Step 1

Heat the oil to medium-high in a Dutch oven or skillet.

Step 2

In a medium mixing bowl, combine the sausage, egg, beef, almond flour, and seasoning whilst oil heated.

Step 3

Make big meatballs out of this mixture, about 1-2 Tablespoons apiece (according to your liking) - Our meatballs were approximately the size of ping pong balls - Heat for 8-10 minutes in a skillet, turning once if necessary.

Step 4

As soon as the meatballs are cooked, take them out of the pan and set them aside.

Step 5

Cook the onions in the same skillet used for the meatballs for a few minutes, turning them back and forth with your spatula.

Step 6

After 1 minute, add garlic and tomato passata. If desired, you can add fresh basil.

Step 7

Make sure the meatballs are warm and thoroughly coated in the sauce before adding them back into the pan with your marinara sauce. (About two minutes)

Step 8

Add a little parmesan cheese and parsley to the top of your keto meatballs and serve with marinara sauce.

Step 9

The dish can be served over zoodles, salad, basil or eaten as a main course.