Easy Keto Pizza Meatballs (Whole30 + Paleo)


My Keto Pizza Meatballs are filled with pepperonis, pizza sauce and onions. Whole30, Keto and Paleo. These meatballs are perfect for meal prep, family dinner or a social gathering.

Lazy weekends used to mean grabbing a big fat pizza and beer. I used to constantly view food as a reward. If I was a “good girl” all week long, I would reward myself on Friday. I would eat as many unhealthy treats I could fit in my mouth.

Keto Pizza Meatballs

Since changing my mindset on food and living the Paleo lifestyle, I have come to realize that I can still enjoy a fun Friday night meal in a much healthier way. Pizza is one of those comfort foods that I crave on a regular basis. However, instead of indulging in a greasy slice of pizza, I decided to create an easy, flavorful and delicious pizza meatball recipe. 

Keto Pizza Meatballs

 Talk about hitting the spot, these cute little pizza meatball bites are an amazing weekend treat that the whole family will love. Here comes the good news, my 2 and 6-year old devours them. I will serve these with some type of steamed veggie or a nice green mixed salad and it makes the perfect busy weekend night or cozy weekend meal.

Easy Peasy

These meatballs can be whipped up and on the kitchen table in no time at all. Additionally, I will make a big batch on a Sunday. They are perfect for easy grab and go meals throughout the week. Serve it with a side salad or even you favorite steamed veggie and you are all set.

Keto Pizza Meatballs

Where can I find compliant Whole30 pizza sauce for these Keto Pizza Meatballs?

You can find a lot of pizza sauces at the store that are compliant. However if you can’t, be sure to checkout my homemade Pizza Sauce recipe. In my opinion, it is way better than store bought

Are Pepperonis Whole30 compliant?

It is not likely that you will find clean pepperonis to enjoy while on your Whole30. Pepperonis are usually highly processed. You will probably be better off branching out and looking for other options during this time. If you are wanting to enjoy these meatballs during your Whole30 just simply remove the pepperonis. I promise they still are super flavorful and delicious.

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Pizza Meatballs

  • Author: Ashley McCrary
  • Prep Time: 10 minutes
  • Cook Time: 25 minutes
  • Total Time: 35 minutes
  • Yield: 18 meatballs 1x
  • Diet: Gluten Free


These pizza inspired meatballs are filled with pepperonis, pizza sauce and onions. Whole30, Keto, Clean Eating, and Paleo. These meatballs are perfect for meal prep, family dinner or a social gathering.



Paleo Meatballs

  • 2 pound ground beef
  • 1 tsp garlic powder
  • 3 tablespoons chopped onions
  • 1/2 teaspoon Kosher salt 
  • 1/2 teaspoon black cracked pepper
  • 1/2 teaspoon onion powder
  • 1 tablespoon oregano
  • 1/3 cup almond flour 
  • 1 large egg
  • 1/2 cup OPTIONAL: chopped compliant pepperonis (omit all together for Whole30 compliant)
  • 1 1/4 cup compliant pizza sauce (or see my recipe below)

Compliant Pizza Sauce (Makes 1 1/2 Cup)

  • 1 (15 oz.) can tomato sauce
  • 1 (6 oz.) can tomato paste
  • 1/2 teaspoon Kosher salt
  • 1/4 teaspoon cracked black pepper
  • 1 teaspoon dried oregano
  • 1/2 teaspoon dried basil
  • 1 tsp Italian seasoning
  • 2 tablespoon water
  • 1/2 teaspoon onion powder
  • 1/2 teaspoon garlic powder


Pizza Meatballs

  1. Preheat the oven to 400F and line a baking sheet with parchment paper.
  2. In a large mixing bowl, combine hamburger meat egg, onions, seasoning, salt, pepperonis, pizza sauce and almond flour (add a little more almond flour if the mixture is too wet). Mix until everything is completely combined.
  3. Use a cookie scoop or a big spoon to scoop the meat. Shape each meatball (1 1/2 inch)
  4. Place each meatball 1 inch apart on the baking sheet. Bake 22-25 minutes (depending on desired doneness). Use any extra sauce for dipping

Pizza Sauce

  1. Add all ingredients to a medium size sauce pan and whisk together.
  2. Turn to medium/high heat and use a wooden spoon to stir occasionally as it cooks.
  3. Bring to a boil then turn to low. Cook for 20 minutes
  4. Serve immediately or store in fridge for up to 1 week.


  • If the mixture is still too wet for your liking, add a little more almond flour
  • Nutrition is calculated without pepperoni.  
  • Category: Appetizer, Main Dish
  • Cuisine: American


  • Serving Size: 1 meatball
  • Calories: 80
  • Sodium: 72
  • Fat: 2
  • Carbohydrates: 1
  • Fiber: 1
  • Protein: 12
  • Cholesterol: 40

Keywords: Pizza Meatballs, Meatballs, Keto, Whole30, Keto, Paleo, Dairy Free, Gluten Free

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Comments (42)

  • Do you use all 1 1/2 cups of pizza sauce in the meatballs? You say to use ant left over sauce for dipping.

    • You use 1 1/4 cup in the meatballs and the 1/4 cup of leftover for dipping.

  • OMG! I had to make these tonight….and they turned out fantastic!! I paired them with some roasted crispy broccoli. This will definitely be in our normal menu rotation. It totally curbed the pizza craving!

  • Made these tonight and my three year old ate hers and the ones on my plate as well. Definitely a winner!

    • I am so glad to hear that! Thank you so much for letting me know you loved them!

    • I am so happy to hear you guys loved them!

  • I couldn’t find tapioca flour at my grocery store and I want to make these tonight! Do you think arrowroot flour would be a good sub?

    • Yes Arrowroot will be perfect!

  • Looks great! I’m allergic to tree nuts and peanuts. Can I omit the almond flour, or replace with something else?

    • Yes. Feel free to use coconut flour!

  • My son is allergic to almonds. Do you think coconut flour would work?

    • Yes! That would work great 🙂

  • I made these for my whole 30 meal prep this week and I loved them.
    they are so good. I ma so happy to have found your site!

    • Thank you so much!

  • I made these for dinner last night. Instead of 2 pounds of beef, I used 1 pound of beef and 1 pound of venison since I had it in the freezer. I thought they may be a bit on the dry side since venison is so lean but they were perfect! The pizza sauce recipe is also delicious!

    • Thank you Megan. I really appreciate the kind words!

  • I made these a few times on my first whole30. My family and I love them! They are easy to throw together, and the best part is my kids will eat them. I also like that I can make a large batch and freeze some for future meals.

    • Thank you, Ariel. This comment makes me so happy.

  • Yum! My husband loved these 🙂

    • YAY……love when I can help please the hubbies

  • This is an awesome, easy and healthy recipe! THANK YOU!!

    • Thanks so much Courtney!!!!

  • If you’re craving pizza and trying to eat healthier/on a whole30, try these. They were so good. Totally kid and husband approved!

  • These pizza meatballs are the bomb.com! Totally satisfies pizza cravings during Whole30!

    • Thank you! I am so happy you loved this recipe.

  • These were easy to make and were perfect for my family as we were craving pizza on the Whole 30! Thank you for this new addition to our recipes, we will be making them again for sure!

    • So happy to hear they were a hit. Thank you

  • I wanted to try and make this tonight, but as I picked up my grocery pickup order they were out of the pink salt and they don’t carry the tapioca flour or arrowroot. Would it be ok to omit these ingredients?! Thank you so much!!!

    • Hi Miranda………..I’m really not sure if omitting these ingredients will give you the same taste and end result, but you can certainly try. Have a blessed weekend!!

  • My husband loves spaghetti and meatballs. The first time I told him I was making spaghetti he asked “can you make meatballs?” since then I knew I needed to doctor them up with seasonings, but I could never get them quite right. Well… this recipe did the trick! We had spaghetti and meatballs tonight (I omitted the pepperoni and didn’t have an onion on hand) and they are still amazing! The sauce in the meatballs keeps them juicy and gives them so much flavor! This will be my new go to recipe for meatballs!

    • I’m so happy to hear this. Thank you

  • Hi! I am so excited to try this. My husband & I try to keep track of nutrition information. Do you happen to have any of that for this recipe? Also, do you think I could sub ground beef for ground turkey? Thanks so much!

    • Hi Rachel,

      I am currently working to present nutritional information for these and many others on my blog. Check back…..thanks so much for your comments.

  • I just made this. Was craving pizza and spaghetti. Couldn’t decide which to make….so I made these. OMG!
    These are fabulous!

    • So happy to hear this Lori. Thank you

  • You advised people in this comment section that they could sub out the tapioca flour in this recipe, but I don’t see tapioca flour in the ingredients or directions. I’m confused.

    • Not sure what you are referring to. I would just go by my recipe above.

  • Thanks for sharing such a nice thinking, post is good, thats why i have read
    it entirely

  • These look amazing and I can’t wait to make them. What’s good to serve them with???

  • Made these tonight and my husband and I loved them— my husband went back for seconds! Super delicious!

  • Can you substitute almond flour to rolled oats ground up?

  • Made these for this week’s meal prep with a side salad, they are great! Perfect thing to get me out of my rut eating the same old thing every week. They were super easy to prepare and made enough for me to freeze. Thanks for another great recipe I can add to my rotation!


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