Cindy's Table - Everyday To Gourmet on NBC CT

Cindy’s Paleo Italian Meatballs
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Make these once and you will be hooked! Promise! You can serve these with spaghetti squash or I just found Paleo Pasta. It is delicious and I recommend you try them. Sometimes I create a meatball sandwich with a medium size portabella mushroom and that is a meal you won’t forget. Other times I just like my meatballs in a bowl with my homemade sauce and just enjoy every bite!

This make a full batch of meatballs! Just freeze what you don’t use. Enjoy.


  • 1 pound ground veal
  • 1 pound ground pork
  • 3/4 pound ground beef
  • 1/2 cup almond flour
  • 4 cloves garlic, minced
  • 1 1/2 teaspoons of dried basil
  • 1 1/2 teaspoons of dried parsley
  • 1 teaspoon dried oregano
  • 2 teaspoons sea salt
  • 1 teaspoon freshly ground black pepper
  • 1 teaspoon red pepper flakes (optional)
  • 3 large eggs, beaten
  • 6 cups of your favorite Italian sauce (Cindy’s recipe below)


    Preheat oven to 350 degrees F

  1. Line a baking sheet with parchment paper or non-stick aluminum foil.
  2. Place the ground meats, almond meal, garlic, seasonings, salt, pepper, eggs in a bowl. Combine very lightly with a fork. Using your hands, lightly form the mixture into 2-inch meatballs. (about golf ball size)
  3. Place the meatballs on the baking sheet and put in the oven for 20 minutes.
  4. Meanwhile in a large pot prepare your sauce. When meatballs are done put in the sauce and set to simmer for 1 hour (or more).

Cindy’s Quick Sauce

  • 1 tablespoon olive Oil
  • 1 small yellow onion, chopped
  • 2 teaspoons minced garlic
  • 1 (12-ounce) can of tomato sauce
  • 1 (28-ounce) can crushed tomatoes, or plum tomatoes in puree, chopped
  • 1 can of tomato paste and hot water
  • 1 teaspoon dried parsley
  • 1 teaspoon dried basil
  • 1 teaspoon sea salt
  • 1/2 teaspoon freshly ground black pepper
  • 1/4 teaspoon crushed red pepper flakes (optional)


  1. Heat the olive oil in a large pot. Add the onion and sauté over medium heat until translucent, 5 to 10 minutes. Add the garlic and cook for 1 more minute.
  2. Stir in the tomato sauce, crushed tomatoes, parsley, salt, and pepper (add red pepper flakes if you decide to use). Bring to a boil.
  3. Add in your can of tomato paste and fill can with hot water and using a spool scrape all of the paste. Stir until tomato paste has dissolved, cover and lower to simmer.
  4. Add the meatballs to the pot and let them do their magic!

NOTE! This is also a great slow cooker meal. Prepare the meatballs the night before! Get up in the morning and put the sauce and meatballs in the crock pot on low and when you come home for dinner! Meatballs are ready!

Cindy Barbieri
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  1. Made this last night with turkey, pork and beef. The meatballs were delicious and the sauce turned out great. I added some basil and oregano to the sauce. Everyone loved it in my house. I’ve been looking for a good paleo meatball for a while. Thanks for the great recipe.

    Comment by Jessie on January 25, 2012 at 6:33 pm

  2. I made this tonight using just ground turkey and it turned out so amazing

    Comment by Jen on February 6, 2012 at 3:08 am

  3. I made these tonight with 1.5 lbs ground beef and 1.5 lbs all natural sausage (that’s all I had on hand) and followed the rest of the recipe to the letter. My whole family just loved them. This is definitely going into my Family Recipe Book! Thank you so much for sharing ;)

    Comment by Lesa on August 17, 2012 at 12:37 am

  4. Thank you for the note! Meatballs are one of my favorites and make many variations! Sincerely, Cindy

    Comment by Cindy on August 17, 2012 at 1:16 am

  5. These work well with venison as well. Great recipe!

    Comment by Ben on September 18, 2012 at 9:09 am

  6. Made these with elk. I added some melted coconut oil to the meat. They were great. Thanks for the recipe.

    Comment by margaret on November 11, 2012 at 11:27 pm

  7. Made tonight with ground chicken and hubby & 6 year old both really liked! Thanks!!

    Comment by Quinn on December 17, 2012 at 2:38 am

  8. Really looking forward to trying these! We have an almond allergy in the family. Can I replace the almond flour with coconut flour? Maybe use only 1/4 cup of CF vs. the 1/2 AF?

    Comment by Valerie on May 18, 2013 at 1:09 pm

  9. I made these tonight and we all loved them! I am cutting out nuts for awhile, so I subbed in some finely chopped mushrooms that I needed to use up anyhow. Meatballs held together well and were delicious! I also baked them at 425 degrees for about 20 minutes.

    Comment by Kim on June 20, 2013 at 12:56 am

  10. So glad you enjoyed! One of our favorites..

    Comment by Cindy on June 20, 2013 at 8:34 pm

  11. When you make these in the crock pot, do you bake the meatballs or just put them in the slow cooker raw?

    Comment by Heather on October 7, 2013 at 11:34 pm

  12. Hi Heather, When I make these in the crock pot I do bake them for about 15 minutes then put in the slow cooker. That gives you time to prepare your sauce in the crock pot! Enjoy these are yummy!!

    Comment by Cindy on October 7, 2013 at 11:47 pm

  13. Made these yesterday croc pot style…Yummmm, by far the best paleo meatball recipe i have tried! I let them simmer in the sauce 4 hours and they were just fantastic! The red pepper flakes give it just a little kick! Thank you!

    Comment by Andrea Sam on November 3, 2013 at 6:26 pm

  14. Thanks for the note! These are my favorite meatballs…

    Comment by Cindy on November 3, 2013 at 9:30 pm

  15. Hey there! I simply wish to give you a huge thumbs up for your great information you
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    Comment by gamespot gta 5 on February 21, 2014 at 10:45 am

  16. I made this for my family tonight… just absolutely wonderful! We all loved it. My husband is Italian and his mom is a wonderful cook so the standard is high!:) Really yummy, thank you for sharing it!

    Comment by Roni on July 17, 2014 at 2:10 am

  17. Thanks for the note! These meatballs are our favorite too and so glad you all loved them! xo

    Comment by Cindy on July 17, 2014 at 4:28 pm


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