This Creamy Spaghetti & Meatballs recipe takes the classic Italian favorite to the next level with a rich, velvety sauce that perfectly coats tender meatballs and al dente pasta. The creamy tomato-based sauce combines the best of marinara and Alfredo for a luxurious, comforting dish that’s perfect for a cozy dinner.
Why You’ll Love This Recipe
- Rich & Creamy Sauce – A perfect balance of tomato and cream for extra indulgence.
- Juicy, Flavorful Meatballs – Made with a blend of seasonings and Parmesan cheese.
- Easy & Family-Friendly – A comforting meal that everyone will love.
- One-Pan Sauce – Simple ingredients, minimal cleanup.
- Customizable – Use beef, chicken, turkey, or even plant-based meatballs!
Ingredients
(Tip: You’ll find the full list of ingredients and measurements in the recipe card below.)
For the Meatballs:
- Ground beef (or a mix of beef and pork)
- Breadcrumbs
- Parmesan cheese, grated
- Egg
- Garlic, minced
- Italian seasoning
- Salt and black pepper
- Olive oil (for frying)
For the Creamy Sauce:
- Butter
- Onion, finely chopped
- Garlic, minced
- Crushed tomatoes (or tomato sauce)
- Heavy cream (or half-and-half for a lighter option)
- Parmesan cheese, grated
- Italian seasoning
- Red pepper flakes (optional, for spice)
- Salt and black pepper
For the Pasta:
- Spaghetti (or fettuccine)
- Fresh basil or parsley (for garnish)
Directions

1. Make the Meatballs
- In a large bowl, combine ground beef, breadcrumbs, Parmesan, egg, garlic, Italian seasoning, salt, and black pepper. Mix until just combined.
- Roll into 1-inch meatballs and set aside.
- Heat olive oil in a skillet over medium heat. Cook the meatballs in batches until browned on all sides (about 6-8 minutes). Remove and set aside.
2. Cook the Pasta
- Bring a large pot of salted water to a boil.
- Cook spaghetti according to package instructions until al dente.
- Reserve ½ cup of pasta water, then drain and set aside.
3. Make the Creamy Sauce
- In the same skillet, melt butter over medium heat.
- Add chopped onion and cook until soft (about 3 minutes). Stir in garlic and cook for 30 seconds.
- Pour in crushed tomatoes, Italian seasoning, red pepper flakes, salt, and black pepper. Simmer for 5-7 minutes.
- Lower heat and stir in heavy cream and Parmesan cheese. Simmer for 2 more minutes until smooth.
4. Combine Everything
- Return the meatballs to the skillet and let them simmer in the sauce for 5 minutes.
- Toss in the cooked spaghetti and mix until fully coated. Add reserved pasta water if needed to loosen the sauce.
- Garnish with fresh basil or parsley and extra Parmesan.
5. Serve & Enjoy
- Serve hot with garlic bread or a side salad for a complete meal.
Servings and Timing
- Servings: 4-6
- Prep Time: 15 minutes
- Cook Time: 30 minutes
- Total Time: 45 minutes
Variations
- Spicy Kick – Add more red pepper flakes or a dash of hot sauce.
- Cheesy Twist – Stir in shredded mozzarella for extra creaminess.
- Gluten-Free Option – Use gluten-free pasta and breadcrumbs.
- Lighter Version – Swap heavy cream for Greek yogurt or a splash of milk.
- Vegetarian Option – Use plant-based meatballs or sautéed mushrooms.
Storage/Reheating
- Refrigeration: Store leftovers in an airtight container for up to 3 days.
- Freezing: Freeze meatballs and sauce separately for up to 2 months. Thaw overnight before reheating.
- Reheating: Warm in a skillet over low heat, adding a splash of milk or cream to restore creaminess.
FAQs
Can I use store-bought meatballs?
Yes! Pre-made meatballs save time and work well in this dish.
What’s the best pasta for this dish?
Spaghetti is classic, but fettuccine or penne also work well.
Can I use milk instead of heavy cream?
Yes, but the sauce will be less rich. Half-and-half is a better alternative.
How do I make this dairy-free?
Use coconut cream instead of heavy cream and dairy-free Parmesan.
How do I keep meatballs tender?
Don’t overmix the meat and use breadcrumbs for softness.
Can I make the sauce ahead of time?
Yes! Store it in the fridge for up to 3 days and reheat before serving.
What’s the difference between spaghetti with marinara and this dish?
This version has a creamy tomato sauce, while marinara is a lighter tomato-only sauce.
Can I make this dish low-carb?
Yes! Serve with zucchini noodles or spaghetti squash.
What sides go well with this dish?
Garlic bread, Caesar salad, or roasted vegetables pair perfectly.
How do I make this sauce thicker?
Let it simmer longer or add more Parmesan cheese.
Conclusion
This Creamy Spaghetti & Meatballs recipe is a comforting, flavor-packed twist on the classic dish. With a creamy tomato sauce and tender meatballs, it’s perfect for a cozy family dinner. Try it today and enjoy an easy, homemade Italian-inspired meal!
PrintCreamy Spaghetti & Meatballs
This Creamy Spaghetti & Meatballs features juicy, homemade meatballs simmered in a velvety tomato-cream sauce, tossed with spaghetti, and topped with Parmesan and fresh basil. A perfect family dinner!
- Prep Time: 15 minutes
- Cook Time: 25 minutes
- Total Time: 40 minutes
- Yield: 4 servings 1x
- Category: Dinner
- Method: Stovetop
- Cuisine: Italian-American
Ingredients
For the Meatballs
- 1 lb ground beef (or a mix of beef & pork)
- ½ cup breadcrumbs
- ¼ cup grated Parmesan cheese
- 1 large egg
- 2 cloves garlic, minced
- 1 teaspoon salt
- ½ teaspoon black pepper
- 1 teaspoon Italian seasoning
- 2 tablespoons fresh parsley, chopped
- 1 tablespoon olive oil (for cooking)
For the Creamy Tomato Sauce
- 1 tablespoon olive oil
- 1 small onion, finely chopped
- 3 cloves garlic, minced
- 1 (14-oz) can crushed tomatoes (or tomato sauce)
- 1 teaspoon dried basil (or 1 tablespoon fresh basil)
- ½ teaspoon dried oregano
- ½ teaspoon salt (or to taste)
- ¼ teaspoon black pepper
- ½ teaspoon red pepper flakes (optional, for heat)
- ½ cup heavy cream (or half-and-half for a lighter version)
- ¼ cup grated Parmesan cheese
For the Pasta
- 12 oz spaghetti
- 1 tablespoon salt (for boiling water)
For Garnish
- Fresh basil or parsley
- Extra Parmesan cheese
Instructions
1. Make the Meatballs
- In a large bowl, mix ground beef, breadcrumbs, Parmesan, egg, garlic, salt, pepper, Italian seasoning, and parsley until well combined.
- Roll into 1-inch meatballs.
- Heat olive oil in a large skillet over medium heat. Add meatballs and cook for 5–7 minutes, turning occasionally, until browned. Remove and set aside.
2. Cook the Pasta
- Bring a large pot of salted water to a boil. Add spaghetti and cook according to package instructions until al dente. Reserve ½ cup pasta water, then drain and set aside.
3. Make the Creamy Tomato Sauce
- In the same skillet, heat olive oil over medium heat. Add onion and sauté for 2–3 minutes until soft.
- Stir in garlic and cook for 30 seconds.
- Add crushed tomatoes, basil, oregano, salt, black pepper, and red pepper flakes. Simmer for 5 minutes, stirring occasionally.
- Pour in heavy cream and Parmesan cheese, stirring until smooth.
4. Simmer the Meatballs
- Return the meatballs to the skillet, spooning the sauce over them.
- Simmer for 5–7 minutes until meatballs are fully cooked and the sauce thickens. Add a splash of reserved pasta water if needed.
5. Combine & Serve
- Toss the cooked spaghetti into the sauce, gently mixing to coat the pasta and meatballs.
- Garnish with fresh basil and extra Parmesan.
- Serve hot and enjoy!
Storage & Reheating
- Store leftovers in an airtight container in the fridge for up to 3 days.
- Reheat in a pan over low heat, adding a splash of cream or milk if needed.
Notes
- Swap ground beef for ground turkey or chicken for a leaner option.
- Add mushrooms or spinach to the sauce for extra veggies.
- Use crushed red pepper flakes for a spicy kick!