Keto Spaghetti with Meatballs (Zoodles) – The Ultimate Low-Carb Italian Comfort
Craving spaghetti and meatballs but trying to stick to your keto lifestyle? I get it – nothing hits quite like a steaming bowl of pasta twirled around juicy meatballs.
TITLE: Quick Keto Spaghetti with Meatballs (Zucchini Noodles)
One-pot comfort food that won’t kick you out of ketosis

KEY INFO
- Prep time: 15 minutes
- Cook time: 20 minutes
- Total time: 35 minutes
- Servings: 4
- Difficulty level: Easy
- Dietary tags: Keto, Low-Carb, Gluten-Free, Can be Dairy-Free
Nutritional highlights per serving:
- Net carbs: 6-8g
- Protein: 28g
- Calories: ~340
- Fat: 22g
EQUIPMENT NEEDED
Essential tools:
- Spiralizer or julienne peeler
- Large mixing bowl
- Non-stick skillet
- Tongs or spatula
- Baking sheet (optional)
Simple alternatives:
- No spiralizer? Hand-cut zucchini into thin strips with a sharp knife
- Buy pre-spiralized zoodles from the store (saves 10 minutes)
- Use a vegetable peeler for ribbon-style “noodles”

INGREDIENTS
For the zoodles:
- 4-5 medium zucchini (1.5 lbs / 680g), spiralized
- 2 tbsp olive oil (30ml)
- 2 cloves garlic, minced
- Salt and pepper to taste
- 1 tbsp fresh lemon juice (15ml)
For the meatballs:
- 1 lb ground beef, 80/20 (450g) [or mix beef/pork for extra flavor]
- 1 large egg [flax egg for egg-free: 1 tbsp ground flaxseed + 3 tbsp water]
- 1/3 cup almond flour (40g) [pork rind crumbs work too]
- 1/2 cup grated parmesan (50g) [nutritional yeast for dairy-free]
- 1/4 cup fresh parsley, chopped (10g)
- 3 cloves garlic, minced
- 1 tsp Italian seasoning
- 1/2 tsp onion powder
- 1 tsp salt
- 1/2 tsp black pepper
- Pinch of red pepper flakes (optional)
For serving:
- Extra parmesan cheese
- Fresh basil leaves
- Sugar-free marinara sauce (optional)

METHOD
- Prep your zoodles first – this is crucial! Spiralize zucchini and lay on paper towels. Sprinkle lightly with salt. Let sit for 10 minutes while you prep meatballs.
- Mix the meatball mixture gently – don’t overwork it! Combine all meatball ingredients in a large bowl. Use your hands to mix just until combined. Critical tip: Stop as soon as ingredients are mixed – overmixing = tough meatballs.
- Form uniform meatballs Roll into 16 golf ball-sized portions (about 1.5 inches each). Use a cookie scoop if you have one – keeps your hands clean and sizes even.
- Brown those beauties Heat 1 tbsp olive oil in large skillet over medium-high heat. Add meatballs, don’t crowd them. Brown on all sides, about 8-10 minutes total. Internal temperature should reach 160°F (71°C).
- Pat zoodles completely dry This step separates soggy disasters from restaurant-quality zoodles. Use paper towels or clean kitchen towel to squeeze out moisture.
- Quick-sauté the zoodles In same pan (after removing meatballs), add remaining olive oil. Add garlic, cook 30 seconds until fragrant. Add zoodles, toss for just 2-3 minutes. Visual cue: They should be bright green and slightly tender, not limp.
- Bring it all together Return meatballs to pan with zoodles. Add lemon juice and toss gently. Remove from heat immediately.

CRUCIAL TIPS
- Don’t skip the zoodle salting step – it draws out excess water that would make your dish watery
- Keep zoodle cooking time under 3 minutes – they continue cooking from residual heat
- Make meatballs uniform size – ensures even cooking
- Let meatballs rest 2-3 minutes after cooking – juices redistribute for maximum flavor
- Serve immediately – zoodles get soggy if they sit

STORAGE & SCALING
Storage:
- Store components separately in fridge up to 4 days
- Reheat meatballs gently in microwave or pan
- Zoodles are best fresh, but can be reheated quickly in hot pan
Scaling up:
- Recipe doubles easily for meal prep
- Maintain ratio: 1 medium zucchini per person
- Batch cook meatballs in multiple pans or use oven at 400°F for 12-15 minutes
Common mistakes to avoid:
- Overcooking zoodles (mushy texture)
- Not removing zoodle moisture (watery dish)
- Using high-sugar marinara sauce (kicks you out of ketosis)
- Making meatballs too large (uneven cooking)
VARIATIONS TO TRY
Sauce switches:
- Creamy garlic butter sauce
- Sugar-free pesto
- Alfredo sauce
- Simple olive oil and herbs
Protein swaps:
- Ground turkey or chicken meatballs
- Italian sausage (remove from casings)
- Plant-based meat for vegetarian version
Noodle alternatives:
- Shirataki noodles for even lower carbs
- Spaghetti squash strands
- Cabbage noodles
Flavor boosters:
- Sun-dried tomatoes
- Kalamata olives
- Fresh mozzarella chunks
- Toasted pine nuts
I’ve been making this recipe for three years now, and it’s saved my sanity on busy weeknights. My kids actually prefer these zucchini noodles to regular pasta – and they have no idea they’re eating vegetables!
The secret is in the timing. Get everything prepped first, then it’s just a quick 5-minute assembly in the pan. You’ll have dinner on the table faster than you could boil traditional pasta.
Pro tip from my kitchen to yours: Make extra meatballs and freeze them. They reheat beautifully and you’ll have a head start on next week’s dinner.
This isn’t just another zoodle recipe – it’s your new weeknight hero that happens to keep you in ketosis. Your taste buds won’t miss the carbs, I promise.