Keto Swedish Meatballs are made keto friendly by making some smart swaps to the traditional ingredients! A hearty, creamy dinner that even the non-keto people in your family will love!

Alright, folks. I am not currently on the keto diet, but so very many of you are!  I get a ton of requests for new keto recipes every day. Since I aim to please, I am so excited to share this Keto Swedish Meatballs recipe with you. 

In the keto group I follow on Facebook, there are always requests for good keto meatball recipes. I started thinking about ways to make a perfect keto meatball, and experimented with alternatives for the bread crumbs that typically hold the meatball together. Once I perfected the meatball, I started thinking of sauce options. Of course, you could use the meatball recipe in this post and serve with your favorite low-sugar tomato sauce and zucchini noodles! But doesn’t a cream sauce sound good? Yeah, it kinda does. 

Believe it or not, the first time I had Swedish Meatballs was at IKEA, at the ripe age of 30! I had always heard about IKEA’s famous meatballs, but had never actually had them until IKEA moved to Kansas City!

Spoiler alert, I loved them. And those amazing cinnamon rolls. I had never thought to put a creamy sauce on meatballs, but it worked so well, and I found myself going to IKEA for the food. Not the furniture! 

a bowl full of keto swedish meatballs and gravy

Since you typically use flour in cream sauce, we’re replacing it here with arrowroot powder or xantham gum. I didn’t even tell my husband, and he couldn’t even tell the difference.

I hope you and your family LOVE this Keto Swedish Meatball recipe! If you’re looking for other keto friendly recipes, try my Fried Cabbage with Bacon (Keto Salad) or these Air Fryer Chicken Thighs!

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Keto Swedish Meatballs

Yield: 24 meatballs
Prep Time: 10 minutes
Cook Time: 30 minutes
Total Time: 40 minutes

Keto Swedish Meatballs are made keto friendly by making some smart swaps to the traditional ingredients! Tender meatballs in a delicious creamy sauce!


  • 4-5 tablespoons of butter
  • 1 chopped white onion
  • 1 pound of lean ground beef 
  • ½ cup of crushed pork rinds - 
  • 2 teaspoons Salt, divided
  • ¼ teaspoon ground Pepper
  • ¼ teaspoon Allspice
  • ¼ teaspoon nutmeg
  • ¼ teaspoon of Garlic powder
  • 1 egg
  • ½ cup heavy cream
  • 2-4 tablespoons of olive oil
  • 2 cups beef broth
  • 1 teaspoon Dijon mustard
  • 1 ½ teaspoons Arrow root powder or xantham gum
  • 3 tablespoons of water
  • Fresh parsley for garnish


  1. Add ground beef, crushed pork rinds, 1 teaspoon of salt, spices, egg, and 2 tablespoons of heavy cream into a large bowl. Gently fold ingredients together.
  2. Roll about 1 ½ tablespoons of ground beef mixture into a ball, repeat with remaining ground beef mixture. You should be able to make about 24 meatballs. Set meatballs aside.
  3. Melt butter in a large skillet over medium to medium high heat. Add in onions and a teaspoon of salt. Cook onions, stirring occasionally until softened, about 5 minutes. 
  4. Remove onions from the pan, but leave remaining butter.
  5. Add olive oil to the same skillet and then add in meatballs. Brown meatballs on all sides over medium high heat. Then, lower heat to medium/medium low and cover pan. Every 3-4 minutes, rotate meatballs until they are cooked through. Total time can take between 10-20 minutes, depending on how thick you made your meatballs.
  6. Remove meatballs from pan once cooked through.
  7. Return skillet to medium high heat. Add in broth, mustard, and remaining heavy cream. Stir well, then allow to simmer for 2-3 minutes.
  8. While sauce is simmering whisk together water and xantham gum/arrowroot. in a small bowl. It will form a very loose paste. 
  9. Gently pour the paste to the pan and whisk quickly to keep lumps from forming.
  10. Lower heat to medium low and continue to cook the sauce for 5 minutes, or until it is thickened.
  11. Return your cooked onions and meatballs to skillet, and cover meatballs with the sauce. Gently simmer the meatballs and sauce together until the meatballs are reheated. 
  12. Sprinkle with parsley or fresh herbs and serve.


Nutrition Information
Yield 4 Serving Size 1
Amount Per Serving Calories 674Total Fat 55gSaturated Fat 24gTrans Fat 1gUnsaturated Fat 27gCholesterol 223mgSodium 1851mgCarbohydrates 5gFiber 1gSugar 3gProtein 39g

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Keto Swedish Meatballs
Keto Swedish Meatballs