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This meat sauce is packed with all the traditional Italian flavors, basil, Italian sausage, garlic, a little Pinot Grigio and of course tomato! 

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If you like Italian food, this is a great recipe to have in your back pocket! With this easy Keto spaghetti sauce recipe, you will never want to buy the stuff in the jar again!

You can serve this sauce over zucchini noodles and in low carb lasagna. Like most authentic Italian meat sauce recipes, using a combination of ground beef and Italian sausage creates phenomenal layers of flavor. Enjoy with Palmini noodles, which makes a great Low Carb pasta substitute!

You’ll want to make a double batch of this amazing homemade Keto spaghetti sauce, so you can freeze the leftovers to enjoy another time!

Homemade Keto Italian Meat Sauce Ingredients

• Grass-fed Ground Beef- 85%
• Sweet Italian Sausage
• Organic Crushed Tomatoes
• Fresh Basil
• Fresh Garlic Clove
• White Wine
• Olive Oil
• Salt and Pepper

*Exact measurements are listed in the recipe card below.

How to Make Low Carb Spaghetti Sauce

Start by adding the ground beef and sausage to a pot or Dutch oven. Break up the meat with a spatula and cook over medium heat until browned. Make sure you get some good color!

Remove the meat, drain it and set it aside. Next, add in the olive oil and garlic. Sauté the garlic for 20 to 30 seconds being very careful not to burn it!

Once the garlic is sautéed, you’ll deglaze the bottom of the pot with the wine, scraping up all those delicious little brown bits.  Look at all that flavor!!!

Next goes in the tomatoes, basil, salt and pepper. Stir really well to make sure everything is incorporated.

Finally, just add the meat back into the pot and simmer on medium-low for 30 minutes, with a lid offset. You will want to stir the sauce occasionally making sure to scrape down the sides.

Before serving, sprinkle with a generous amount of parmesan cheese. Don’t be stingy, you can never have enough cheese!

Voilà! Your homemade Keto spaghetti sauce is ready to serve over zucchini noodles, spaghetti squash, Palmini noodles or shirataki noodles.

Are Palmini Noodles Keto Friendly?

Absolutely! Palmini is harvested from the heart of palm trees. And because it is made from a low carb vegetable and does not contain ANY grains, like traditional pasta, Palmini makes the perfect noodle substitution.

The only thing missing is a warm Italian breadstick! This is truly the most amazing comfort food you could ask for.

The rich and robust flavors of this low carb “pasta” sauce makes it very versatile to use in other Italian dish recipes like this Zucchini Lasagna or even these Lasagna Stuffed Zucchini Boats.

Are There Carbs in Tomato Sauce?

The amount of carbs in tomato sauce varies based on the brand. Because many companies add sugar to their tomato sauce, it’s always best to use canned tomatoes (or fresh tomatoes) so that you can control what ingredients you use.

This low carb Italian meat sauce recipe only has approximately 4 net carbs per serving! The carbs come from natural sugar found in the tomatoes, not from added sugar.

Variations to Consider for Low Carb “Pasta” Sauce…

• For an extra hearty sauce, you can add mushrooms. You can even use different types of mushrooms for added texture.
• If you want a vegetarian sauce, you can just leave out the meat and use mushrooms, grated celery and carrots for a meatless bolognese.
• To add a little kick, add red pepper flakes. Easy does it though, a little goes a long way.
• This recipe calls for crushed tomatoes but you can use canned whole tomatoes and crush them yourself.
• If you’re a fan of bell pepper, chop 1/2 cup and add it while sautéing your onions. Orange, yellow and red bell peppers have a milder flavor than green and will not overpower the sauce.

More Keto and Low Carb Sauces…

• Easy Alfredo Sauce
• Hollandaise Sauce
• Easy Keto Cheese Sauce
• Quick & Easy Marinara Sauce
• Béarnaise Sauce with a Twist

More Keto and Low Carb Italian inspired recipes…

• Italian Breadsticks
• Creamy Tuscan Chicken Skillet
• Keto Meatballs Italian Style
• Chicken Parmesan Casserole
• Chicken Florentine Casserole
• Instant Pot Chicken Marsala

Shop  my favorite products on Amazon  and check out my Keto Pantry List!

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5 from 3 votes

Keto Italian Meat Sauce

Made with traditional Italian flavors, this Keto spaghetti meat sauce is absolutely delicious! Use Palmini noodles as a substitute for spaghetti and enjoy.

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Author Keto Cooking Christian

Course Main Course, sauce

Prep Time 5 minutes

Cook Time 30 minutes

Total Time 35 minutes

Servings 8

Calories 210kcal

INGREDIENTS

• 3/4 pound grass-fed ground beef I use 85%
• 1/2 pound ground sweet Italian sausage
• 1 28 ounce can organic crushed tomatoes lowest carb/no salt
• 1 tablespoon fresh basil
• 1 clove garlic minced
• 1/3 cup white wine I use Pinot Grigio
• Salt and pepper to taste
• Olive oil

US Customary – Metric

PREPARATION

• Add the ground beef and sausage to a pot and brown over medium heat.  Get some good color before draining.  Add the olive oil and sauté the garlic for 20 seconds, careful not to burn it!
• Deglaze the pot with the wine, scraping up the brown bits.  Then add in the tomatoes, basil, salt pepper and stir.  Add the meat back into the pot and simmer on medium-low for 30 minutes, with a lid offset.
• Serve over zoodles, spaghetti squash or shirataki noodles.

Nutrition Facts

Keto Italian Meat Sauce

Amount Per Serving

Calories 210 Calories from Fat 108

% Daily Value*

Fat 12g18%

Saturated Fat 4g25%

Carbohydrates 7g2%

Fiber 3g13%

Sugar 3g3%

Protein 16g32%

* Percent Daily Values are based on a 2000 calorie diet.

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*Nutritional data is provided as a courtesy and is accurate to the best of my knowledge. Please feel free to verify it using the nutrition calculator of your choice. All data is based on net carbs, without sugar alcohol- Swerve, Erythritol, Allulose, or Monk Fruit.