I used to think making appetizers for parties meant buying those frozen meatballs from the store. You know the ones—they come in a bag and taste like cardboard. My husband would always complain, but I figured homemade was too much work.
Then I discovered Italian sausage balls. They’re just as easy as opening a bag, but they actually have flavor. The best part? You probably already have everything you need in your kitchen right now. No fancy ingredients or complicated steps—just mix, roll, and bake.

Why You’ll Love These Italian Sausage Balls
- Keto-friendly and low-carb – Made with almond flour instead of regular flour, these sausage balls fit perfectly into your low-carb lifestyle without sacrificing flavor.
- Quick and easy – Ready in just 30 minutes, these are perfect for busy weeknights or when you need a fast appetizer for unexpected guests.
- Simple ingredients – You probably have most of these pantry staples on hand already, making this recipe super convenient to whip up anytime.
- Crowd-pleasing appetizer – The combination of Italian sausage, creamy cheese, and Italian seasonings creates bite-sized flavor bombs that disappear fast at parties.
- Make-ahead friendly – You can prep these ahead of time and bake them when needed, or freeze them for later when you want a quick snack or appetizer.
What Kind of Italian Sausage Should I Use?
You can use either sweet or spicy Italian sausage for these sausage balls, depending on your heat preference. Sweet Italian sausage will give you a milder flavor that’s great for kids or those who don’t like spice, while hot Italian sausage adds a nice kick. If you can only find regular pork sausage, you can add extra Italian seasoning and garlic powder to get that Italian flavor. Make sure to remove the sausage from its casings before mixing – just squeeze it out and crumble it up with your hands as you add it to the bowl.

Options for Substitutions
This recipe is pretty forgiving when it comes to swaps, so here are some easy substitutions you can make:
- Italian sausage: You can use mild or spicy Italian sausage depending on your preference. Ground turkey or chicken sausage works too, though the flavor will be a bit lighter.
- Cream cheese: If you’re out of cream cheese, try ricotta cheese or even Greek yogurt (though drain it first to remove excess moisture). The texture might be slightly different but still tasty.
- Mozzarella cheese: Feel free to swap this with provolone, parmesan, or a blend of Italian cheeses. Just stick with something that melts well.
- Almond flour: Regular all-purpose flour works fine if you’re not avoiding gluten – use the same amount. For other low-carb options, try coconut flour but use only 1/4 cup since it’s more absorbent.
- Italian seasoning: No Italian seasoning? Mix together dried basil, oregano, and thyme in equal parts. Fresh herbs work too – just use about 1 tablespoon total and chop them finely.
Watch Out for These Mistakes While Cooking
The biggest mistake when making Italian sausage balls is using sausage that’s too wet or greasy, which can cause your balls to fall apart during baking – make sure to drain any excess fat after browning and let the sausage cool slightly before mixing with other ingredients.
Another common error is not letting the cream cheese come to room temperature first, as cold cream cheese won’t blend smoothly and can create lumps in your mixture that affect the texture.
Overmixing the ingredients is also a problem since it can make your sausage balls dense and tough – just combine everything until it’s barely mixed together, then stop.
For perfectly shaped balls that hold together, use a small cookie scoop or your hands to form uniform portions, and don’t skip chilling the mixture for 15-20 minutes before baking if it seems too soft to handle.

What to Serve With Italian Sausage Balls?
These cheesy sausage balls are perfect as an appetizer with a simple marinara sauce for dipping – the tangy tomato flavor really complements the rich, savory meat and cheese. I love serving them alongside a fresh Caesar salad or some roasted vegetables like zucchini and bell peppers to balance out the richness. For a heartier meal, try pairing them with zucchini noodles or cauliflower rice tossed with a little olive oil and herbs. You can also serve them as part of an Italian-inspired spread with some olives, fresh mozzarella, and crusty bread for a fun family-style dinner.
Storage Instructions
Refrigerate: These Italian sausage balls keep really well in the fridge for up to 5 days in an airtight container. I like to make a big batch on Sunday and grab a few throughout the week for quick snacks or to add to my lunch. They taste great cold or at room temperature too!
Freeze: You can freeze these sausage balls for up to 3 months, which is perfect for meal prep. I usually freeze them on a baking sheet first, then transfer to a freezer bag once they’re solid. This way they don’t stick together and you can grab just what you need.
Warm Up: To enjoy them warm again, just pop them in the oven at 350°F for about 10-12 minutes if they’re frozen, or 5-6 minutes if they’re just from the fridge. You can also microwave them for 30-60 seconds, but the oven keeps them nice and crispy on the outside.
| Preparation Time | 10-15 minutes |
| Cooking Time | 20-24 minutes |
| Total Time | 30-39 minutes |
| Level of Difficulty | Easy |
Estimated Nutrition
Estimated nutrition for the whole recipe (without optional ingredients):
- Calories: 1850-2000
- Protein: 85-95 g
- Fat: 155-170 g
- Carbohydrates: 18-22 g
Ingredients
- 1/2 tsp baking powder
- 4 oz cream cheese (softened to room temperature)
- 1/2 tsp dried Italian herbs (I use McCormick Italian Seasoning Blend)
- 1 lb Italian sausage (pork sausage with Italian seasonings)
- 1/2 cup almond flour (blanched fine ground almond flour works best)
- 1/2 tsp garlic powder
- 1 cup shredded mozzarella cheese (for a melty, gooey texture)
Step 1: Preheat the Oven
Set your oven to 375°F (190°C) to ensure it’s fully preheated by the time you’re ready to bake the sausage balls.
Step 2: Prepare the Sausage Ball Mixture
- 1 lb Italian-style sausage
- 4 oz cream cheese
- 1 cup mozzarella cheese, shredded
- 1/2 cup almond flour
- 1/2 tsp baking powder
- 1/2 tsp dried Italian herb blend
- 1/2 tsp garlic powder
In a large mixing bowl or a stand mixer, combine the Italian-style sausage, cream cheese, shredded mozzarella, almond flour, baking powder, dried Italian herb blend, and garlic powder.
Mix until all the ingredients are thoroughly incorporated and you have a uniform mixture.
I find this step especially easy when using my stand mixer.
Step 3: Prepare the Baking Sheet
Lightly spray a large baking sheet with nonstick spray or line it with silicone baking mats.
This prevents the sausage balls from sticking and makes cleanup much easier.
Step 4: Form the Sausage Balls
- sausage ball mixture from Step 2
Using your hands or a small cookie scoop, roll the sausage mixture (from Step 2) into golf ball-sized balls and arrange them evenly spaced on the prepared baking sheet (from Step 3).
Step 5: Bake the Sausage Balls
Place the baking sheet in the preheated oven and bake for 20-24 minutes, or until the sausage balls are golden brown, cooked through, and slightly crispy on the outside.
I like to let them cool for a few minutes before serving so they’re easier to handle.