Creamy Spaghetti Meatballs

Section: Satisfying Main Dishes for Every Occasion

Packed with tender baked meatballs and a rich, cream-kissed tomato sauce, this comforting pasta brings classic flavors with an indulgent twist. Finishing the spaghetti in the sauce ensures every strand soaks up velvety goodness. Practical for busy nights and special gatherings alike, the dish offers easy prep, family-friendly appeal, and make-ahead capability. Enjoy the harmonious blend of herbs, garlic, and Parmigiano for a warming meal that’s loved by all.

A woman wearing a chef's hat and apron.
Brought to You By nina
Last updated on Fri, 15 Aug 2025 02:37:56 GMT
A bowl of creamy spaghetti meatballs. Bookmark
A bowl of creamy spaghetti meatballs. | ninatable.com

This creamy spaghetti and meatballs recipe transforms a comforting classic into something even more indulgent. Rich marinara sauce gets a velvety upgrade with heavy cream while baked meatballs soak up all the goodness. It is perfect for cozy nights or when you want to serve something hearty and memorable.

The first time I made this was during a chilly fall weekend when we were all craving comfort food. It was gone in minutes and has been a cold-weather go-to ever since.

Ingredients

  • Egg: helps bind the meatballs for a sturdy yet tender texture
  • Fresh parsley: adds brightness and a fresh herbal note to the meatball mix
  • Garlic: brings bold depth to both the meatballs and the sauce
  • Ground beef and ground pork: combine for a rich meaty flavor and tender bite
  • Italian style bread crumbs: help keep meatballs moist and flavorful with built-in seasoning
  • Parmigiano Reggiano cheese: adds salty nuttiness to the meat mixture and a savory garnish
  • Butter: is used to sauté aromatics and adds richness to the sauce
  • Yellow onion: provides sweetness and depth to the base of the creamy sauce
  • Marinara sauce: is the classic tomato base for the dish make sure to use a good-quality one
  • Heavy cream: creates a creamy luscious texture that makes the sauce irresistible
  • Sugar: balances out the acidity of the tomatoes
  • Spaghetti: is the traditional pasta choice that works well with the rich sauce
  • All purpose flour: is used to thicken the sauce and give it a silky finish
  • Dried oregano, sweet paprika, garlic powder: enhance the dish with classic Italian inspired seasoning

Instructions

Make the Meatballs:
Preheat the oven to three hundred fifty degrees Fahrenheit and position the rack in the middle. In a large mixing bowl whisk together the egg parsley tomato paste oregano salt pepper minced garlic and a splash of water until blended. Add ground beef ground pork bread crumbs and Parmigiano Reggiano. Gently combine using your hands until the mixture just comes together. Avoid overmixing to keep the meatballs light and tender. Roll the mixture into golf ball sized portions and place them evenly on a baking sheet. Bake for ten minutes then flip the meatballs and return them to the oven for another ten minutes until browned and nearly cooked through.
Make the Sauce:
In a large skillet melt butter over medium heat. Add the diced onion and cook until softened about five minutes. Stir in minced garlic and cook for one more minute until fragrant. Pour in the marinara sauce and bring to a simmer. Stir in the sugar and season with salt and pepper to taste. Add the heavy cream and simmer for two to three minutes to blend the flavors. In a separate bowl mix water and flour until smooth. Pour this mixture into the sauce whisking quickly to avoid lumps. Let it simmer until thickened then stir in all remaining seasonings.
Combine and Serve:
Add al dente spaghetti directly into the sauce and let it cook for five minutes while stirring gently to allow it to soak up flavor. Return the meatballs to the skillet and fold them in gently. Let everything heat through for a few minutes before serving. Top with extra Parmigiano Reggiano for added richness.
A bowl of spaghetti with meatballs.
A bowl of spaghetti with meatballs. | ninatable.com

My favorite part is always the sauce. I love how just a splash of cream completely transforms the marinara into something cozy and elegant. It reminds me of Sunday dinners with family where everyone fought over the last meatball.

Storage Tips

Let the dish cool completely before storing. Keep it in an airtight container in the fridge for up to three days. Reheat gently on the stove or in the microwave with a splash of water or cream to revive the sauce. If freezing store the sauce and meatballs separately for the best texture when reheated.

Ingredient Substitutions

Ground beef and pork can be swapped for ground chicken or turkey for a leaner option. If you are out of Italian style bread crumbs use panko mixed with Italian seasoning. No Parmigiano Reggiano on hand Use pecorino or Asiago instead.

Serving Suggestions

This dish pairs beautifully with a crisp green salad or garlic bread. It also shines as a make ahead dinner party dish. You can serve it family style in a big bowl or plate individually for a more elegant presentation.

A plate of spaghetti with meatballs on top.
A plate of spaghetti with meatballs on top. | ninatable.com

Once you try this creamy version you might not go back to the traditional one. It has become a true favorite in our rotation.

Common Recipe Questions

→ Can I prepare the meatballs ahead of time?

Yes, bake and refrigerate meatballs up to two days ahead or freeze for later use. Reheat in sauce until warmed through.

→ Which pasta shapes pair well with this dish?

Spaghetti is classic, but fettuccine, penne, or rigatoni also hold the creamy sauce beautifully.

→ How can I maintain meatball texture?

Use a blend of breadcrumbs, egg, and cheese. Briefly chilling the mixture makes shaping easier and helps them hold together.

→ Is there a substitute for heavy cream?

Half-and-half or whole milk works well. Thicken as needed with flour or cornstarch for a creamy sauce.

→ Why bake instead of fry the meatballs?

Baking keeps the process cleaner while creating tender, flavorful meatballs that maintain their shape in the sauce.

→ Can I use other meats besides beef and pork?

Ground chicken or turkey make leaner meatballs and can be used with similar seasoning for great results.

Creamy Spaghetti Meatballs

Juicy meatballs in creamy tomato sauce with spaghetti, perfect for a hearty dinner and easy entertaining.

Prep Time
30 minutes
Cooking Time
35 minutes
Total Time
65 minutes
Brought to You By: nina

Recipe Category: Main Dishes

Skill Level: Moderately Advanced

Cuisine Type: Italian American

Portions: 6 Serves (1 generously sauced pasta platter with meatballs)

Dietary Preferences: ~

What You'll Need

→ For the Meatballs

01 1 large egg
02 2 tablespoons fresh parsley, finely chopped
03 1 tablespoon tomato paste
04 1 teaspoon dried oregano
05 1 teaspoon kosher salt
06 1/2 teaspoon ground black pepper
07 2 garlic cloves, minced
08 2 tablespoons water
09 3/4 pound ground beef
10 3/4 pound ground pork
11 1/2 cup Italian-style bread crumbs
12 1/3 cup Parmigiano Reggiano cheese, finely grated

→ For the Sauce and Pasta

13 2 tablespoons unsalted butter
14 1 medium yellow onion, diced
15 2 garlic cloves, minced
16 3 cups high-quality marinara sauce
17 2 teaspoons granulated sugar
18 Salt, to taste
19 Black pepper, to taste
20 3/4 cup heavy cream
21 2 tablespoons all-purpose flour
22 3 tablespoons water
23 1/2 teaspoon dried oregano
24 1/2 teaspoon sweet paprika
25 1/2 teaspoon garlic powder
26 12 ounces dried spaghetti
27 Additional Parmigiano Reggiano cheese, for serving

Steps to Follow

Step 01

Preheat oven to 350°F and set rack in the center. In a large bowl, whisk together egg, parsley, tomato paste, dried oregano, salt, pepper, minced garlic, and water until blended.

Step 02

Add ground beef, ground pork, bread crumbs, and grated Parmigiano Reggiano to the bowl. Gently mix with your hands just until combined, taking care not to overwork. Roll into golf ball–sized meatballs and arrange on a parchment-lined baking sheet.

Step 03

Bake meatballs for 10 minutes, flip, then bake another 10 minutes until browned and nearly cooked through. Set aside.

Step 04

In a large skillet, melt butter over medium heat. Add diced onion and sauté until soft, about 5 minutes. Stir in minced garlic and cook for 1 minute until fragrant.

Step 05

Pour in marinara sauce and bring to a gentle simmer. Add sugar, season with salt and pepper, then stir in heavy cream. Simmer for 2 to 3 minutes to meld flavors.

Step 06

In a small bowl, whisk flour and water until smooth. Pour the slurry into the simmering sauce, whisking quickly to avoid lumps. Let sauce thicken, then stir in dried oregano, paprika, and garlic powder.

Step 07

While sauce is simmering, cook spaghetti in a large pot of salted boiling water according to package instructions until just shy of al dente. Drain well.

Step 08

Add drained spaghetti directly into the sauce and toss to coat. Cook together over medium heat for 5 minutes, gently stirring to allow pasta to absorb the sauce.

Step 09

Return baked meatballs to the skillet, carefully folding them into the sauce and pasta. Warm gently until everything is heated through.

Step 10

Top servings with extra Parmigiano Reggiano and fresh parsley if desired. Serve immediately while hot.

Extra Suggestions

  1. Chilling the meatball mixture before rolling provides better shape and less stickiness.
  2. Use freshly grated cheese for best results and deeper flavor.
  3. Letting the pasta finish cooking in the sauce ensures each strand is fully coated and flavorful.
  4. Meatballs and sauce freeze well; store separately for optimal texture.

Tools You’ll Need

  • Large mixing bowl
  • Baking sheet
  • Parchment paper
  • Large skillet
  • Saucepan or pot for pasta
  • Whisk

Allergy Details

Read ingredient lists for allergens carefully, and consult a healthcare provider if you're unsure.
  • Contains gluten from pasta and bread crumbs
  • Contains dairy (cream, butter, cheese)
  • Contains eggs

Nutritional Details (Per Serving)

The provided nutrition information is for guidance and shouldn't replace expert medical advice.
  • Calories: 708
  • Fat: 36 grams
  • Carbohydrates: 65 grams
  • Proteins: 31 grams