe Rating




  1. Jessica Patterson says

    February 20, 2025 at 4:41 am

    5 stars
    Really easy to follow instructions and simple ingredients that can be interchanged, for example I used cottage cheese instead of sour cream and tasty cheese instead of Parmesan as that’s what I had. V tasty. Thanks

    Reply
    • Vered DeLeeuw says

      February 20, 2025 at 9:28 am

      You're very welcome, Jessica! Thank you for sharing your delicious tweaks.

  2. Paulina says

    August 23, 2024 at 4:36 pm

    5 stars
    They turned out very tasty! Used Greek yogurt instead of sour cream.
    I added 1/2 zucchini and 4 mushrooms finely shredded (gotta get my kids to eat veggies) and added 1 tbsp flax seed meal Thank you for sharing your recipe!

    Reply
    • Vered DeLeeuw says

      August 23, 2024 at 4:54 pm

      You're very welcome, Paulina! Thank you for sharing your delicious tweaks.

A photo of Vered DeLeeuw.

Welcome!

Healthy Recipes Blog was founded in 2011 by Vered DeLeeuw. It features real food recipes with a focus on low-carb and gluten-free ingredients. All recipes are nutritionally reviewed by a Registered Dietitian. Contact us at HealthyRecipesBlog@gmail.com.

Start Here

Popular Recipes

  • Korean ground beef is served in a bowl with chopsticks.
    Korean Ground Beef
  • Sautéed shrimp are served on a white plate with a napkin.
    Sautéed Shrimp
  • Baked pork chops are served in a cast-iron skillet.
    Baked Pork Chops
  • Turkey burgers are served with lettuce and sliced tomatoes.
    Turkey Burgers
  • Three cauliflower steaks are served on a white plate.
    Cauliflower Steak
  • Baked cod is served on top of asparagus.
    Baked Cod

Footer

As seen on:

Logos of media outlets that featured Healthy Recipes Blog.
↑ back to top

Explore

  • Recipe Index
  • About
  • Newsletter

Terms

  • Privacy Policy
  • Terms
  • Accessibility

Copyright © 2011-2025 • The information on this website has not been evaluated by the FDA and is not intended to diagnose, treat, prevent, or cure any disease • All recipes were tested, photographed, and written by a human • Contact us at HealthyRecipesBlog [at] gmail.com.

Rate This Recipe

Your vote:




Please comment below. Your email won't be published. If you had any issues, I would appreciate the opportunity to troubleshoot before you rate. Have a photo? Email it to healthyrecipesblog@gmail.com, and I might post it!

Such a great recipe. Thanks!
This was so good. I will definitely make it again.
Loved it! Thank you so much.

Or write in your own words:

A rating is required
A name is required
An email is required