Meatball Pasta Casserole

Featured in Pasta Night Made Easy.

Turn spiced Swedish meatballs into a baked dish by blending them with pasta and sauce for a cozy meal.

A woman wearing a chef's hat and apron.
Updated on Sun, 13 Apr 2025 10:58:36 GMT
Creamy baked casserole with meatballs and fresh herbs on top. Pin it
Creamy baked casserole with meatballs and fresh herbs on top. | cookbybook.com

I whipped up this Swedish Meatball Pasta Bake on a cold winter night when I needed something truly comforting. It's become our family favorite that feels like home in a dish. The mix of juicy spiced meatballs, velvety sauce and hot pasta creates the ultimate comfort meal. My kitchen smells incredible whenever I make it, and everyone always rushes to grab a seat at the dinner table.

Why You'll Fall For This Dish

The way everything blends together is simply wonderful. That sauce turns so silky while the pasta drinks up all those tasty flavors. I can get most stuff ready beforehand, which makes dinnertime way easier. My little ones actually jump up and down when they catch the scent of those Swedish meatballs baking with the pasta, and my guy never fails to take another helping.

Your Ingredient List

  • Panko Bread Crumbs: These create incredibly soft, puffy meatballs.
  • Salted Butter: This brings that deep taste you can't skip.
  • Sweet Onion: Chop it tiny so it just about vanishes.
  • Ground Beef: Go for somewhat fatty beef for better taste.
  • Whole Milk: Adds that lovely creaminess we want.
  • All-Purpose Flour: Helps our sauce get nice and thick.
  • Beef Broth: Forms the tasty base of our gravy.
  • Heavy Cream: Gives us that smooth, luxurious sauce.
  • Shell Pasta: Perfect for grabbing all that yummy sauce.
  • Worcestershire Sauce: My trick for adding complex flavor.
  • Nutmeg and Allspice: The authentic Swedish touch.
  • Fresh Parsley: Brings a pop of bright color when served.

The Cooking Process

Prep Your Breadcrumb Mixture
First, melt butter in my go-to pan then toss in those finely chopped onions with our signature spices. After they turn soft and aromatic, add the garlic. Combine this with panko and milk, then set aside to cool down completely.
Creating Your Meatballs
Once cooled, blend this mixture with your beef and eggs until barely mixed. Form them into roughly golf ball shapes, though smaller works fine too. Pop them in the fridge to firm up a bit.
Getting The Pasta Ready
While meatballs chill, boil your pasta until it's just firm to the bite. Those shells work great for holding sauce.
Browning To Perfection
Cook meatballs in small groups until they're nicely browned outside. Then place them with your pasta in a baking dish.
Creating That Dreamy Sauce
Now for the fun part. In that same pan, add more butter and flour, then slowly stir in your broth and cream. Watch it turn into something wonderfully smooth.
Finishing Touches
Drizzle that beautiful sauce over everything, stir gently and pop it in the oven. Waiting is definitely the toughest part!
A baked dish containing pasta shells and meatballs covered in creamy sauce with parsley sprinkled on top. Pin it
A baked dish containing pasta shells and meatballs covered in creamy sauce with parsley sprinkled on top. | cookbybook.com

Insider Tips

Treat your meatballs gently since they can fall apart easily. I always make more than needed for freezing because they're such a lifesaver later. I'll sometimes throw in some cooked mushrooms when I want extra depth. Don't skimp on the spices, they're what really makes this dish stand out.

Storage Advice

Any extras will stay good in your fridge for about three days. I often cook twice as much and freeze portions for crazy busy evenings. Just let it thaw overnight and warm slowly so the sauce comes back together nicely.

Great Companions

We can't help but mop up all that sauce with some hot garlic bread. Add a simple green salad on the side for balance. Enjoy it with a glass of creamy white wine if you're in the mood, or just some fizzy water with a lemon wedge.

Custom Tweaks

My friend next door uses ground turkey for a lighter take and it tastes amazing. I'll toss in some baby spinach or sautéed mushrooms when I want more veggies. Pick whatever pasta shape you like best, my girl loves it with farfalle while my boy can't get enough of the traditional shells. It's such an adaptable meal that welcomes your own touch.

Why It Works So Well

The beauty of this dish is how perfectly everything fits together. The smooth sauce hugs each bit of pasta while those juicy meatballs settle right in. When it comes out bubbling and golden, the smell takes over the whole house. This is what comfort food is all about.

A casserole with baked meatballs and pasta covered in melted cheese and topped with fresh parsley. Pin it
A casserole with baked meatballs and pasta covered in melted cheese and topped with fresh parsley. | cookbybook.com

Frequently Asked Questions

→ Can this be frozen?
Absolutely, freeze it for up to three months. You can also make and freeze extra meatballs separately.
→ What’s the point of chilling the meatballs?
It keeps the meatballs firm while they brown. Definitely worth the extra step!
→ Can I swap the meat?
Sure! Mix and match beef, pork, or even game meats like venison for a different twist.
→ Why so much sauce?
The pasta absorbs it all while baking, so it balances out perfectly at the end.
→ How can I make this ahead?
Freeze pre-made meatballs and whip up the sauce just before assembling the dish.

Conclusion

Turn spiced Swedish meatballs into a baked dish by blending them with pasta and sauce for a cozy meal.

Meatball Pasta Casserole

Creamy baked casserole with spiced meatballs, pasta, and a smooth sauce. A delicious and simple family favorite.

Prep Time
30 Minutes
Cook Time
30 Minutes
Total Time
60 Minutes
By: Susan

Category: Pasta

Difficulty: Difficult

Cuisine: Swedish

Yield: 6 Servings (6 servings)

Dietary: ~

Ingredients

01 2 cups pasta shells.
02 1/2 cup all-purpose flour.
03 1 tablespoon Worcestershire sauce.
04 2 large eggs.
05 5 cups beef stock.
06 2 pounds ground meat.
07 Fresh parsley to decorate.
08 1/4 teaspoon ground nutmeg.
09 1 teaspoon ground black pepper.
10 1 medium-sized sweet onion, finely chopped.
11 1/2 cup water.
12 1 1/2 sticks of butter.
13 3 cloves garlic, finely minced.
14 3 tablespoons olive oil.
15 1/2 cup cream.
16 2/3 cup full-fat milk.
17 1/2 teaspoon allspice.
18 1 1/2 cups panko crumbs.

Instructions

Step 01

Stir panko, milk, butter-cooked onions, garlic, and spices together.

Step 02

Mix cooled crumbs with meat and eggs, then roll into small balls.

Step 03

Pop the meatballs into the fridge for half an hour. Set oven to 375°F during this time.

Step 04

Prepare pasta until just tender. In batches, cook meatballs until browned.

Step 05

Make a butter-flour roux, pour in liquids, and let it bubble gently until rich and smooth.

Step 06

Combine pasta, meatballs, and sauce in layers, then bake for half an hour.

Notes

  1. Can stay frozen for up to 3 months.
  2. Use a meat blend if you want.
  3. Lasts 3 days in the fridge.

Tools You'll Need

  • Large skillet.
  • A large pot.
  • Casserole dish, 9x13 size.

Allergy Information

Please check ingredients for potential allergens and consult a health professional if in doubt.
  • Contains milk.
  • Has eggs.
  • Includes wheat.

Nutrition Facts (Per Serving)

It is important to consider this information as approximate and not to use it as definitive health advice.
  • Calories: 1013
  • Total Fat: 72 g
  • Total Carbohydrate: 51 g
  • Protein: 40 g