If you love comfort food that wraps you in a warm, cheesy hug, you are going to adore this Swedish Meatball Pasta Bake Recipe. It’s a perfect marriage of tender, spiced meatballs and creamy sauce, all baked together with pasta to create a satisfying, cozy meal. Every bite bursts with familiar flavors elevated by homemade goodness, making it a family favorite that’s simple enough for a weeknight yet special enough to share with friends. Trust me, once you try this Swedish Meatball Pasta Bake Recipe, it will become one of your go-to dishes whenever you crave something hearty, delicious, and utterly irresistible.

Ingredients You’ll Need
The magic of this dish starts with straightforward, pantry-friendly ingredients that come together effortlessly. Each one plays a crucial role, from the perfectly seasoned meatballs to the luscious creamy sauce that ties everything into a comforting masterpiece.
- Ground beef: The star protein, providing hearty flavor and a tender texture for the meatballs.
- Breadcrumbs: They keep the meatballs light and help bind them without making them dense.
- Large egg: Acts as the binder to hold the meatballs together during cooking.
- Grated onion: Adds subtle sweetness and depth to the meatball mix.
- Garlic, minced: Gives a fragrant boost that complements the spices beautifully.
- Ground nutmeg: A classic in Swedish cooking, it lends a warm, delicate spice note.
- Allspice: Infuses the meatballs with a hint of exotic warmth.
- Salt and black pepper: Essential seasonings that bring balance and enhance all the flavors.
- Butter: For a rich roux, providing a smooth base for the creamy sauce.
- All-purpose flour: Thickens the sauce to just the right consistency.
- Beef broth: Adds savory depth and moistness to the sauce.
- Heavy cream: Gives the sauce its luxuriously creamy texture.
- Worcestershire sauce: Offers a tangy umami punch to the sauce.
- Grated Parmesan cheese: Melts into the sauce for nutty flavor and a lovely salty finish.
- Rotini pasta: The perfect shape to hold onto the creamy sauce and pockets of all that meaty goodness.
- Fresh parsley: Adds a bright, fresh contrast and a pop of color for garnish.
How to Make Swedish Meatball Pasta Bake Recipe
Step 1: Prepare and Bake the Meatballs
Start by preheating your oven to 400°F and lining a baking sheet with parchment paper. In a large bowl, mix together the ground beef, breadcrumbs, egg, grated onion, garlic, nutmeg, allspice, salt, and pepper until everything is well combined. Shape the mixture into 1-inch meatballs and arrange them evenly on the baking sheet. Bake for about 18 to 20 minutes until they turn golden brown and are cooked through. This method keeps your meatballs juicy and flavorful while reducing any mess from pan-frying.
Step 2: Cook the Pasta
While the meatballs are baking, bring a pot of salted water to a boil and cook the rotini pasta until it’s just al dente. You want it to still have a little bite since it will finish cooking in the oven with the sauce. After draining, set the pasta aside so it’s ready to be combined with the rest of the components.
Step 3: Make the Creamy Sauce
In a large skillet over medium heat, melt the butter and whisk in the flour, cooking for about a minute to form a roux that will thicken your sauce. Slowly add the beef broth while whisking constantly to avoid lumps. Stir in the heavy cream and Worcestershire sauce, letting the mixture simmer until it thickens nicely, about 5 minutes. Finally, stir in the Parmesan cheese and season with extra salt and pepper if needed. This sauce is where the creamy, savory heart of the dish shines.
Step 4: Combine and Bake
In a greased 9×13-inch baking dish, combine the cooked pasta, meatballs, and creamy sauce. Toss gently to coat everything evenly with that luscious sauce. If you like, sprinkle a little extra Parmesan on top for a golden crust once baked. Bake at 375°F for 20 minutes, until the casserole is bubbly and irresistibly fragrant. Finish with a sprinkle of fresh parsley right before serving to brighten all those rich flavors.
How to Serve Swedish Meatball Pasta Bake Recipe
Garnishes
Simple garnishes can take your Swedish Meatball Pasta Bake Recipe from good to unforgettable. A sprinkle of freshly chopped parsley adds a fresh herbal note and enhances the visual appeal with a dash of green. If you love a little extra cheesiness, a dusting of extra grated Parmesan right before serving is a fantastic touch.
Side Dishes
This dish carries a lot of comforting heft on its own, but a crisp green salad with a tangy vinaigrette or steamed green vegetables like broccoli or green beans create a nice fresh counterbalance. Garlic bread or a crusty baguette also work wonderfully to sop up every bit of the creamy sauce.
Creative Ways to Present
For a stunning presentation, consider serving the bake in individual ramekins or small cast-iron skillets straight from the oven. This makes each portion feel more special, perfect for entertaining or a cozy dinner for two. Adding a sprinkle of toasted breadcrumbs on top before baking gives a delightful crunchy layer that contrasts beautifully with the creamy sauce.
Make Ahead and Storage
Storing Leftovers
Once cooled, store leftovers in an airtight container in the fridge for up to 3 days. Reheating the pasta bake gently helps maintain the creamy texture and moist meatballs, so avoid microwaving on high for too long.
Freezing
This Swedish Meatball Pasta Bake Recipe freezes remarkably well. Portion it into freezer-safe containers and freeze for up to 2 months. Thaw overnight in the fridge before reheating, or reheat from frozen at a lower oven temperature to prevent drying out.
Reheating
To reheat, bake leftovers covered with aluminum foil at 350°F until warmed through, about 20 minutes. You can also microwave portions covered with a damp paper towel for a few minutes, stirring halfway for even heating. Adding a splash of cream or broth before reheating helps revive the sauce’s creaminess perfectly.
FAQs
Can I make this recipe with different meat?
Absolutely! While ground beef is traditional here, ground pork, turkey, or a mix of beef and pork work beautifully. Just adjust the seasoning slightly to balance the flavors.
Is there a vegetarian alternative to this Swedish Meatball Pasta Bake Recipe?
You can swap the meatballs for plant-based meatballs or hearty mushrooms sautéed with the same spices. Use vegetable broth instead of beef broth for the sauce to keep it vegetarian-friendly.
Can I use a different type of pasta?
Yes! While rotini is ideal for catching the sauce, other short pasta shapes like penne, fusilli, or rigatoni will also work wonderfully.
What can I substitute for heavy cream?
If you want a lighter sauce, half-and-half or whole milk can be used, but keep in mind the sauce might not be as rich or thick. For a dairy-free alternative, canned coconut milk can provide creaminess with a subtle twist.
Is it possible to prepare parts of this recipe ahead of time?
Definitely. You can bake the meatballs and prepare the sauce a day ahead and refrigerate them separately. Assemble the bake right before cooking for the best freshness and texture.
Final Thoughts
This Swedish Meatball Pasta Bake Recipe is truly a gem—comforting, creamy, and perfectly spiced with minimal fuss. Its harmonious flavors and ease of preparation make it a brilliant choice for any occasion, whether a family dinner or a cozy meal on your own. Give it a try, and I promise it will quickly become one of your most cherished recipes to revisit again and again.
Print
Swedish Meatball Pasta Bake Recipe
- Prep Time: 20 minutes
- Cook Time: 40 minutes
- Total Time: 1 hour
- Yield: 6 servings
- Category: Main Course
- Method: Baking
- Cuisine: Swedish
Description
This Swedish Meatball Pasta Bake is a comforting and flavorful casserole combining tender homemade Swedish meatballs, creamy Parmesan sauce, and perfectly cooked rotini pasta. Baked to bubbly perfection, it offers a satisfying one-dish meal ideal for family dinners.
Ingredients
Meatballs
- 1 pound ground beef
- 1/2 cup breadcrumbs
- 1 large egg
- 1/4 cup grated onion
- 2 cloves garlic, minced
- 1/4 teaspoon ground nutmeg
- 1/4 teaspoon allspice
- 1 teaspoon salt
- 1/2 teaspoon black pepper
Sauce
- 2 tablespoons butter
- 2 tablespoons all-purpose flour
- 2 cups beef broth
- 1 cup heavy cream
- 1 tablespoon Worcestershire sauce
- 3/4 cup grated Parmesan cheese
Other
- 12 ounces rotini pasta
- 2 tablespoons chopped fresh parsley
- Extra Parmesan cheese for topping (optional)
Instructions
- Preheat Oven: Preheat your oven to 400°F and line a baking sheet with parchment paper to prepare for baking the meatballs.
- Make Meatball Mixture: In a large bowl, combine ground beef, breadcrumbs, egg, grated onion, minced garlic, nutmeg, allspice, salt, and black pepper. Mix thoroughly until all ingredients are well incorporated.
- Form Meatballs: Shape the mixture into 1-inch meatballs and place them evenly spaced on the prepared baking sheet.
- Bake Meatballs: Bake the meatballs in the preheated oven for 18–20 minutes until they are browned and cooked through.
- Cook Pasta: While the meatballs bake, cook the rotini pasta in salted boiling water until just al dente. Drain well and set aside.
- Make Sauce Base: In a large skillet over medium heat, melt the butter. Whisk in the flour and cook for about 1 minute to create a roux, which will thicken the sauce.
- Add Liquids: Gradually whisk in the beef broth to prevent lumps, then stir in the heavy cream and Worcestershire sauce. Let the sauce simmer for about 5 minutes until it thickens.
- Add Cheese: Stir the grated Parmesan cheese into the sauce and season with additional salt and pepper to taste, ensuring a rich and flavorful sauce.
- Combine Ingredients: In a greased 9×13-inch baking dish, combine the cooked pasta, baked meatballs, and the creamy sauce. Toss gently to coat everything evenly.
- Bake Dish: Optionally top the dish with extra Parmesan cheese and bake at 375°F for 20 minutes until the casserole is bubbly and heated through.
- Garnish and Serve: Remove from the oven and garnish with freshly chopped parsley before serving to add color and freshness.
Notes
- You can substitute ground beef with ground turkey or chicken for a lighter version.
- For a gluten-free version, use gluten-free breadcrumbs and pasta.
- Leftover casserole can be refrigerated for up to 3 days or frozen for longer storage.
- Adjust seasoning in the sauce as per your taste preferences, especially salt and pepper.
- Adding a pinch of cayenne pepper to the meatball mix can add a subtle spicy kick.

