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Fathead Italian Meatball Pizza

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This was the first time I have ever tried a Fathead Italian Meatball Pizza, and it was awesome.

Making Fathead dough is easy to whip up in minutes which is the great part of this recipe.

You can change the dough to pizza dough if you don’t like fathead dough, but it will take longer.

If you do use real pizza dough you could make it before you go to bed so it’s ready the next morning.

Let’s get cooking to show you how to make this meatball pizza that you can add your favourite toppings to.

Simple Italian Fathead Meatball Pizza (Keto-friendly)
Simple Italian Fathead Meatball Pizza (Keto-friendly)

If you want to cut the carbs in your diet, opt for low-carb or keto recipes that taste just as delicious as their carby friend.

It may seem that there are many steps involved but keep in mind this is a large recipe.

Time to make some Italian Fathead Meatball pizza! Let’s go.

How To Make Fathead Dough

How to make easy fathead dough that is keto-friendly
How to make easy fathead dough that is keto-friendly

I wrote about it in my Keto Bagels recipe post if you’re not familiar with fathead dough.

It’s quite fascinating how the fathead dough comes together and forms a delicious pizza crust.

If it’s been a while since you’ve had an authentic Italian pizza, you will love this recipe.

Ingredients for Fathead Dough

  • 2 1/2 cups of shredded pizza mozzarella
  • 2 large eggs
  • 1 teaspoon xanthan gum
  • 1 tablespoon double-action gluten-free baking powder
  • 1/2 brick cream cheese softened 4 oz
  • 2 cups of Almond Flour

How To Make Fathead Italian Meatball Pizza (Keto)

  1. Preheat oven to 350 degrees
  2. Line a baking sheet with parchment paper or prep your pizza stone for the oven
  3. In a large bowl add your dry ingredients then mix
  4. Using a medium bowl crack your eggs and beat them.
  5. In a microwave-safe, medium-sized bowl add the shredded mozzarella cheese and softened cream cheese cubeMicrowave the cheese mixture on high until melted completely for about 2 minutes,
  6. Start by mixing the cheese up while it’s hot and pouring it into the dry mixture bowl.
  7. Slowly start adding the eggs and mixing quickly until you form a dough ball
  8. Move the ball to a parchment covered sheet pan and let sit covered for 5 minutes
  9. Knead the dough until everything is combined and shape into a square or round pizza crust
  10. Poke holes in the top and bake it for 10 minutes until golden brown but keep an eye on it.
  11. Remove and let cool so you can add your toppings

How To Make Italian Meatballs And Sauce

Raw Italian Meatballs put in Italian sauce
Raw Italian Meatballs put in Italian sauce

How To Make Italian Keto Meatballs

Ingredients

  • 1/2 pound of Medium Ground Beef and half pound of Ground Pork Mince
  • 2 large eggs
  • 1 tbsp dry or fresh basil
  • 2 tbsps dry parsley or 1/2 cup of fresh parsley
  • 1 tbsp dry or fresh oregano
  • 2 heaping tbsps ground flax-seed
  • 1 tsp salt
  • Fresh ground black pepper Optional use as much as you like 1teaspoon is ideal
  • 1 cup crushed pork rinds
  • 2 cloves of minced garlic
  • 1 medium onion minced
  • 1 cup grated fresh parmigiano Regianno

Instructions For Making Italian Keto Meatballs

Raw Italian meatballs on a parchment-lined baking sheet
Raw Italian meatballs on a parchment-lined baking sheet
  1. Add all of the ingredients to a bowl and mix just until combined. Never mix too much or your meatballs will be tough.
  2. Roll into golf ball size meatballs and set on a parchment lined tray
  3. Add to the pot of Italian tomato sauce
  4. Cook the raw meatballs in the sauce on medium heat for 2 hours or use your crockpot or instant pot.

How To Make Italian Sauce For Pizza or Pasta

This is a keto meatball in a keto-friendly Italian Tomato Sauce
This is a keto meatball in a keto-friendly Italian Tomato Sauce
  • 2 x large cans of crushed tomatoes, or jarred tomatoes from your garden
  • 1 x can or half-tube of tomato paste
  • 3 x stalks of celery chopped into small pieces
  • 1 head of garlic peeled and chopped (use at your discretion)
  • Medium one onion chopped and minced
  • Dry Oregano 2 tablespoons
  • Bay Leaf x 2
  • Dry Basil 2 tablespoons
  • Fresh Bunch of Basil chopped or 2 homemade basil cubes  (optional if using dry)
  • Paprika 1 teaspoon
  • Salt 1 teaspoon adjust as needed.
  • 1 tablespoon black pepper
  • 1/2 teaspoon monk-fruit or another keto-approved sugar substitute)
  • 2 tablespoons extra virgin olive oil
  • 2 cups of cold water

Add extra virgin olive oil, minced garlic, onion, and the rest of the dry ingredients.

Sautee it for two minutes, then add the two cans of tomatoes and one can of tomato paste

Let it cook for one hour on medium heat, then drop the raw meatballs inside.

Cook for one hour on medium heat to allow the meatballs to cook fully.

Push the meatballs down into the sauce so they are not hanging out on the top of the pot.

Once finished, you can start to make your Fathead dough.

TIP: Typically, I make the sauce and meatballs ahead of time to save time.

You will likely have extra meatballs and sauce left unless you feed eight people.

Put any leftovers into a container once cooled and into the freezer for up to 3 months.

I enjoy batch cooking for this reason because the next time I need it, ta-da it’s ready to be defrosted.

Tip: Remove the bay leaves from the sauce once they are no longer needed.

Additional Toppings For Your Meatball Pizza

You can add just about any toppings to your meatball pizza.

I often find if you stick to the basics, it works best.

If any of the extra ingredients could make your fathead dough soggy, be aware of that.

Below is what I might add to the meatball pizza.

  • Ricotta cheese found at any grocery store
  • Red, yellow or green peppers
  • Bacon Pieces
  • Extra Mozzarella (cheese is life)
  • Green or black olives

Once everything is done cooking, you can put your meatball pizza together.

On the pre-baked fathead dough, add sauce all around the pizza base.

I add extra sauce because I love loads of toppings which I admittedly double,

When putting the meatballs on top of the sauce, cut them in half to make them easier to eat.

I’d say three to four meatballs is enough for one fathead meatball pizza.

Cover the meatball pizza with 1 cup of shredded mozzarella, and you can add Parmigiano Reggiano cheese too.

How To Make Italian Fathead Meatball Pizza

Yield: 4

Fathead Italian Meatball Pizza

fathead meatball pizza

I made a fathead dough with meatballs and sauce covered with loads of shredded Italian mozzarella and Parmigiano Reggiano cheese.

Prep Time: 1 hour
Cook Time: 3 hours 30 minutes
Additional Time: 10 minutes
Total Time: 4 hours 40 minutes

Ingredients

  • For The Sauce Which You Can Make Ahead Of Time.
  • 2 x large cans of crushed tomatoes, or jarred tomatoes from your garden
  • 1 x can or half-tube of tomato paste
  • 1 head of garlic peeled and chopped (use at your discretion)
  • 1 x medium-sized onion peeled and chopped
  • 3 x stalks of celery chopped into small pieces
  • Dry Oregano 2 tablespoons
  • Bay Leaf x 2
  • Dry Basil 2 tablespoons
  • Fresh Bunch of Basil chopped or 2 basil cubes (optional if using dry)
  • Paprika 1 teaspoon
  • Salt 1 teaspoon adjust as needed
  • 1 tablespoon black pepper
  • 1/2 teaspoon monk-fruit or another keto-approved sugar substitute)
  • 2 tablespoons extra virgin olive oil
  • 2 cups of cold water
  • How To Make Italian Meatballs
  • 1/2 pound of Medium Ground Beef and half pound of Ground Pork Mince
  • 2 large eggs
  • 1 tbsp dry or fresh basil
  • 1 tbsp dry or fresh oregano
  • 1 tsp salt
  • 1 tsp fresh ground black pepper
  • 2 tbsps dry parsley or 1/2 cup of fresh parsley
  • 2 heaping tbsps ground flax-seed
  • 1 cup crushed pork rinds
  • 1 medium onion minced
  • 2 cloves of minced garlic
  • 1 cup grated fresh parmigiana Reggiano
  • How To Make Fathead Pizza Dough
  • Ingredients for Fathead Dough
  • 2 1/2 cups of shredded pizza mozzarella
  • 2 large eggs
  • 1 teaspoon xanthan gum
  • 1 tablespoon double-action gluten-free baking powder
  • 1/2 brick cream cheese softened 4 oz
  • 2 cups of Almond Flour

Instructions

  1. Instructions For The Sauce
  2. In a large pot, add extra virgin olive oil, minced garlic, onion, and the rest of the dry ingredients.
  3. Add two large cans of tomatoes and one can of tomato paste
  4. Finally, add 2 cups of cold water and stir so all the ingredients are mixed.
  5. Let the sauce cook for one hour on medium heat (Dial 5)
  6. Taste the sauce to see if it needs more seasoning for your liking.
  7. Remove the bay leaves when the sauce is done.
  1. How To Make Italian Meatballs
  2. Add all ingredients to a large bowl and mix just until combined.
  3. Never mix a meatball mixture too much, or your meatballs with be tough.
  4. Roll into golf ball size meatballs and set on a parchment-lined baking tray
  5. Add the raw meatballs to the pot of tomato sauce gently, so they don't break, stir gently throughout the cooking time.
  6. Cook the raw meatballs in the sauce on medium heat for 2 hours or use your crockpot or instant pot.
  7. Try a meatball to see if it is done at the two-hour mark and if they are not done, cook a further half-hour.
  8. Every stove is different, so it's better to be on the cautious side to make sure they are cooked.
  9. How To Make Fathead Dough
  10. Preheat oven to 350 degrees
  11. Line a baking sheet with parchment paper or prep your pizza stone for the oven
  12. In a large bowl, add your dry ingredients, then mix until combined.
  13. Using a medium bowl, crack your eggs and beat them.
  14. Add the shredded mozzarella cheese and softened cream cheese in a microwave-safe, medium-sized bowl.
  15. Microwave the cheese mixture on high until melted entirely for about 2 minutes,
  16. Start by mixing the cheese up while it's hot and slowly add the eggs while mixing fast, so they don't cook from the heat until you form a dough ball.
  17. Another alternative is to crack the eggs into the dry mixture and then add the cheese mixture and mix; This is probably the safest route.
  18. Move the ball to a parchment-covered sheet pan and let it sit covered for 5 minutes.
  19. Knead the dough until everything is combined and shaped into a square or round pizza crust
  20. Poke holes in the top and bake it for 10 minutes at 350 degrees until golden brown but keep an eye on it.
  21. Remove and let cool so you can add your toppings, sauce, meatballs sliced in half, lots of mozzarella cheese and fresh basil if you have it.
  22. Once you have your toppings on the pizza put it back in the oven for about 10 minutes at 350 degrees until the cheese is melted and the meatballs heat up.

Notes

For the fathead dough if you're not comfortable adding eggs to a hot mixture I found an easier way.

Another alternative is to crack the eggs into the dry mixture and then add the cheese mixture and mix; This is probably the safest route.

Did you make this recipe?

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