These Whole 30 Homemade Italian Paleo Meatballs with a creamy tomato sauce is the best combination. The meatballs are so juicy and packed with flavors. Paired with an easy dairy-free tomato sauce, this healthy recipe is the perfect dinner for the whole family!


I have been obsessed with ground meat recipes like turkey burgers and these Paleo Italian meatballs.

Not only they are an amazing protein source, but also super easy for you to sneak in some extra veggies and pack so much flavor in.


Why do I love these Italian Paleo Meatballs?


Paleo Italian Meatballs in Creamy Tomato Sauce


1. The most tender and juicy gluten-free meatballs made from scratch!


2. So easy to pack meatballs with flavors


3. Healthy and easy dinner for the family


4. Can be made ahead of time and are perfect for meal prepping


Every time when I make these juicy and flavorful meatballs I double the batches to have for the week. It is a lot of chopping and rolling. So I have to get my time worth.


A wooden spoon in a pan of italian meatballs and marinara sauce


Freezer Friendly

All you need is to store cooked and cooled meatballs in an airtight container or a storage bag.

These healthy Italian Meatballs can freeze beautifully for a couple of months.

Tip: To prevent meatballs from sticking to each other due to the moisture, you can place them on a sheet pan or a plate and freeze them for a couple of hours with room between each meatball.

Then take them off of the plate and throw them in a container or bag.


How to Make paleo Meatballs from Scratch


A bowl of Paleo Italian Meatballs with Creamy Tomato Sauce


First of all, wash, dry and chop all the veggies. Sauteing the veggies before mixing into the meatballs will help bring out the aromatic even more.

Second, mix ground meat with veggies and seasoning by hand. Either use a cookie dough scooper or roll the ground meat mixture into balls by hand.

Third, roast in the oven at 425 F. The high temperature will help the meatballs stay moist, tender inside, and yet charred and crispy on the outside.

Additionally, adding Arrowroot flour can prevent the meatballs from being tough.

While the meatballs are cooking in the oven, we will make the easy creamy tomato sauce.

All you need is a jar of your favorite marinara sauce and canned coconut milk. The creamy and sweet coconut milk balance out the acidity in the tomato sauce. It is my favorite creamy tomato sauce.

Lastly, mix the meatballs with sauce and serve with your favorite pasta and vegetables.


What to use in place of Breadcrumbs in whole30 Meatballs


A bowl of Italian meatballs and a pan of just finished meatballs.

Another one of my secret ingredients, arrowroot flour!

Man, I am really giving out all of my secret weapons for you guys to make the best ever healthy meatballs at home.

Arrowroot flour is my go-to flour when it comes to cooking meat. 

Either I am marinating chicken for stir fry recipes:

  1. Chicken Teriyaki Stir Fry (Whole30)
  2. Healthy Paleo Orange Chicken

Or using arrowroot flour in meatball recipes in the place of breadcrumbs in traditional meatball recipes.

Besides helping trap the moisture inside of the meat during the cooking process, arrowroot flour is naturally gluten-free and paleo-friendly.


How to Make Creamy Tomato Sauce


Paleo Italian Meatballs with Creamy Tomato Sauce ready to be served


In order to make my Secret Sauce, you will need:

  1. 1 Jar of your favorite Marinara Sauce (24 oz)
  2. 1/2 cup coconut milk
  3. 1/4 cup chopped mushroom

Bring all the ingredients to boil in a small pot, and simmer until the mushroom is soft.

The sweetness of the coconut milk complements the acidity from the marinara sauce so well.

Best Combo.



What should I Serve with Paleo Italian meatballs?


Paleo Italian Meatballs with Creamy Tomato Sauce with a side of broccoli and pasta


Spaghetti and Meatballs

Spaghetti and Meatballs will always be the classic go-to. Smothered in some creamy tomato sauce, this is one of our all-time favorite dinners.


Meatball Sub Sandwich

Serving these paleo meatballs on a sliced hearty sub sandwich, a generous scoop of marinara sauce, a sprinkle of extra fresh basil, and there you have the easiest lunch to go.


Italian Version of Buddha Bowl

I can never skip a jam loaded buddha bowl. Fill a bowl with cooked quinoa, sweet potato, broccoli, and zucchini noodles.

Top it off with a few of these healthy Italian meatballs, sprinkle some extra parmesan cheese, and you have a healthy low carb lunch ready.


whole30 meatballs with red sauce and cilantro


Last but not least, scroll down to check out the full recipe for this Italian Paleo Meatball with creamy tomato sauce.

This recipe is perfect for dinner on a date night, the whole family to enjoy and meal prep for the week. It will become your favorite Italian dinner option for the whole family!


Ooo also I look forward to seeing your creations! You can use “Tried it” on Pinterest or share on Instagram by tagging #shuangyseats

Paleo Italian Meatballs with Creamy Tomato Sauce pinterest image


You may also like these Recipes:

1. Whole 30 Turkey Burger

2. Crockpot Italian Meatballs





Paleo Italian Meatballs with Creamy Tomato Sauce pinterest image

Paleo Italian Meatballs with Creamy Tomato Sauce with a wooden spoon in the pan and fresh basil sprinkled on top

Get the recipe:Paleo Italian Meatballs

These Homemade Italian Paleo Meatballs with this creamy tomato sauce are the best combination. And the recipe is gluten-free, Whole30 and paleo friendly!
4.72 stars (7 reviews)


Italian Paleo Mealballs

  • 1 lb Ground Chicken
  • 1 lb Ground turkey
  • 1/4 cup Onion, Minced
  • 2 -3 cloves Garlic, Mince
  • 1/4 cup Poblano pepper, Chopped
  • 2 tsp Italian Seasoning
  • 1 tsp salt
  • 1 – 2 tbsp arrowroot flour *

Creamy Tomato Sauce


  • Italian Paleo Meatballs
  • Preheat the oven to 425 F
  • Finely chop the onion, garlic, poblano pepper. Heat 1 tbsp avocado oil in a pan and sauté the aromatic for about 2-3 minutes until fragrant. Set aside.
  • Combine all meatball ingredients in a large mixing bowl and mix until combined well, using your hands. Roll into balls (approx. 24 meatballs for 2 lb of meat)
  • Bake 13 – 15 minutes until it’s completely cooked through (no pink when cut open)
  • Creamy Tomato Sauce
  • Pour a jar of your favorite marinara sauce and 1/2 cup coconut milk into a small pot
  • Fold in chopped mushroom. Bring to boil then simmer until mushroom is soft
  • Pour the sauce over meatballs and serve with your favorite pasta and vegetables. Enjoy!


  1. * I generally follow 1 tbsp of arrowroot flour per pound of ground meat.
  2. When combining meatballs, do not overmix. Otherwise, meatballs will tend to dry out during the cooking process.
  3. Using a Cast Iron Skillet will make the meatballs extra crispy on the outside while remaining juicy on the inside.
Serving: 1g, Calories: 297kcal, Carbohydrates: 3g, Protein: 28g, Fat: 19g, Saturated Fat: 7g, Polyunsaturated Fat: 10g, Cholesterol: 121mg, Sodium: 456mg, Fiber: 1g, Sugar: 1g

The Nutrition Facts above are specific to the ingredients I chose to use for this recipe, which may vary.