
This creamy spaghetti and meatballs recipe transforms a classic comfort food into something extra special with a quick, velvety-rich sauce. If you are looking for a cozy pasta dish that comes together fast but tastes like you spent hours on it, this is the recipe to keep in your back pocket.
Every time I make this, my kids argue over who gets the last meatball and the leftovers never last past the next day. It all started as a way to use up a little whipping cream, and now it is requested for birthdays and special occasions.
Ingredients
- Egg: Helps bind the meatballs for a tender bite. Choose the freshest eggs for best texture
- Fresh parsley: Adds a bright herbal note. Use leafy dark green parsley free from yellowing
- Dried oregano: Brings classic Italian flavor. Go for a fragrant blend that smells lively and sweet
- Salt: Gives depth and balance to both the meat and sauce. Taste and adjust as you go for perfect flavor
- Black pepper: Adds gentle heat. Freshly ground is best for a big flavor boost
- Garlic: Minced for both meatballs and sauce. Chose full cloves with tight skins for best flavor
- Water: Keeps the meatballs juicy and tender. Use filtered water if possible
- Tomato paste: Deepens the umami in the meatballs. Look for rich red paste with no bitterness
- Ground beef: Provides richness and body. Aim for 80 percent lean for moist meatballs
- Ground pork: Adds tenderness and a slightly sweet flavor. Choose fresh pale pink pork without excess fat
- Italian style bread crumbs: Hold everything together. Go for a seasoned version for extra flavor
- Parmigiano Reggiano cheese: Gives salty nuttiness and richness. Grate fresh if you can for top flavor
- Butter: Softens onions and rounds out the sauce. Use real unsalted butter
- Yellow onion: Builds sweetness and depth in the sauce. Look for a firm onion with papery skin
- High quality marinara sauce: Is the backbone of the creamy sauce. I love using brands that taste bright and tomatoey
- Sugar: Just a pinch balances the acidity of tomatoes. Plain granulated works great
- Heavy cream: Creates the luscious creamy texture. Use the thickest freshest cream available
- Spaghetti: Is the ultimate noodle for catching all that sauce. Break it in half for easier serving and thorough coating
- Garlic powder and sweet paprika: Layer in gentle warmth. Use fresh jars for best flavor
- Salt and pepper to taste: For final seasoning. Adjust at the very end so you hit that just right balance
Step-by-Step Instructions
- Prepare the Meatball Mixture:
- In a large bowl whisk together your egg parsley tomato paste oregano salt pepper minced garlic and water until everything looks well blended and a bit fluffy
- Combine Meatball Ingredients:
- Add ground beef ground pork bread crumbs and Parmigiano Reggiano to the bowl Mix gently with your hands until everything just comes together This keeps the meatballs light and tender
- Shape and Bake Meatballs:
- Roll the meat mixture into golf ball sized rounds and space them apart on an ungreased baking tray Bake in a preheated 350 degree oven for 10 minutes then flip each meatball gently and bake for another 10 minutes until browned and nearly cooked through
- Sauté Aromatics for Sauce:
- In a large skillet melt butter over medium heat When foamy add finely chopped onion and sauté for about 5 minutes until softened and translucent Stir in minced garlic and cook for 1 more minute mixing gently for deep flavor
- Simmer the Marinara Base:
- Pour in your marinara sauce and stir briskly Bring it to a gentle simmer Sprinkle in the sugar then season with salt and black pepper Taste and adjust the seasoning to your liking
- Cream and Thicken the Sauce:
- Pour in heavy cream and reduce heat to low Simmer for 2 to 3 minutes until the sauce starts to thicken In a separate bowl whisk a little water with some flour into a smooth slurry Whisk this into the skillet quickly to prevent lumps Continue cooking until the sauce is silky and smooth
- Season the Sauce:
- Now add your garlic powder and sweet paprika Stir well so the seasonings disappear into the creamy sauce Simmer for another minute so everything comes together
- Cook Pasta in Sauce:
- Add the spaghetti to the skillet stir gently and let cook for about 5 minutes This lets the noodles absorb some creamy sauce flavor and get nicely coated
- Combine Meatballs and Finish:
- Add baked meatballs to the skillet and use tongs or a spoon to gently toss everything so sauce covers both pasta and meatballs Warm everything through for 2 or 3 more minutes
- Serve Hot:
- Dish up creamy spaghetti and meatballs into bowls and finish with plenty of extra Parmigiano Reggiano Serve hot and enjoy right away

My favorite part is always the first spoonful of creamy sauce and melty cheese My daughter once described it as tasting like a big warm hug which is exactly what I hope for every time I make it
Storage Tips
Keep any leftover spaghetti and meatballs in an airtight container in the refrigerator for up to three days Reheat gently on the stove or in the microwave with a splash of extra cream or milk to revive the sauce Avoid storing the pasta and meat separately as the flavors mingle even better together
Ingredient Substitutions
You can easily use ground turkey or chicken instead of the beef and pork if you are looking for a lighter option If you are out of cream whole milk will still give you a rich sauce Try different dried herbs such as basil or thyme or use a plant based cheese if you are going dairy free
Serving Suggestions
This creamy pasta makes a meal all by itself but a crisp Caesar salad or simple green salad on the side is always a hit Warm garlic bread is also irresistible for soaking up extra sauce and you could add roasted vegetables like zucchini or broccoli for even more comfort

Cultural and Historical Context
Spaghetti and meatballs as we know it is actually an Italian American creation Pairing meatballs with pasta and rich sauce started with Italian immigrants in the United States who adapted their favorite recipes to new ingredients It has since become a comforting staple in homes around the country
Commonly Asked Questions
- → How do you make meatballs tender?
Mix the meatball ingredients gently and avoid overworking the mixture, which keeps them light. Adding egg, water, and breadcrumbs ensures moisture and softness.
- → Can I use a different pasta shape?
Yes, rigatoni or penne work well, capturing the creamy sauce equally beautifully. Adjust cooking time as needed for the shape selected.
- → How do you keep the creamy sauce from separating?
Simmer gently after adding cream, and avoid boiling. Stir continuously while adding the flour slurry to ensure the sauce thickens smoothly.
- → What is the best way to serve this dish?
Toss cooked spaghetti in the sauce before adding meatballs, coat well, and serve hot. Top with extra Parmigiano-Reggiano for flavor and presentation.
- → Can these meatballs be made ahead?
Baked meatballs can be made in advance and refrigerated for up to 2 days, then reheated gently in the sauce before serving.