Paleo Greek Meatballs aka Soutzoukakia

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Paleo Greek Meatballs aka SoutzoukakiaPin recipeFollow us 125.0k

As you may have noticed, I love Greek and Mediterranean food. There are a couple of recipes inspired by Greek cuisine on my blog: Melitzanosalata (Greek Eggplant Salad), Lamb Souvlaki (Greek Lamb Skewers) or even these spooky Healthy Halloween Cookies.

The truth is, I wouldn't be able to try some of the best Greek recipes if it wasn't for my fiancé who comes from Greece. This recipe is inspired by soutzoukakia - meatballs cooked in rich tomato sauce.

Hands-on Overall

Nutritional values (per serving)

Net carbs8.8 grams
Protein28.6 grams
Fat40.2 grams
Calories530 kcal

Calories from carbs 7%, protein 22%, fat 71%

Total carbs14.2 gramsFiber5.4 gramsSugars7.1 gramsSaturated fat19.6 gramsSodium746 mg(32% RDA)Magnesium105 mg(26% RDA)Potassium1,111 mg(56% EMR)

Ingredients (makes 4 servings)


  • 500 g ground lamb or beef (1.1 lb/ 17.6 oz)
  • 1 large egg
  • 1/4 cup coconut flour (30 g/ 1.1 oz)
  • 2 cloves garlic, minced
  • 1/2 small white onion, chopped (35 g/ 1.3 oz)
  • 1 tsp cumin, ground
  • small bunch of fresh parsley
  • 1 tbsp fresh oregano, or 1 tsp dried oregano
  • 1 tbsp ghee, lard or virgin coconut oil
  • 1/4 tsp pink Himalayan salt or to taste


  • 1/2 small white onion, chopped (35 g/ 1.3 oz)
  • 2 medium tomatoes (240 g / 8.7 oz)
  • 1 cup vegetable stock or bone broth (240 ml/ 8 fl oz)
  • 2 tbsp tomato purée, unsweetened (30 g/ 1.1 oz)
  • 1/4 cup kalamata olives or other olives, pitted (50 g/ 1.8 oz)
  • 1 tbsp ground chia seeds (8 g/ 0.3 oz)
  • 1 tbsp ghee, lard or virgin coconut oil
  • 1/4 tsp pink Himalayan salt or to taste
  • optional: 1 package feta cheese (100 g/ 3.5 oz)

Serve with "zoodles":

  • 4 small zucchini (one per serving), sliced using a julienne peeler or vegetable spiralizer (600 g/ 1.3 lb/ 21.2 oz)

Note: Chia seeds are used for thickening the sauce. You don't have to use them or you can use 1/2 tsp xanthan gum instead. Keep in mind that xanthan gum is not considered paleo-friendly. You can use any other oil suitable from high-heat cooking. When looking for ingredients, try to get them in their most natural form (organic, without unnecessary additives).


  1. Preheat the oven to 200 °C/ 400 °F. Wash and chop the herbs and mash the garlic. Finely chop the onion and place half of it in a separate bowl. Paleo Greek Meatballs aka Soutzoukakia
  2. Place the meat, egg, cumin, mashed garlic, chopped herbs, half of the onion, salt and coconut flour into a bowl and process well using your hands. Paleo Greek Meatballs aka Soutzoukakia
  3. Create small meatballs and place them in a cast iron skillet or on a baking sheet greased with half of the ghee or coconut oil. Place in the oven and cook for 20-25 minutes. Paleo Greek Meatballs aka Soutzoukakia
  4. Meanwhile, prepare the tomato sauce. Roughly chop the tomatoes and drain the olives. Paleo Greek Meatballs aka Soutzoukakia
  5. Grease a pan with the rest of the ghee or coconut oil, add the remaining onion and cook until slightly browned. Paleo Greek Meatballs aka Soutzoukakia
  6. Add the chopped tomatoes, tomato purée, vegetable stock (or bone broth) and season with salt. Cook for about 5 minutes. Paleo Greek Meatballs aka Soutzoukakia
  7. Add the ground chia seeds for thickening the sauce and mix in well. Paleo Greek Meatballs aka Soutzoukakia
  8. Add the kalamata olives and stir in well. Take off the heat. Paleo Greek Meatballs aka Soutzoukakia
  9. When the meatballs are done, remove from the oven. Paleo Greek Meatballs aka Soutzoukakia
  10. Add the tomato sauce and cook for 5 more minutes. Paleo Greek Meatballs aka Soutzoukakia
  11. When done, serve with zucchini noodles aka "zoodles" briefly fooked for 2-5 minutes (I use this spiralizer to make them). I also recommend you check Mellissa's website The Clothes Make The Girl - she has revealed the secret to make "zoodles" al dente and not loaded with water - ingenious! Paleo Greek Meatballs aka Soutzoukakia
  12. You can try this meal with crumbled feta on top - avoid this step if you follow my Clean Eating Challenge which is dairy-free. Enjoy! Paleo Greek Meatballs aka Soutzoukakia

Ingredient nutritional breakdown (per serving)

Net carbsProteinFatCalories
Lamb, minced (ground), 85% lean, 15% fat, raw
0 g21.4 g25.9 g319 kcal
Eggs, free-range or organic
0.1 g1.6 g1.2 g18 kcal
Coconut flour, organic
0.8 g1.3 g1.1 g28 kcal
Garlic, fresh
0.5 g0.1 g0 g2 kcal
Onion, white, fresh
1.3 g0.2 g0 g7 kcal
Cumin, spices
0.2 g0.1 g0.1 g2 kcal
0 g0 g7.5 g68 kcal
Parsley, fresh (spices)
0.1 g0.1 g0 g1 kcal
Oregano, fresh
0.3 g0 g0 g2 kcal
Tomatoes, fresh
1.7 g0.5 g0.1 g11 kcal
Keto bone broth
0.2 g0.9 g1.5 g18 kcal
Tomato purée (paste, unsweetened)
0.5 g0.1 g0 g3 kcal
Kalamata olives
0 g0.1 g1.6 g16 kcal
Salt, pink Himalayan rock salt
0 g0 g0 g0 kcal
Chia seed meal (ground chia seeds)
0.1 g0.4 g0.6 g10 kcal
Zucchini (summer squash, courgette)
3.2 g1.8 g0.5 g26 kcal
Total per serving
8.8 g28.6 g40.2 g530 kcal
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Martina Slajerova
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Martina Slajerova

I changed the way I ate in 2011, when I was diagnosed with Hashimoto’s, an autoimmune disease that affects the thyroid. I had no energy, and I found it more and more difficult to maintain a healthy weight.

That’s when I decided to quit sugar, grains, and processed foods, and to start following a whole-foods-based ketogenic approach to food.

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Comments (10)

Hi Martina !! Bravo !!!! Excellent recipe. I am Greek I made that recipe was delicious!!!!
I have your apps at my iPhone and iPad.
I am new to all that but your hard work helped me a lot.
Thank you !!!!!
More Greek recipes please!!!!!!😊


Thank you so much Jenny!! My fiancé is Greek so there is definitely going to be more 😊


These are awesome! I tweaked the recipe a bit (added the feta directly to the meat). My kids loved them and didn't even ask of a dessert 😊


Thank you Sam! Sounds delicious, I bet it makes them more juicy 😊


How much is one serving size with this recipe?


This recipe makes 4 servings so 1/4 of the recipe. It depends on how big you make the meatballs but can be 5-6 meatballs per serving.


Love tomato meatballs! I never tried them with zoodles though. How long do you cook them for? Mine always get mushy :-(


I only cook them for about 2-3 minutes, just to get them "al dente". Also, the tip from Melissa I included in this post also helps and they get less "watery" 😊


Your fiancé is Greek? Ha I knew it! 😊 I love the post you have about recommending foods in Greece. IMHO it's the best diet for keto as long as you avoid bread and potatoes 😊


He is! We have Greek food quite often: Greek salad (Choriatiki), meatballs, lamb (we love slow-cooked lamb) and Greek yogurt with nuts and berries 😊