bowl with Italian meat sauce with spoon holding up some
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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.
Prep Time5 mins
Cook Time30 mins
Total Time35 mins
Course: Main Course, sauce
Servings: 8
Calories: 210kcal
Author: Keto Cooking Christian


  • 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


  • 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.


Calories: 210kcal | Carbohydrates: 7g | Protein: 16g | Fat: 12g | Saturated Fat: 4g | Fiber: 3g | Sugar: 3g