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5 from 10 votes

Pizza Meatballs

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 Time10 minutes
Cook Time25 minutes
Course: Appetizer, Main Dish
Cuisine: American
Diet: Gluten Free
Keyword: dairy-free, gluten-free, keto, Meatballs, paleo, Pizza Meatballs, whole30
Servings: 18 meatballs
Author: Ashley McCrary


  • 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