Paleo Spaghetti & Meatballs

Paleo Spaghetti & Meatballs

Having your old-school favorite, spaghetti and meatballs, may be quite challenging for Paleo enthusiasts. Worry no more with this Paleo Spaghetti & Meatballs recipe.

spaghetti squash and meatballs

Spaghetti Squash & Meatballs

Yield: 4 Servings
Prep Time: 15 minutes
Cook Time: 45 minutes
Total Time: 1 hour


  • 2 tbsp avocado oil
  • 1 medium spaghetti squash halved lengthwise and seeded
  • sea salt and freshly ground pepper
  • 1 cup sliced onions
  • 4 cloves garlic minced
  • 1 cup homemade crushed tomatoes
  • 1 tbsp tomato paste
  • 1/2 tsp dried oregano
  • 1 1/2 cup ground beef
  • 1/2 tsp sea salt
  • chili pepper
  • 1 egg
  • scallions


  1. For the squash and sauce: Preheat the oven to 392 degrees F and place a rack in the oven.
  2. Rub 1/2 tablespoon of the oil on each cut-side of the squash and sprinkle with salt and pepper.
  3. Place the squash cut-side up on a baking sheet and roast until fork tender, about 1 hour.
  4. Cool the squash for at least 10 minutes.
  5. Scrape the tines of a fork lengthwise along the flesh of the squash to pull out the long, thin strands.
  6. While the squash cooks, make the sauce.
  7. Heat the remaining 1 tablespoon oil in a large nonstick saucepan set over medium heat.
  8. Add the onions and garlic and cook, stirring occasionally, until the onions are translucent.
  9. Stir in the crushed tomatoes, tomato paste, oregano, and chili.
  10. Cover the pot, reduce the heat to medium-low and simmer for at least 15 minutes, stirring occasionally.
  11. Season with salt and pepper.
  12. For the meatballs: Combine the ground beef, chopped onions, salt, pepper, garlic and egg in a large bowl.
  13. Form about the meatballs.
  14. Place the meatballs in the sauce and simmer until firm to the touch and cooked through, about 15 minutes.
  15. Top with chopped scallions.
Nutrition Information:
Yield: 4 Serving Size: 1
Amount Per Serving: Calories: 434Total Fat: 24gSaturated Fat: 7gTrans Fat: 1gUnsaturated Fat: 14gCholesterol: 122mgSodium: 622mgCarbohydrates: 29gFiber: 6gSugar: 13gProtein: 29g
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