Low Carb Slow Cooker Meatball Casserole recipe from Derek's Table
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Recipe

Low Carb Slow Cooker Meatball Casserole

Low Carb Slow Cooker Meatball Casserole bakes up bubbly and golden—layered, hearty, and perfect for potlucks, Sundays, and easy leftovers.

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Prep: 25 minCook: 2 hr 40 minServings: 4
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Slow‑Cooker Low‑Carb Meatball Bake

A hands-off, protein-forward casserole that keeps carbs low by swapping almond flour for breadcrumbs and finishes with bubbling cheese for a golden top.

There are nights when you want the comfort of a saucy, cheesy casserole without hauling out half the kitchen. This slow‑cooker meatball casserole answers that craving: you form tender, almond‑flour‑bound meatballs, brown them briefly to build flavor, then let the cooker do the heavy lifting while the sauce simmers into something rich and comforting. It’s built for Sundays, potlucks, or any weeknight when you want a hearty dinner with minimal fuss.

Using almond flour and a single egg in the meatballs keeps this dish low carb without drying them out; a quick sear in a hot skillet adds color and caramelized bits that the tomato sauce soaks up. Parmesan folded into the mix gives savory depth, while mozzarella—added at the end—melts into creamy, pull‑apart goodness. The method is forgiving: the meatballs don’t need to be fully cooked before they go into the slow cooker, which means faster prep and fewer pan babysitting moments.

The sauce is all about balance: sautéed onions and mushrooms add an earthy base, garlic for perfume, crushed tomatoes and a touch of tomato paste for body, and a splash of beef broth to loosen everything so it keeps the meatballs tender. Stir in spinach near the end for a quick wilt of green and extra texture. For a golden, bubbly finish, pop the casserole under the broiler a few minutes after slow cooking—just long enough to brown the cheese.

Prep is quick (about 25 minutes) and the slow cooker does the rest, yielding excellent leftovers that reheat beautifully. Serve over roasted vegetables, cauliflower rice, or a simple green salad to keep the meal low carb and balanced. It’s the kind of dish that travels well to potlucks, feeds a small crowd, and rewards you with satisfying, saucy slices the next day.

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Ingredients

How to Make Low Carb Slow Cooker Meatball Casserole

  1. In a large bowl combine ground beef, egg, almond flour, 2 tbsp grated parmesan, 1/2 tsp salt, 1/4 tsp black pepper, and half the chopped parsley; mix gently until just combined and form into 16 even meatballs (about 1.5 in each).
  2. Heat 1 tbsp olive oil in a large skillet over medium-high heat and brown the meatballs in batches, 1–2 minutes per side — they do not need to be fully cooked through. Transfer browned meatballs to the slow cooker.
  3. Reduce heat to medium, add the chopped onion and sliced mushrooms to the skillet and sauté until softened, about 4–5 minutes; add minced garlic and cook 30 seconds until fragrant.
  4. Stir the crushed tomatoes, tomato paste, beef broth, italian seasoning, red pepper flakes, remaining 1 tsp salt, and remaining 1/4 tsp black pepper into the skillet; bring to a simmer and scrape up any browned bits, then pour the sauce over the meatballs in the slow cooker.
  5. Add the spinach to the slow cooker, nestling it into the sauce around the meatballs so it wilts as the casserole cooks; cover and cook on LOW for 2.5 hours (or HIGH for 1.5 hours) until meatballs reach 160°F and flavors are melded.
  6. About 30 minutes before the end of cooking, add the cauliflower rice to the slow cooker, stir gently to combine and heat through so it absorbs some sauce and finishes cooking.
  7. When cooking is complete, transfer the meatballs, sauce, and cauliflower rice to an oven-safe casserole or rimmed baking dish; sprinkle the shredded mozzarella and remaining 2 tbsp parmesan evenly over the top.
  8. Place the casserole under a hot broiler for 4–8 minutes until cheese is melted and lightly browned (watch closely), then remove and let rest 5 minutes; garnish with the remaining chopped parsley and serve family-style.

Recipe Card

Low Carb Slow Cooker Meatball Casserole

Low Carb Slow Cooker Meatball Casserole bakes up bubbly and golden—layered, hearty, and perfect for potlucks, Sundays, and easy leftovers.

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Low Carb Slow Cooker Meatball Casserole recipe from Derek's Table
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Prep
25 min
Cook
2 hr 40 min
Servings
4

Ingredients

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Instructions

  1. In a large bowl combine ground beef, egg, almond flour, 2 tbsp grated parmesan, 1/2 tsp salt, 1/4 tsp black pepper, and half the chopped parsley; mix gently until just combined and form into 16 even meatballs (about 1.5 in each).
  2. Heat 1 tbsp olive oil in a large skillet over medium-high heat and brown the meatballs in batches, 1–2 minutes per side — they do not need to be fully cooked through. Transfer browned meatballs to the slow cooker.
  3. Reduce heat to medium, add the chopped onion and sliced mushrooms to the skillet and sauté until softened, about 4–5 minutes; add minced garlic and cook 30 seconds until fragrant.
  4. Stir the crushed tomatoes, tomato paste, beef broth, italian seasoning, red pepper flakes, remaining 1 tsp salt, and remaining 1/4 tsp black pepper into the skillet; bring to a simmer and scrape up any browned bits, then pour the sauce over the meatballs in the slow cooker.
  5. Add the spinach to the slow cooker, nestling it into the sauce around the meatballs so it wilts as the casserole cooks; cover and cook on LOW for 2.5 hours (or HIGH for 1.5 hours) until meatballs reach 160°F and flavors are melded.
  6. About 30 minutes before the end of cooking, add the cauliflower rice to the slow cooker, stir gently to combine and heat through so it absorbs some sauce and finishes cooking.
  7. When cooking is complete, transfer the meatballs, sauce, and cauliflower rice to an oven-safe casserole or rimmed baking dish; sprinkle the shredded mozzarella and remaining 2 tbsp parmesan evenly over the top.
  8. Place the casserole under a hot broiler for 4–8 minutes until cheese is melted and lightly browned (watch closely), then remove and let rest 5 minutes; garnish with the remaining chopped parsley and serve family-style.

Nutrition

Carbohydrates
19
Saturated Fat
16
Sodium
1400
Fiber
6
Unsaturated Fat
30
Protein
61
Fat
46
Cholesterol
205
Trans Fat
0
Calories
730
Sugar
5

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