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4.59 from 12 votes

Instant Pot Meatballs in Tomato Sauce (Paleo, Whole30)

These Instant Pot Meatballs in Tomato Sauce are the ultimate comfort food that's paleo, Whole30, and kid-friendly! Enjoy it over zucchini noodles or cauliflower rice to keep it low carb.
Prep Time10 mins
Cook Time12 mins
Total Time22 mins
Course: Main Course
Cuisine: Italian
Servings: 8 servings
Calories: 388kcal
Author: Jean Choi



  • 2 lbs ground beef
  • 2 eggs
  • 3 garlic cloves minced
  • 2 tbsp nutritional yeast optional
  • 2 tsp oregano
  • 2 tsp onion powder
  • 1 1/2 tsp sea salt
  • 1 tsp ground black pepper

Tomato Sauce

  • 2 tbsp avocado oil or coconut oil
  • 2 garlic cloves minced
  • 1 onion diced
  • 28 oz canned crushed tomatoes
  • 1/2 cup water
  • 2 tbsp tomato paste
  • 2 tsp sea salt
  • Optional: Chopped parsley and red pepper flakes for garnish


  • Combine all ingredients for the meatballs in a large bowl and mix together. Do not overmix.
  • Roll into balls the size of golf balls and set aside.
  • Set a 6qt Instant Pot on Sautè and add avocado oil.
  • Once the Instant Pot signals that it's "hot,' add onion and garlic and cook stirring for 5 minutes until soft and fragrant.
  • Press Cancel on the Instant Pot, and then add crushed tomatoes, water, tomato paste, and sea salt, and stir together.
  • Remove about 1/3 of the sauce and set aside.
  • Gently add the meatballs to the Instant Pot over the sauce.
  • Pour 1/3 of the sauce that was previous removed back in, covering the meatballs from the top. 
  • Close the lid, make the sure the pressure valve is set to Sealing. 
  • Cook on Manual on high pressure for 7 minutes.
  • Once the Instant Pot beeps to a finish, let the pressure release naturally for 10 minutes.
  • Open the lid and serve over cooked spaghetti squash, zucchini noodles, or cauliflower rice!


Serving: 1serving | Calories: 388kcal | Carbohydrates: 11g | Protein: 23g | Fat: 27g | Saturated Fat: 9g | Cholesterol: 121mg | Sodium: 1273mg | Potassium: 720mg | Fiber: 3g | Sugar: 5g | Vitamin A: 335IU | Vitamin C: 11.7mg | Calcium: 75mg | Iron: 4.1mg