Slow Cooker Meatballs Gravy

By: Barbara Updated on Wed, 25 Mar 2026 04:02:13 GMT Hearty Mains
Barbara, recipe developer and home cook at Graceful Flavors
Barbara

Hi, I'm Barbara, the recipe developer and home cook behind Graceful Flavors. I share approachable recipes with clear steps, familiar ingredients, and delicious results for real everyday kitchens.

Updated on Wed, 25 Mar 2026 04:02:13 GMT

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A plate of meatballs in a brown sauce. Pin it
A plate of meatballs in a brown sauce.

This slow cooker meatballs and gravy recipe is perfect for anyone craving an easy one-pot comfort meal that feels homemade and wholesome. The meatballs cook slowly in a rich, flavorful gravy made from scratch, without relying on canned soups or processed gravy packets. It fits low-carb, paleo, and Whole30 lifestyles while still delivering satisfying, hearty flavors that work great for meal prep or cozy family dinners.

Ingredients

  • Ground beef Use fresh, preferably 80 percent lean for juicy meatballs
  • Ground sausage Adds extra flavor and fat for moist tender meatballs
  • Large egg Acts as a binder to hold the meatballs together
  • Almond flour Keeps the recipe paleo and low-carb while adding mild nutty texture
  • Garlic cloves Fresh garlic adds punch and aroma, mince finely for even cooking
  • Italian seasoning A blend of herbs that builds a savory well-rounded flavor profile
  • Salt and pepper Essential to season both meatballs and gravy properly
  • Low-sodium beef broth Provides a rich, meaty base for the gravy without overwhelming saltiness
  • Arrowroot starch A great grain-free thickener that creates silky smooth gravy
  • Garlic powder Onion powder Dried rosemary Pepper These seasonings round out the gravy’s flavor lending depth and complexity

Step-by-Step Instructions

Add the gravy base:
Combine the beef broth, arrowroot starch and all the gravy seasonings in your slow cooker. Whisk thoroughly until there are no lumps forming to ensure a smooth gravy finish
Prepare the meatball mixture:
In a medium bowl, blend the ground beef, sausage, egg, almond flour, fresh garlic, Italian seasoning, salt and pepper. Mix gently just until combined to avoid dense meatballs
Form the meatballs:
Shape the mixture into even-sized meatballs about 3 tablespoons of meat per ball. Keeping uniform size helps them cook evenly and look appealing
Add meatballs to slow cooker:
Place each meatball carefully in the gravy mixture ensuring they are partially submerged for even cooking
Cook the meatballs:
Cook on HIGH for three to four hours or LOW for six to eight hours. The slow heat allows the flavors to meld and the gravy to thicken perfectly
Final stir:
If the gravy appears clumpy at the end give it a good stir The arrowroot starch clumps should dissolve and the gravy will be luxuriously smooth
Meatballs in gravy on mashed potatoes.
Meatballs in gravy on mashed potatoes.

Storage tips

Store any leftovers in an airtight container in the refrigerator for up to four days. When reheating, warm gently on the stove over low heat while stirring occasionally to keep the gravy smooth. You can also freeze in single portions for up to three months and thaw in the fridge overnight before reheating.

Ingredient substitutions

If you do not have almond flour you can substitute with coconut flour but use about half the amount as it absorbs more moisture. For a dairy-free gravy thickener alternative, tapioca starch works well too. You can swap beef broth for chicken broth but the flavor will be lighter so add a bit extra seasoning to compensate.

Serving suggestions

This dish shines served over creamy mashed potatoes or cauliflower mash to keep it low-carb and paleo-friendly. Fresh green beans or sautéed spinach make great sides to balance the richness. For a cozy family dinner set out crusty bread to mop up every last drop of gravy.

Cultural and historical context

Meatballs and gravy is a classic comfort food found in various forms around the world. This version leans into American home cooking with savory herbs and a luscious gravy base. Traditionally meatballs were an economical way to use up leftover meats while slow cooking tenderized tougher cuts and melded flavors over time.

Meatballs in gravy with mashed potatoes.
Meatballs in gravy with mashed potatoes.

Frequently Asked Questions

What kinds of meat are best for these meatballs?

A combination of ground beef and sausage enhances flavor and moisture, creating tender meatballs that hold together well in slow cooking.

How do I prevent the gravy from being lumpy?

Whisk the broth and arrowroot starch mixture thoroughly before cooking, and stir the gravy well once it's done to smooth out any lumps.

Can I make these meatballs low-carb and paleo friendly?

Yes, using almond flour as a binder and avoiding processed ingredients keeps the dish compatible with low-carb and paleo preferences.

How long should the meatballs cook in the slow cooker?

Cooking on high for 3 to 4 hours or on low for 6 to 8 hours both yield tender meatballs infused with the rich gravy flavors.

What can I serve alongside these meatballs and gravy?

They pair wonderfully with mashed potatoes, steamed vegetables, or cauliflower rice for a satisfying, balanced meal.

4.70 from 35 votes

Slow Cooker Meatballs Gravy

Prep Time:
15 Minutes
Cook Time:
240 Minutes
Total Time:
255 Minutes
Servings:
4
A plate of meatballs in a brown sauce.

Tender meatballs simmer slowly in a savory gravy, perfect for cozy, satisfying dinners with wholesome ingredients.

Ingredients

  • Meatballs

  • 1 pound ground beef
  • 1 pound ground sausage
  • 1 large egg
  • 1/4 cup almond flour
  • 2 cloves garlic, minced
  • 2 tablespoons Italian seasoning
  • 1 1/2 teaspoons salt
  • 1/2 teaspoon black pepper
  • Gravy

  • 4 cups low-sodium beef broth
  • 1/2 cup arrowroot starch
  • 1 1/2 teaspoons salt
  • 1 1/2 teaspoons garlic powder
  • 1 1/2 teaspoons onion powder
  • 1/2 teaspoon dried rosemary
  • 1/2 teaspoon black pepper

Instructions

1.

1. Prepare Gravy Base: Combine beef broth, arrowroot starch, salt, pepper, garlic powder, onion powder, and dried rosemary in the slow cooker. Whisk until smooth with no lumps.

2.

2. Form Meatballs: In a medium bowl, mix ground beef, ground sausage, egg, almond flour, minced garlic, Italian seasoning, salt, and pepper until fully incorporated. Shape mixture into evenly sized meatballs, about 3 tablespoons each.

3.

3. Cook Meatballs and Gravy: Place the formed meatballs into the slow cooker with the prepared gravy. Cook on HIGH for 3 to 4 hours or on LOW for 6 to 8 hours until meatballs are cooked through and gravy has thickened.

4.

4. Final Stir: If the gravy has lumps after cooking, stir vigorously until smooth consistency is restored.

Notes

  1. For lump-free gravy, whisk ingredients thoroughly before cooking and stir well after cooking if needed.

Tools You'll Need

  • Slow cooker
  • Medium mixing bowl
  • Whisk

Allergy Information

Please check ingredients for potential allergens and consult a health professional if in doubt.
  • Contains egg and almond flour (tree nuts).