Creamy Tomato Spaghetti with Meatballs Recipe

If you’ve been on the hunt for a comfort food classic that feels like a warm hug on a plate, you’ve got to try my Creamy Tomato Spaghetti with Meatballs Recipe. This isn’t just any spaghetti and meatballs — the tomato sauce here is rich, velvety, and laced with just the right amount of herbs and creaminess, making every bite a little celebration. Trust me, once you make this, your family will be asking for it again and again. Ready to learn my secrets and easy step-by-step instructions? Let’s dive in!

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Why You’ll Love This Recipe

  • Creamy, comforting sauce: The secret blend of butter, olive oil, and a touch of creaminess makes the tomato sauce irresistibly silky.
  • Juicy, tender meatballs: Using both beef and pork keeps the meatballs moist and flavorful without extra effort.
  • Easy and hands-on prep: You’ll feel like a pro breaking down canned tomatoes by hand and shaping meatballs with a delicate touch.
  • One-pot magic: Simmering meatballs right in the sauce means fewer dishes and more flavor melded perfectly.

Ingredients You’ll Need

I’ve found that using quality pantry staples and fresh aromatics really brings this Creamy Tomato Spaghetti with Meatballs Recipe to life. Plus, a few simple ingredients like Italian seasoned breadcrumbs and fresh parsley take your meatballs from good to unforgettable.

  • Whole canned tomatoes: I love breaking these up by hand for texture and freshness — San Marzano tomatoes work best if you can find them.
  • Olive oil & butter: Together, they start the sauce with richness and a silky mouthfeel you’ll notice the second you taste it.
  • Medium onion: Adds sweetness and depth when sautéed gently.
  • Garlic: Plenty of it! Minced finely or pressed to infuse both sauce and meatballs with flavor.
  • Italian seasoning & oregano: Perfect herb combo to make the sauce taste homemade.
  • Granulated sugar: Balances the acidity of the tomatoes without being noticeable.
  • Ground beef & ground pork or Italian sausage: The mix is key — beef for structure, pork (or sausage) for juiciness and flavor.
  • Italian seasoned breadcrumbs: Helps keep the meatballs tender and adds that classic texture.
  • Whole milk: Moistens the breadcrumbs and keeps the meatballs juicy.
  • Large egg: Binds all the ingredients together without making them dense.
  • Freshly grated Parmesan cheese: I always keep extra on hand to sprinkle generously at serving.
  • Fresh parsley: Chopped finely for brightness and a pop of green.
  • Salt, pepper & onion powder: Simple seasoning essentials to make the flavors sing.
  • Uncooked spaghetti: Pick a good brand that cooks al dente — I usually go with about a pound to feed six hungry people.
  • Fresh basil (optional): Adds a lovely herbal note when sprinkled on top before serving.
Note: You’ll find the complete list of ingredients, along with their exact measurements, in the printable recipe card at the bottom of this post.

Variations

I love playing around with this recipe depending on the season or what I have on hand. Don’t be afraid to make it your own — that’s part of the fun!

  • Use ground turkey or chicken: I swapped in turkey for leaner meatballs once, and they turned out surprisingly juicy when I added a bit more milk in the breadcrumb mix.
  • Spice it up: Adding extra crushed red pepper flakes or a dash of smoked paprika gives the sauce a wonderful kick that my spice-loving friends adore.
  • Dairy-free version: I’ve used olive oil instead of butter and coconut milk instead of whole milk, and the flavor remained rich and satisfying.
  • Make it vegetarian: Meatballs made from lentils or mushrooms simmered in the creamy tomato sauce is a delicious plant-based twist I tried for Meatless Monday!

How to Make Creamy Tomato Spaghetti with Meatballs Recipe

Step 1: Prep Your Ingredients Like a Pro

Before turning on the stove, I always prep everything to keep the process smooth. Mince all your garlic cloves at once — I use a garlic press to save time and get a fine mince. Next, dump the canned whole tomatoes (with their juices) into a big bowl and use your hands to gently break them apart — this makes for a wonderfully textured sauce later on. Trust me, getting hands-on here is worth it!

Step 2: Build the Sauce Base

Heat olive oil and butter together in a heavy pot over medium heat until melted and fragrant. Toss in your chopped onion and sauté for about five minutes until it’s soft and fragrant but not browned; this subtle sweetness is important. Stir in the minced garlic and cook for just 30 seconds to avoid burning it — burnt garlic can turn bitter (I learned this the hard way!).

Step 3: Add Tomatoes and Season

Into the pot, add those hand-broken tomatoes along with their juices, Italian seasoning, oregano, sugar, and optional crushed red pepper flakes. Give everything a good stir to combine. Once the sauce bubbles up, lower the heat to medium-low, partially cover, and let it simmer gently for about 30 minutes. This slow simmer coaxed out the best flavors when I first tried the recipe.

Step 4: Mix and Shape the Meatballs

While the sauce simmers, get ready to make meatballs. Combine Italian-seasoned breadcrumbs with whole milk in a bowl and mash them together until they form a moist paste — this helps keep your meatballs tender. Next, add in ground beef, ground pork (or Italian sausage), egg, grated Parmesan, fresh parsley, minced garlic, salt, onion powder, and pepper. Use your hands to mix everything until just combined. When rolling meatballs, be gentle — I usually make about 18 balls around 1½ inches wide. Overpacking can squeeze out the juiciness, so keep a light touch!

Step 5: Simmer Meatballs in Sauce

Give your sauce a gentle stir, then carefully nestle the meatballs right in. They should be mostly submerged. Keep the heat at a gentle simmer with the pot lid slightly ajar. Let the meatballs cook in the sauce for 35-45 minutes, or until they’re cooked through to 165°F. If the sauce settles too low, you might need to raise the heat a bit to maintain that gentle bubble, then dial it back. I’ve tried browning meatballs first in a skillet for extra crust, but honestly, simmering directly in the sauce saves time and dishes, and I never miss the extra step!

Step 6: Cooking the Spaghetti

While your meatballs are finishing, get a big pot of salted water boiling for the spaghetti. Cook the noodles according to package instructions until just al dente — fresh-cooked pasta has a better texture and drinks up that sauce beautifully. Drain and set aside.

Step 7: The Grand Finale — Assemble and Serve

Give your sauce and meatballs a final taste and adjust salt and pepper as needed — I tend to be generous here. Spoon the meatballs and sauce over your cooked spaghetti, sprinkle extra parmesan on top, and scatter some fresh basil if you like that herbaceous freshness. Your creamy tomato spaghetti with meatballs is now ready to wow!

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Pro Tips for Making Creamy Tomato Spaghetti with Meatballs Recipe

  • Breaking Tomatoes by Hand: Using your hands instead of blending keeps little chunks of tomato for extra texture and freshness — plus, it’s oddly satisfying!
  • Don’t Overmix Meatballs: Overdoing it makes them tough. A gentle fold and light touch when shaping makes juicy, tender bites.
  • Simmer Gently: Keep the heat low and steady to avoid breaking apart the meatballs or having the sauce reduce too quickly.
  • Skip Browning if You’re Short on Time: Simmering meatballs directly in sauce infuses flavor and saves you from an extra pan to clean.

How to Serve Creamy Tomato Spaghetti with Meatballs Recipe

Creamy Tomato Spaghetti with Meatballs Recipe - Recipe Image

Garnishes

I’m a big fan of freshly grated Parmesan and torn basil right on top — the cheese adds a salty bite and the basil brings in a fresh, slightly peppery note. Sometimes I even sprinkle a little extra parsley to echo those herby flavors inside the meatballs. These simple touches make a big difference in the final presentation and taste.

Side Dishes

My go-to sides with this creamy tomato spaghetti with meatballs recipe are a crisp green salad with a tangy vinaigrette and some warm garlic bread to soak up all that glorious sauce. Occasionally, I’ll roast some seasonal veggies like zucchini or asparagus alongside — it rounds the meal out with color and nutrition.

Creative Ways to Present

For a special family dinner, I like serving the spaghetti twirled into neat nests topped with a meatball on each. Another fun idea is to bake the meatballs and sauce in a casserole dish topped with mozzarella and Parmesan, then broil it for a bubbly, golden crust — a crowd-pleaser every time!

Make Ahead and Storage

Storing Leftovers

When I have leftovers, I let the sauce and meatballs cool completely, then store everything in an airtight container in the fridge. It keeps really well for about 3-4 days, which is perfect for quick lunches or a no-fuss dinner the next day.

Freezing

I’ve frozen the meatballs and sauce many times with great results. Just freeze them in a freezer-safe container or bag after cooldown. When you’re ready, thaw in the fridge overnight and reheat gently. The flavors stay rich and the meatballs stay tender — a lifesaver for busy evenings.

Reheating

To reheat, I prefer warming the sauce and meatballs on the stove over low heat with a splash of water or broth to loosen the sauce if needed. While reheating, I boil fresh spaghetti for that just-cooked texture, and then assemble. It tastes like you made it fresh all over again, honestly!

FAQs

  1. Can I make the meatballs ahead of time?

    Absolutely! You can shape your meatballs and refrigerate them, covered, for up to 24 hours before cooking. This actually helps the flavors meld and makes dinner prep effortless when you’re ready to simmer them in the sauce.

  2. Do I need to brown the meatballs before adding them to the sauce?

    Not at all. While browning adds extra flavor and a crust, cooking them directly in the sauce keeps the process simpler and yields wonderfully tender, flavorful meatballs — my preferred method!

  3. What kind of ground meat is best for the meatballs?

    I recommend a mix of ground beef and ground pork or Italian sausage for juicy, flavorful meatballs. If you prefer leaner options, turkey or chicken can work well but add extra milk to keep the meatballs moist.

  4. Can I use crushed tomatoes instead of whole canned tomatoes?

    You can, but I love the texture of hand-broken whole tomatoes in this recipe — it adds a nice chunkiness and freshness to the sauce. Crushed tomatoes yield a smoother sauce, which is fine if that’s your preference.

  5. How do I reheat leftovers without drying out the sauce?

    Reheat gently on the stove over low heat, adding a splash of water or broth if the sauce feels too thick. Avoid high heat to keep everything moist, tender, and delicious.

Final Thoughts

I absolutely love how this Creamy Tomato Spaghetti with Meatballs Recipe brings such warmth and comfort, especially when shared around the table. It’s my go-to when I want something that feels special but isn’t complicated — and I think you’ll feel the same. Give it a try, and I promise you’ll be hooked on that dreamy sauce and tender meatballs. Cooking this feels like sharing a bit of joy with everyone you serve, and honestly, that’s what food is all about.

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Creamy Tomato Spaghetti with Meatballs Recipe

Creamy Tomato Spaghetti with Meatballs Recipe

4.8 from 142 reviews
  • Author: Hannah
  • Prep Time: 20 minutes
  • Cook Time: 1 hour 10 minutes
  • Total Time: 1 hour 40 minutes
  • Yield: 6 servings 1x
  • Category: Main Dish
  • Method: Stovetop
  • Cuisine: Italian-American

Description

A classic Italian-American recipe featuring tender and flavorful meatballs simmered in a rich and aromatic tomato sauce, served over perfectly cooked spaghetti. This hearty dish combines savory herbs, garlic, and parmesan for a satisfying family meal.


Ingredients

Scale

Sauce:

  • 2 (28 ounce) cans whole tomatoes (with juices)
  • 1 tablespoon olive oil
  • 1 tablespoon butter
  • 1 medium onion, chopped
  • 4 cloves garlic, minced
  • 1 teaspoon Italian seasoning
  • 1 teaspoon dried oregano
  • 1 teaspoon granulated sugar
  • 1/4 teaspoon crushed red pepper flakes (optional)
  • Salt & pepper to taste

Meatballs:

  • 1/3 cup Italian seasoned breadcrumbs
  • 1/3 cup whole milk
  • 1 pound ground beef (80-85% lean)
  • 1/2 pound ground pork or ground Italian sausage
  • 1 large egg
  • 3/4 cup freshly grated parmesan cheese, plus more for serving
  • 1/4 cup fresh parsley, finely chopped
  • 4 cloves garlic, minced
  • 1 teaspoon salt
  • 1/2 teaspoon onion powder
  • Pepper to taste

For serving:

  • 1 pound uncooked spaghetti
  • Torn/chopped fresh basil (optional, to taste)

Instructions

  1. Prepare Ingredients: Mince all garlic cloves at once for efficiency. Drain the canned whole tomatoes into a large bowl; using your hands, break the tomatoes into smaller pieces but keep some texture.
  2. Start the Sauce: In a large soup pot or Dutch oven, heat olive oil and butter over medium heat. Add chopped onion and sauté for 5 minutes until softened.
  3. Add Garlic & Tomatoes: Stir in minced garlic and cook for 30 seconds until fragrant. Add the broken-up tomatoes with juices, Italian seasoning, dried oregano, granulated sugar, and crushed red pepper flakes. Stir well to combine.
  4. Simmer the Sauce: Bring the sauce to a gentle bubble. Cover with the lid slightly ajar and reduce heat to medium-low or low to maintain a simmer. Cook for 30 minutes, stirring occasionally to prevent sticking.
  5. Make Meatballs: In a large mixing bowl, combine Italian seasoned breadcrumbs and milk; mix until paste forms. Add ground beef, ground pork or sausage, egg, parmesan cheese, parsley, minced garlic, salt, onion powder, and pepper. Mix gently using your hands until just combined; avoid over-mixing.
  6. Form Meatballs: Shape mixture into 18 meatballs, about 1 ½ inches each. Place on plates or a parchment-lined baking sheet to avoid sticking.
  7. Add Meatballs to Sauce: Give the sauce a stir, then gently place meatballs into the simmering sauce. Arrange meatballs to be submerged. Continue to simmer with lid slightly open for 35-45 minutes, until meatballs reach internal temperature of 165°F. Adjust heat as needed to maintain simmer.
  8. Season and Serve: Taste sauce and season with salt and pepper as desired. Meanwhile, cook spaghetti according to package instructions until al dente. Serve meatballs and sauce over spaghetti, topped with extra parmesan and fresh basil if desired.

Notes

  • Meatball prep time overlaps with sauce cooking time, so it’s included in total cook time.
  • Use San Marzano plum tomatoes for best sauce flavor.
  • Choose ground meat with 80-85% lean for moist, flavorful meatballs.
  • Optionally, brown meatballs in a skillet before adding to sauce for added texture, though this step is not necessary.
  • 1 pound of spaghetti typically serves 6; adjust quantities if not serving all at once.
  • Boil fresh pasta when reheating leftover meatballs and sauce for best texture.
  • Nutritional info includes spaghetti portion approximately 2.5 oz uncooked per serving.

Nutrition

  • Serving Size: 1/6 recipe with 2.5 oz uncooked spaghetti
  • Calories: 650 kcal
  • Sugar: 8 g
  • Sodium: 580 mg
  • Fat: 30 g
  • Saturated Fat: 12 g
  • Unsaturated Fat: 16 g
  • Trans Fat: 0 g
  • Carbohydrates: 55 g
  • Fiber: 6 g
  • Protein: 35 g
  • Cholesterol: 110 mg