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5 from 2 votes
Swedish Meatball Pasta Bake
Swedish Meatball Pasta Bake
Prep Time
45 mins
Cook Time
30 mins
30 mins
Total Time
1 hr 15 mins

This Swedish Meatball Pasta Bake is deliciously cozy comfort food. A family dinner that's always a winner!

Course: Main Course
Cuisine: Swedish
Keyword: Pasta, Comfort Food
Servings: 8 servings
Calories: 743 kcal
Author: MaryAnn Dwyer
  • 2 cups small shell pasta, uncooked
  • 4 Tbsp. butter
  • 2/3 cup yellow onion, finely chopped
  • 2 tsp. Kosher salt
  • 1/2 tsp. freshly ground black pepper
  • 1/2 tsp. ground allspice
  • 1/4 tsp. nutmeg
  • 3 cloves garlic, minced
  • 2/3 cup milk
  • 1 1/4 cups plain panko bread crumbs
  • 1 lb. ground beef, I use 80/20
  • 1 lb. ground pork
  • 2 large eggs, beaten
  • 3 Tbsp. olive oil
  • 6 Tbsp. butter
  • 7 Tbsp. all-purpose flour
  • 4 1/2 cups low sodium beef broth
  • 1 Tbsp. Worcestershire sauce
  • 3 Tbsp. fresh parsley, finely chopped
  • 1/2cup heavy cream
  • 1 Tbsp. Kosher salt
  • 1/2 tsp. freshly ground black pepper
  1. In a large pot of salted water, cook pasta al dente according to package directions. Drain. Add pasta to a 9x13 baking dish (or similar size) sprayed with nonstick cooking spray.

  1. Heat butter in saute pan over medium heat. Add the finely chopped onions, salt, pepper, allspice and nutmeg. Saute for 5 minutes, stirring often. Add the minced garlic and cook for an additional 2 minutes. Turn the heat to medium-low and add the milk. Bring to a simmer.

  2. Place the bread crumbs in a large bowl. Take the onion mixture off the heat and pour over the breadcrumbs. Stir until combined. Mixture will resemble a thick paste. Let mixture cool.

  3. Place beef, pork and eggs in a large bowl. Add the bread crumb mixture and mix until evenly combined. Do not overmix or your meatballs will be tough. Form into 1-inch balls. I made about 30 meatballs. Refrigerate for 30 minutes.

  4. Preheat oven to 375 degrees.

    Heat 3 Tbsp. of olive oil in a large skillet over medium heat. Gently add the meatballs in batches (I added 10 meatballs at a time to skillet) and brown on all sides. Transfer meatballs to the 9x13 baking dish with the pasta. Drain extra grease from skillet.

  1. In the same skillet you used to cook the meatballs melt the 6 Tbsp. butter over medium heat. Add the flour and whisk constantly for 2 minutes until smooth. Whisk in the beef broth and Worcestershire. Bring to a simmer. Add the fresh parsley and the heavy cream. Reduce the heat and continue whisking until the gravy thickens (about 10-15 minutes). Season with the kosher salt and pepper. Pour the gravy over the meatballs and pasta and toss lightly. Bake for 30-35 minutes until bubbly. Serve immediately.

Nutrition Facts
Swedish Meatball Pasta Bake
Amount Per Serving
Calories 743 Calories from Fat 423
% Daily Value*
Fat 47g72%
Saturated Fat 20g125%
Cholesterol 175mg58%
Sodium 1765mg77%
Potassium 811mg23%
Carbohydrates 46g15%
Fiber 2g8%
Sugar 3g3%
Protein 31g62%
Vitamin A 1040IU21%
Vitamin C 9.5mg12%
Calcium 99mg10%
Iron 3.9mg22%
* Percent Daily Values are based on a 2000 calorie diet.