Easy Keto Pizza Meatballs (Whole30 + Paleo)

5 from 10 votes
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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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More healthy recipes from the blog:

Pizza Meatballs

By: Ashley McCrary
5 from 10 votes
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.
Prep Time: 10 minutes
Cook Time: 25 minutes
Servings: 18 meatballs


  • Paleo Meatballs2 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 Cup1 (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 MeatballsPreheat the oven to 400F and line a baking sheet with parchment paper.
  • 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.
  • Use a cookie scoop or a big spoon to scoop the meat. Shape each meatball (1 1/2 inch)
  • 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 SauceAdd all ingredients to a medium size sauce pan and whisk together.
  • Turn to medium/high heat and use a wooden spoon to stir occasionally as it cooks.
  • Bring to a boil then turn to low. Cook for 20 minutes
  • 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.  


Serving: 1meatball | Calories: 80kcal | Carbohydrates: 1g | Protein: 12g | Fat: 2g | Cholesterol: 40mg | Sodium: 72mg | Fiber: 1g

Nutrition information is automatically calculated, so should only be used as an approximation.

Tried this recipe?Mention @healthylittlepeach or tag #healthylittlepeach!

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About Me

Mother, wife, cookbook author, recipe creator an open book

Welcome to Healthy Little Peach. I’m Mac, the lady behind the recipes. I believe in living a healthy lifestyle that consists of a mix of healthy whole foods, and full-fat comfort meals. Life is too short not to enjoy good food while maintaining a healthy body and mind. Here you will find gluten-free, dairy-free, paleo, keto, and even full-fat comfort recipes. Let’s have fun in the kitchen together!

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Recipe Rating


  1. 5 stars
    If you’re craving pizza and trying to eat healthier/on a whole30, try these. They were so good. Totally kid and husband approved!

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

  3. 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!

  4. 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!!!

    1. 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!!

  5. 5 stars
    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!

  6. 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!

    1. 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.

  7. 5 stars
    I just made this. Was craving pizza and spaghetti. Couldn’t decide which to make….so I made these. OMG!
    These are fabulous!

  8. 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.