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Swedish meatballs in a creamy gravy in a skillet, topped with chopped parsley

Keto Swedish Meatballs

Small, tender all-beef meatballs bound with almond flour and seasoned with allspice and nutmeg, browned and served in a cream gravy thickened by reduction and cream cheese instead of flour. 2.9g net carbs a serving.
Prep Time 20 minutes
Cook Time 30 minutes
Total Time 50 minutes
Course Main Course
Cuisine Swedish
Servings 6 servings
Calories 449 kcal

Equipment

  • Large skillet 12-inch
  • Mixing Bowl
  • Instant-read thermometer

Ingredients
  

For the Meatballs

  • 1 lb ground beef 85% lean
  • 1/4 cup blanched almond flour
  • 1/2 tsp sea salt
  • 1/4 tsp black pepper
  • 1/4 tsp ground allspice
  • 1/4 tsp ground nutmeg
  • 1/4 cup heavy cream
  • 1 large egg
  • 3 tbsp onion finely grated
  • 2 tbsp olive oil for frying

For the Cream Gravy

  • 2 tbsp unsalted butter
  • 1 cup beef bone broth
  • 1/2 cup heavy cream
  • 4 oz cream cheese cut into small chunks
  • 1 tbsp fresh parsley chopped, to finish

Instructions
 

  • Mix: In a large bowl, stir together the almond flour, sea salt, black pepper, allspice and nutmeg. Whisk in 1/4 cup heavy cream, the egg and the grated onion. Add the ground beef and mix just until combined.
  • Roll: Shape heaped tablespoons of the mixture into about 24 small meatballs.
  • Brown: Heat the olive oil in a large skillet over medium-high heat. Fry the meatballs in two batches, 7 to 8 minutes each, turning often, until browned all over and 160°F in the center. Move to a plate and cover.
  • Reduce: Wipe out the skillet and melt the butter over medium heat. Add the beef bone broth and 1/2 cup heavy cream, bring to a boil, then simmer 10 to 12 minutes, until reduced by half.
  • Thicken: Turn the heat to low so the sauce is no longer simmering. Stir in the cream cheese until smooth. Thin with a splash of broth or cream if needed.
  • Finish: Return the meatballs and their juices to the skillet and turn them in the gravy for a couple of minutes until hot. Top with the parsley.

Notes

Do not overmix: stop as soon as the beef is combined, or the meatballs turn tough.
Reduce by half: the simmer is what thickens the gravy. Add the cream cheese only once the pan is off the simmer.
Broth: regular beef broth works but takes longer to reduce.
Nutrition is for 1 of 6 servings (about 4 meatballs with gravy), without a side.
Storage: up to 4 days in the fridge. Freeze the meatballs without the gravy for up to 3 months.
Keyword Gluten-Free, keto swedish meatballs, low carb swedish meatballs, meatballs in cream gravy, swedish meatballs