Swedish Meatballs Pasta Casserole

SWEDISH MEATBALLS PASTA CASSEROLE
Let me tell you, Swedes came up with some delicious meatballs. It might sounds crazy at first, to combine sweet jam with a savory meatball, but it totally works and it’s really tasty together.
When I was first introduced to Swedish meatballs, I thought it was insane to have jam with a meatball. I did not try it then and I did not try it for years after that.
As I started to get a little more adventurous with food, I decided to give it a shot. Why not, right? What’s the worst that can happen?
After that first bite of a delicious meatball with a touch of Lingonberry jam, I was instantly sorry that I didn’t try it years ago. If I would have just tried it, I could have been enjoying this tasty combination of flavors so much longer.

So if you’re debating how can sweet jam and a savory meatball possibly go together, stop debating and taste a bite!
Better yet, get the ingredients you need and make this Swedish Meatballs Pasta Casserole for dinner. Don’t forget to grab some Lingonberry jam as well.
This pasta casserole is basically a classic Swedish Meatballs and sauce recipe that is baked with rottini pasta. I did take the liberty with adding some Swiss cheese on top because you can’t possibly have a pasta casserole without the cheese.

MORE PASTA RECIPES TO TRY:
BBQ Ranch Chicken Pasta Casserole – Easy pasta casserole loaded with chicken, tomatoes, corn, red onion, and lots of cheese. It’s baked with a simple BBQ ranch sauce.
Creamy Chicken Cordon Bleu Pasta Casserole – Creamy, cheesy casserole made with ham, chicken, lot’s of creamy Monterrey Jack cheese sauce, mozzarella cheese and pasta.
Stuffed Pepper Pasta Casserole – Inspired by the classic stuffed bell peppers dish, this comforting pasta casserole is made with ground beef, bell peppers, pasta, and cheese. Bow tie pasta, beef, and veggies are baked with a gooey cheese of top.
Four Cheese Chicken and Sausage Tortellini Casserole – Tortellini casserole that’s packed chicken and sausage, it had tasty tortellini pasta and mixed with pasta sauce and four kinds of cheese.

Swedish Meatballs Pasta Casserole Recipe
Ingredients
- 1 lb ground beef
- 1 lb ground pork
- 1 egg
- 1 slice of wheat bread
- 1/4 cup milk (some milk will be squeezed out)
- 1/2 cup finely diced yellow onion
- 1/2 tsp ground allspice
- 1/2 tsp ground nutmeg
- salt
- fresh cracked black pepper
Sauce:
- 4 tbsp butter
- 1/3 cup all purpose flour
- 4 cups beef stock warmed
- 1/2 cup heavy whipping cream
- 1/4 cup sour cream
- salt
- fresh cracked black pepper
Casserole:
- 1 lb rottini pasta
- 1.5 cup shredded Swiss cheese
Instructions
- Preheat oven to 350 and lightly grease a 9×13 casserole dish.
- Cook pasta at the same time as meatballs. Drain off water and set pasta aside.
Meatballs:
- Combine ground beef, ground pork, egg, minced onion, spices, salt, and pepper in large mixing bowl.
- Squeeze out most of the milk from the slice of bread, break it up, and add it to the bowl. Mix everything very well.
- Preheat a large cooking pan over medium heat. Add a little oil for cooking meatballs.
- Grease your hands with some cooking spray. Scoop out some meat using a cookie scoop and roll meatballs. (You can make meatballs bigger or smaller according to your own preference. Just remember to adjust cooking time if making bigger or smaller meatballs.) I rolled about 3/4 inch meatballs.
- Roll all the meatballs before adding them to the pan. Once all the meatballs are rolled, add them to the hot pan.
- Cover with a lid and cook until about half way done, then flip. Cook until meatballs are just done. Take meatballs out of the pan and set aside. Save the juices from cooking meatballs in a little sauce dish.
- Use the same pan for sauce.
Sauce:
- Set heat under the cooking pan to medium. Melt butter in the skillet and whisk in flour once it’s melted.
- Add saved meatball meat juice slowly while stirring constantly.
- Slowly add beef stock while whisking constantly. Keep whisking until smooth.
- Add the salt, pepper, heavy cream, and sour cream. Whisk until combined. Bring to simmer still over medium heat. Stir once in a while. Once it simmered, take off heat.
Casserole:
- Spread pasta in the prepared casserole dish.
- Add meatballs throughout pasta and pour sauce all over. Make sure everything is spread evenly throughout the casserole dish.
- Spread shredded Swiss cheese over the top and off to the oven to bake.
- Bake for about 15 minutes.
- Make sure to try the dish with a little bit of Lingonberry jam!
Nutrition
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Disclaimer: Nutrition information shown is not guaranteed to be 100% accurate as most ingredients and brands have variations.
Eu sunt din Romania si te urmaream de foarte mult timp. Imi plac perisoarele, se fac si la noi…..am revenit
Thank you so much for following me all the way from Romania! ❤️ That means so much to me. I love hearing that this recipe reminds you of the perișoare you make at home. I hope you enjoy it, and I’m so happy you’re back! 😊
Looks like a delish recipe for Swedish meatballs. Question…..are you putting “raw” pasta in casserole dish? Thanks
Hi Denise,
No, I didn’t add it raw I cooked it beforehand. I cooked it al dente so the pasta should still have a little resistance when you bite into it.
I haven’t baked it yet! Just got it together for tomorrow’s dinner. It smells delish! Easy to make.
Thanks, Susan!