Creamy Spaghetti & Meatballs

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

  1. In a large bowl, combine ground beef, breadcrumbs, Parmesan, egg, garlic, Italian seasoning, salt, and black pepper. Mix until just combined.
  2. Roll into 1-inch meatballs and set aside.
  3. 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

  1. Bring a large pot of salted water to a boil.
  2. Cook spaghetti according to package instructions until al dente.
  3. Reserve ½ cup of pasta water, then drain and set aside.

3. Make the Creamy Sauce

  1. In the same skillet, melt butter over medium heat.
  2. Add chopped onion and cook until soft (about 3 minutes). Stir in garlic and cook for 30 seconds.
  3. Pour in crushed tomatoes, Italian seasoning, red pepper flakes, salt, and black pepper. Simmer for 5-7 minutes.
  4. Lower heat and stir in heavy cream and Parmesan cheese. Simmer for 2 more minutes until smooth.

4. Combine Everything

  1. Return the meatballs to the skillet and let them simmer in the sauce for 5 minutes.
  2. Toss in the cooked spaghetti and mix until fully coated. Add reserved pasta water if needed to loosen the sauce.
  3. 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!

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Creamy Spaghetti & Meatballs

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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!

  • Author: Beth
  • Prep Time: 15 minutes
  • Cook Time: 25 minutes
  • Total Time: 40 minutes
  • Yield: 4 servings 1x
  • Category: Dinner
  • Method: Stovetop
  • Cuisine: Italian-American

Ingredients

Scale
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
  1. In a large bowl, mix ground beef, breadcrumbs, Parmesan, egg, garlic, salt, pepper, Italian seasoning, and parsley until well combined.
  2. Roll into 1-inch meatballs.
  3. 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
  1. 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
  1. In the same skillet, heat olive oil over medium heat. Add onion and sauté for 2–3 minutes until soft.
  2. Stir in garlic and cook for 30 seconds.
  3. Add crushed tomatoes, basil, oregano, salt, black pepper, and red pepper flakes. Simmer for 5 minutes, stirring occasionally.
  4. Pour in heavy cream and Parmesan cheese, stirring until smooth.
4. Simmer the Meatballs
  1. Return the meatballs to the skillet, spooning the sauce over them.
  2. 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
  1. Toss the cooked spaghetti into the sauce, gently mixing to coat the pasta and meatballs.
  2. Garnish with fresh basil and extra Parmesan.
  3. 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!

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