Creamy Spaghetti Meatballs

Section: Satisfying Main Dishes for Every Occasion

Enjoy a classic favorite made richer with a creamy tomato sauce enveloping tender baked meatballs and al dente spaghetti. Cream adds depth to the marinara, making every bite indulgent and satisfying. The baked meatballs are easy to prepare, adding robust flavor with minimal effort. Tossing the spaghetti directly in the sauce lets it soak up all the goodness, creating a cohesive pasta experience that's perfect for family dinners, entertaining, or stress-free leftovers. Store and reheat easily, and make simple swaps to fit any dietary need or pantry staple.

A woman wearing a chef's hat and apron.
By Lina Lina
Last updated on Fri, 15 Aug 2025 02:42:38 GMT
A bowl of creamy spaghetti meatballs. Bookmark
A bowl of creamy spaghetti meatballs. | tinycakee.com

This creamy spaghetti and meatballs recipe is all about transforming a beloved comfort classic into something a little more special. Imagine tender baked meatballs nestled in spaghetti that is swirled through the silkiest tomato cream sauce. Every bite is rich but never heavy, making this a dish that delights both kids and adults. I love how it is fuss free enough for a weeknight and impressive enough for an Italian-inspired dinner party.

I first made this during a particularly chilly weekend when my family was craving something cozy. Not a single noodle was left behind and now it is one of our favorite cold-weather comforts.

Ingredients

  • Egg: brings meatballs together and gives them a soft texture
  • Fresh parsley: lights up the meatballs with herby freshness
  • Garlic: deepens the flavor throughout the meat and sauce
  • Ground beef and pork: make the meatballs juicy and packed with flavor
  • Italian style bread crumbs: keep the meatballs moist and tender
  • Parmigiano Reggiano cheese: brings a nutty salty kick to both meatballs and as a topping
  • Butter: is the secret to starting a rich and flavorful sauce
  • Yellow onion: softens and sweetens the tomato sauce
  • Marinara sauce: is the base for the creamy classic flavor use a high quality jar or homemade
  • Heavy cream: turns basic marinara into a velvety experience
  • Sugar: helps balance the acidity in tomatoes
  • Spaghetti: classic pasta choice for soaking in all that creaminess
  • All purpose flour: thickens the sauce to just the right consistency
  • Dried oregano, sweet paprika, garlic powder: round out the seasoning with warmth and depth

Instructions

Make the Meatballs:
Preheat the oven to three hundred fifty degrees Fahrenheit and make sure the rack is set in the middle so heat circulates evenly. In a large bowl whisk the egg parsley a bit of tomato paste oregano salt black pepper minced garlic and a splash of water until combined and fluffy. Add in the ground beef ground pork bread crumbs and grated Parmigiano Reggiano. Using your hands gently mix until everything just comes together. Do not overwork or the meatballs will be dense. Shape into golf ball sized rounds and place spaced apart on a baking sheet. Bake for ten minutes flip the meatballs and finish baking another ten minutes until browned and cooked almost through.
Make the Sauce:
Melt the butter in a roomy skillet over medium heat. Add the diced onion and let it cook slowly for about five minutes stirring until it is translucent and sweet. Sprinkle in minced garlic and let it sizzle briefly for a fragrant punch. Pour in the marinara and bring it up to a steady simmer. Stir in a pinch of sugar and taste for salt and pepper. Pour in the heavy cream and let it blend with the tomato base for two to three minutes until you see the sauce look luscious and pink. Whisk together water and flour in a small bowl to make a slurry then whisk this in quickly so the sauce thickens without lumps. Let it bubble while you stir in the dried spices.
Combine and Serve:
Drop the spaghetti into boiling salted water and cook until just shy of al dente. Drain and slide the noodles right into the saucepan. Toss so the pasta finishes cooking and soaks up that gorgeous creamy sauce for five minutes. Gently tuck the meatballs back into the skillet among the noodles. Let everything warm through for three minutes more. When serving scatter more Parmigiano Reggiano on top for the final flourish.
A bowl of spaghetti with meatballs.
A bowl of spaghetti with meatballs. | tinycakee.com

My favorite ingredient is absolutely the cream. A simple swirl softens the acidity of the tomato and creates a restaurant-worthy sauce with zero effort. This brings back memories of my whole family gathered around the table on Sunday with everyone racing for the last spoonful of sauce.

Storage Tips

After cooling fully refrigerate leftovers in a sealed container up to three days. Reheat slowly on the stove or at half power in the microwave adding a splash of cream or water to wake up the sauce. If planning to freeze portion the meatballs and sauce together and noodles separately so nothing gets mushy.

Ingredient Substitutions

Try swapping the beef and pork for ground turkey or chicken if you prefer something lighter. No Italian bread crumbs on hand Mix plain bread crumbs with a drizzle of olive oil and extra dried herbs. If you run out of Parmigiano Reggiano just use pecorino or even sharp cheddar for a fun twist.

Serving Suggestions

Pair with a big green salad and peppery arugula for crunch. Garlic bread is classic for soaking up extra sauce. For a party serve the pasta and meatballs in a deep platter and let everyone help themselves family style.

Cultural Context

While you will not find spaghetti and meatballs in traditional Italian cooking Italian American families made this dish famous. It brought together affordable ground meats new world pasta and a love for feeding a crowd. The cream in this recipe puts a modern spin on this beloved comfort food.

Seasonal Adaptations

In cooler months add a bit of chopped spinach or kale to the sauce. In summer try tossing with roasted cherry tomatoes for a burst of sweetness. If mushrooms are in season sauté them with the onions for added umami.

Success Stories

Many friends tell me their kids devour every bite even picky eaters. My neighbor once made a double batch and froze half for quick Sunday lunches. It is always a hit every time someone brings a big bowl of these creamy meatballs to a potluck.

Freezer Meal Conversion

Portion sauce and meatballs into containers and freeze for up to three months. Freeze cooked spaghetti separately. When ready to serve thaw in the fridge then reheat gently on the stovetop adding a splash of cream to revive the silkiness.

A plate of spaghetti with meatballs and sauce.
A plate of spaghetti with meatballs and sauce. | tinycakee.com

Mix meatball ingredients gently for a light tender texture every time. No matter how many times I make this the simple act of swirling spaghetti through creamy sauce always makes me smile. If you try it the leftovers—rare as they are—make for a next-day treat you will truly look forward to.

Common Recipe Questions

→ Can the meatballs be made ahead?

Yes, shape and bake them in advance and store chilled for up to two days, or freeze for up to three months.

→ What type of pasta works best?

Spaghetti is traditional, but fettuccine, rigatoni, or even zucchini noodles can be substituted easily.

→ How to ensure meatballs stay tender?

Use the suggested amount of breadcrumbs and egg, and avoid over-mixing. Brief chilling before rolling also helps.

→ Can dairy be swapped for a lighter sauce?

Half-and-half or whole milk can be used instead of heavy cream; adjust with flour or cornstarch for thickness.

→ Is baking better than frying for meatballs?

Baking is less messy and keeps meatballs tender while locking in juices for a flavorful bite every time.

Creamy Spaghetti Meatballs

Spaghetti and tender meatballs come together in a rich, creamy tomato sauce for a satisfying pasta dish.

Prep Time
30 minutes
Cooking Time
35 minutes
Total Time
65 minutes
By Lina: Lina

Recipe Category: Main Dishes

Skill Level: Requires Moderate Experience

Cuisine Type: Italian American

Makes: 6 Portion Count (6 standard servings)

Dietary Options: ~

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 freshly ground black pepper
07 2 garlic cloves, minced
08 2 tablespoons water
09 8 ounces ground beef
10 8 ounces ground pork
11 1/2 cup Italian style bread crumbs
12 1/3 cup Parmigiano Reggiano cheese, grated

→ For the Sauce and Pasta

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

Steps to Follow

Step 01

Preheat oven to 350°F and position rack in the center. In a large bowl, whisk together egg, parsley, tomato paste, oregano, salt, pepper, minced garlic, and water until thoroughly combined. Add ground beef, ground pork, bread crumbs, and grated Parmigiano Reggiano. Gently mix by hand until mixture is evenly incorporated, taking care not to overwork for optimal tenderness.

Step 02

Portion mixture into golf ball-sized rounds and arrange evenly on a baking sheet. Bake for 10 minutes, then gently turn meatballs and continue baking for another 10 minutes until browned and nearly cooked through.

Step 03

Melt butter in a large skillet over medium heat. Add diced onion and sauté until softened, about 5 minutes. Add minced garlic and cook for 1 minute, stirring until fragrant.

Step 04

Pour in marinara sauce and bring to a gentle simmer. Stir in sugar, then season with salt and pepper. Let simmer for 2 minutes to combine flavors.

Step 05

Lower heat to medium-low and add heavy cream, stirring well. In a small bowl, whisk flour and water together until smooth, then pour this slurry into the sauce, whisking rapidly to prevent lumps. Add dried oregano, sweet paprika, and garlic powder. Continue to simmer 3–5 minutes until sauce has thickened to desired consistency.

Step 06

Meanwhile, cook spaghetti according to package instructions in generously salted water until just al dente. Drain well.

Step 07

Add drained spaghetti directly into the creamy sauce, stirring gently to coat. Return baked meatballs to skillet, nestling them among the pasta. Let everything cook together for about 5 minutes, allowing flavors to meld and meatballs to heat through.

Step 08

Serve hot, topped with additional grated Parmigiano Reggiano as desired. Garnish with extra parsley for freshness if preferred.

Helpful Hints

  1. Letting spaghetti finish cooking in the sauce infuses each strand with rich flavor and yields a luxuriously creamy coating.
  2. If preparing ahead, bake meatballs and store separately; combine with sauce and pasta shortly before serving.
  3. For lighter meatballs, substitute ground chicken or turkey in place of beef and pork.

Tools You’ll Need

  • large mixing bowl
  • baking sheet
  • large skillet
  • whisk
  • saucepan
  • colander

Allergy Information

Review ingredient labels for allergens, and consult a healthcare provider if in doubt.
  • Contains egg, dairy, and wheat gluten.

Nutritional Details (Per Portion)

Use this nutritional summary as a guide – it's not a substitute for professional advice.
  • Calories: 710
  • Fat: 33 g
  • Carbohydrates: 74 g
  • Proteins: 30 g