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Creamy "Pasta" and Meatballs

A play on vodka sauce, this healthier version is versatile and delicious, made from our Pantry Capsule List. Sometimes I mix a couple of meats (like ground sausage and turkey) to give them some extra flavor. Try it over spaghetti squash, zucchini noodles or traditional pasta.
Prep Time10 mins
Cook Time1 hr
Total Time1 hr 10 mins
Course: Main Course
Cuisine: American, Italian
Keyword: gluten free pasta and meatballs, pasta and meatballs, spaghetti squash recipe
Servings: 5 servings
Calories: 350kcal
Author: Jen Pinkston



  • 1 lb ground meat I used turkey
  • ½ tablespoon italian seasoning
  • 1 egg
  • ¼ c onion diced
  • 1 teaspoon mustard
  • 1 teaspoon aminos or soy sauce
  • 1 teaspoon worcestershire
  • Salt & pepper


  • 2 cans tomato sauce or 28 oz diced tomatoes*
  • 2 garlic cloves
  • ¼ c onion diced
  • ¾ c coconut milk
  • ½ crushed red pepper
  • ½ tablespoon italian seasoning
  • ¼ teaspoon salt
  • Pinch of pepper
  • Pasta of choice-- Traditional spaghetti or angel hair noodles spaghetti squash, or zucchini noodles
  • Parmesan cheese or nutritional yeast if desired


  • Set oven to 350 degrees. Prepare baking sheet with parchment paper.
  • If using spaghetti squash, you’ll need a second baking sheet or pan.
  • Cut spaghetti squash in half long way and scoop out seeds.
  • Pour oil inside the squash evenly, and sprinkle with salt and pepper, then place oiled side down on the pan. Bake for 25-30 minutes.
  • Place all meatball ingredients in a bowl along with meal and mix until well combined.
  • If you don’t mind getting your hands dirty, form mixture into balls (it will be a bit sticky), and place them on the prepared baking sheet. You can also use a small ice cream scoop. Bake for 15-20 minutes.
  • While meatballs bake, place all sauce ingredients in a saucepan on medium cook for 5 minutes and then turn to low for 5 more. Stir on occasion.
  • If using a boxed pasta, cook as directed on box.
  • Plate your pasta of choice, add meatballs and sauce. Top with parmesan or nutritional yeast.


*You can use a marinara here if you’d like, but simply add the coconut milk to it and additional seasonings if you feel it needs it after tasting.


Calories: 350kcal | Carbohydrates: 10g | Protein: 19g | Fat: 27g | Saturated Fat: 14g | Cholesterol: 97mg | Sodium: 301mg | Potassium: 663mg | Fiber: 2g | Sugar: 5g | Vitamin A: 233IU | Vitamin C: 17mg | Calcium: 95mg | Iron: 5mg