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Keto Tomato Pesto Pasta with Turkey Meatballs

This creamy keto tomato pesto pasta with oven-baked turkey meatballs is a low-carb, high-protein dinner option. The sauce combines ricotta, mozzarella, cherry tomatoes, and tomato pesto for a rich and flavorful meal perfect for keto diets, weight management, and low-carb comfort food.
Prep Time 20 minutes
Cook Time 40 minutes
Total Time 1 hour
Course Dinner, Main Course
Cuisine Italian
Servings 4 servings
Calories 470 kcal

Ingredients
  

Turkey Meatballs

  • 1 lb ground turkey
  • 0.5 cup keto bread crumbs blend two slices of toasted keto bread
  • 1 large egg
  • 2 tbsp grated Parmesan cheese
  • 1 tsp Italian seasoning
  • 0.5 tsp onion powder
  • 0.5 tsp garlic powder
  • 0.5 tsp paprika
  • to taste salt
  • to taste black pepper

Pasta & Sauce

  • 8 oz keto penne pasta Fiber Gourmet or similar brand
  • 1 jar tomato pesto sauce about 10 oz
  • 2 tbsp unsalted butter
  • 1 cup half-and-half or heavy cream for richer sauce
  • 12 oz ricotta cheese
  • 8 oz cherry tomatoes halved
  • 8 oz mozzarella cheese ball torn into chunks
  • 1 tsp onion powder
  • 1 tsp garlic powder
  • 1 tsp Italian seasoning
  • 0.5 tsp paprika
  • to taste salt
  • to taste black pepper

Instructions
 

Prepare Turkey Meatballs

  • Preheat the oven to 350°F (175°C).
  • In a large bowl, combine ground turkey, keto bread crumbs, egg, Parmesan, and all seasonings. Mix gently until just combined.
  • Use a cookie scoop or tablespoon to portion into uniform meatballs. Place on a parchment-lined baking sheet.
  • Bake for 25 minutes, until golden brown and cooked through.

Cook Pasta

  • Bring a large pot of chicken bouillon or salted water to a boil. Cook keto penne pasta according to package instructions, then drain and set aside.

Make Sauce

  • In a large skillet, melt butter over medium heat. Stir in half-and-half and ricotta until smooth.
  • Add onion powder, garlic powder, paprika, Italian seasoning, salt, and pepper.
  • Stir in tomato pesto sauce and halved cherry tomatoes. Simmer for 15 minutes.

Combine and Bake

  • Add cooked pasta and turkey meatballs to the sauce, tossing until coated.
  • Transfer to a baking dish and top with torn mozzarella.
  • Bake at 350°F for 10 minutes, until cheese is melted and bubbly.

Serve

  • Serve hot, garnished with extra Parmesan or fresh basil if desired.

Notes

  • Use heavy cream instead of half-and-half for a richer sauce.
  • Add spinach or zucchini for extra low-carb vegetables.
  • Store leftovers in an airtight container in the fridge for up to 4 days.
Keyword High Protein, Comfort Food, Turkey Meatballs, Tomato Pesto Pasta, Cheese, Ricotta, Mozzarella, Cherry Tomatoes, Keto Pasta, Low-Carb Pasta, Keto Recipe, Healthy Pasta, Oven-Baked Meatballs