Keto Spinach Alfredo Pasta & Meatballs

Keto Spinach Alfredo Pasta & Meatballs

This Keto Spinach Alfredo Pasta & Meatballs dish is creamy, has wonderfully textured noodles, and includes amazingly tender and juicy meatballs. The meatballs include both ground pork and ground beef, plus cheese, to result in a savory outcome!

Miracle Noodles

If you haven’t tried Miracle Noodle’s Spinach noodles, you’ll want to! Miracle Noodles was nice enough to send me their Spinach based noodles. They are their Angel Hair brand, with a spinach flavor. The noodles are firm in the sense that they mimic al dente pasta, much closer, than any other (low carb) noodles I’ve worked with!

You can find some of their products here:

Keto Spinach Alfredo Spaghetti & Meatballs

Keto & Reduced Insulin:

I love thinking about keto in terms of, ‘where you can have your cake and eat it too.’ Fortunately, the same applies to pasta. Have your pasta and eat it too! Original pasta is actually quite carb heavy. Sometimes people can’t imagine pasta having more of an impact than a slice or 2 of cake, but that’s actually true. As a type 1 diabetic, I used to have to take about 30+ units of insulin when eating a typical serving of pasta. (With cake it’d be closer to 15 units.) My keto pasta version results in me taking only 5 units of insulin! Outside of having a dramatic reduction of insulin use, I am not missing out on flavor. In fact, I think my keto version just might have more flavor than a carb version I would’ve made instead. This is because I am not scared of incorporating flavorful fat into my meals!

Keto Spinach Alfredo Spaghetti & Meatballs

Why is it Important to Reduce Insulin Requirements?

    • To summarize, insulin is a hormone that allows the body to use glucose from carbohydrates for energy. Alternatively, it helps with storing glucose for future use.
      • Simply put: the more insulin you take/require, the more fat you can store.
    • Higher insulin levels results in quicker aging!
    • If you keep insulin levels low, cells are stronger and you’ll starve off infection and age-related diseases such as cancer, dementia and stroke. –
Keto Spinach Alfredo Spaghetti & Meatballs

Keto Spinach Alfredo Pasta & Meatballs

5 from 3 votes
Prep Time: 10 minutes
Cook Time: 1 hour
Total Time: 1 hour 10 minutes
Servings: 4 people
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  • 6 oz Ground Pork
  • 6 oz Ground Beef I used 73/27
  • 1/2 cup Parmesan Cheese, Shredded
  • 1 large Egg

Meatballs Spices & Seasonings:

  • 1.5 tsp Pink Salt
  • 1 tsp Black Pepper
  • 1/4 cup Fresh Parsley, Chopped
  • 1/4 tsp Red Pepper Flakes
  • 1 tsp Garlic Powder

Alfredo Sauce:

  • 2 packages Miracle Noodles (Spinach Angel Hair)
  • 2 cloves garlic
  • 1/2 cup Yellow Onion, Chopped
  • 6 oz Cream Cheese
  • 1 cup Chicken Bone Broth
  • 1/2 cup Heavy Whipping Cream
  • Olive Oil Cooking Spray

Sauce Spices & Seasonings:

  • 1 tsp Pink Salt
  • 1 tsp Black Pepper
  • 1 tsp Garlic Powder
  • 2 tsp Parsley Flakes
  • 1/2 - 3/4 tsp Xantham Gum Start with less and only add more after waiting 10 minutes.



  • Begin to boil your water for your noodles in a nonstick pan (at least 12") or pot.
  • Rinse your miracle noodles in water. *I use shears to cut mine so they're smaller and easier to work with. Once rinsed for a few minutes, or according to the package's instruction, boil the noodles for 5-10 minutes, stirring occasionally.
    Keto Spinach Alfredo Spaghetti & Meatballs
  • After you've boiled the noodles for several minutes, drain them, and then add them back to your skillet or pot. Reduce your heat to medium-high. Cook for 2 minutes, to remove moisture from the noodles. Set them aside.
    Keto Spinach Alfredo Spaghetti & Meatballs


  • Prepare your meatballs mixture by combining your pork, parmesan, beef, egg, and spices: salt, pepper, fresh parsley, red pepper, and garlic. Mix until just combined - do not over mix!
    Keto Spinach Alfredo Spaghetti & Meatballs
  • Form about 15 meatballs from the mixture.
    Keto Spinach Alfredo Spaghetti & Meatballs
  • Using same pan from before, over medium-high heat, brown your meatballs. (You won't need to cook them through completely, just until they have a nice golden color.) Set aside.
    Keto Spinach Alfredo Spaghetti & Meatballs


  • In a dutch oven, over medium heat, add Olive Oil cooking spray. Cook your garlic/onions for about 5 minutes, until the onions are golden.
  • Add your heavy whipping cream and bone broth to your dutch oven.
  • Add your spices: salt, black pepper, garlic powder and parsley flakes.
  • Cut your cream cheese into about 8 small sections. Add your cream cheese and stir until it's melted and combined.
    Keto Spinach Alfredo Spaghetti & Meatballs
  • Add your xantham gum to thicken your sauce.
  • Add your meatballs to your dutch oven, ensuring they are covered by your sauce.
    Keto Spinach Alfredo Spaghetti & Meatballs
  • Reduce your heat to medium-low. Simmer the meatballs for 30 minutes. Stir after about 15 minutes. Ensure meatballs reach temperature of 160 degrees F, 71 degrees C, before eating.


  • Pour your sauce and meatballs over your spinach noodles.
  • Feel free to top with fresh parsley and parmesan, if preferred!
  • Enjoy!
    Keto Spinach Alfredo Spaghetti & Meatballs

Nutrition Per Serving

Nutrition Facts
Keto Spinach Alfredo Pasta & Meatballs
Amount Per Serving
Calories 574 Calories from Fat 414
% Daily Value*
Fat 46g71%
Carbohydrates 5g2%
Fiber 1g4%
Protein 34g68%
* Be sure to calculate your Keto Macros!
Did you make this recipe?Mention @ambersketokitchen or tag #ambersketokitchen!
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Christina A Alisio
Christina A Alisio
1 year ago

Could this be made in a slow cooker?

Christina A Alisio
Christina A Alisio
1 year ago

Thank you!!

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