Creamy Italian Meatball Soup

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A bowl of creamy Italian meatball soup topped with fresh herbs and grated cheese, featuring tender meatballs in a rich, flavorful broth with vegetables.

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Creamy Italian Meatball Soup is a comforting bowl filled with tender meatballs, tender pasta, and a creamy broth that feels like a warm hug on a chilly day. You get the perfect mix of hearty meat, fresh herbs, and a smooth, rich soup that’s both filling and full of flavor.

I love making this soup because it’s so easy to customize. You can add your favorite veggies or switch up the pasta to whatever you have on hand. The meatballs come out super juicy and full of seasoning, which makes each bite really satisfying. I find that a little sprinkle of Parmesan on top takes it to the next level!

My favorite way to enjoy this soup is with a big slice of crusty bread for dipping. It’s the kind of meal that brings everyone together around the table, sharing stories and laughter while staying cozy. Whenever I make this, it feels like a little bit of Italy right at home—a simple, comforting dish that everyone loves.

Key Ingredients & Substitutions

Ground Meat: Ground beef or a mix of beef and pork works best for juicy meatballs. If you want a lighter option, ground turkey or chicken can be used, but add a bit of oil for moisture.

Breadcrumbs: These help keep meatballs tender. You can swap them for crushed crackers or oats if that’s what you have at home. Gluten-free breadcrumbs work well too.

Parmesan Cheese: Adds a nice depth of flavor. Pecorino Romano or Asiago are good substitutes. If avoiding dairy, nutritional yeast can offer a similar cheesy taste.

Heavy Cream: This makes the soup rich and creamy. For a lighter version, use half-and-half or a mixture of milk and cream cheese.

Small Pasta: Little pasta shapes like ditalini or small shells hold up well. You can use orzo, acini di pepe, or even mini macaroni. For gluten-free, try rice pasta or omit pasta for a low-carb option.

How Can I Get Tender, Flavorful Meatballs Every Time?

Mix meatball ingredients gently to avoid dense meatballs. Overworking the mix makes them tough. Form them evenly, about 1 inch, for consistent cooking.

  • Brown meatballs in hot oil, turning carefully to develop a crisp outside without burning.
  • Don’t cook them fully at this stage—they’ll finish cooking in the soup, soaking up flavor and staying juicy.
  • Simmer gently in broth to keep meatballs tender and moist.

Equipment You’ll Need

  • Large mixing bowl – I like it because it gives you plenty of space to combine all the meatball ingredients without spills.
  • Baking sheet or plate – for setting the meatballs before browning. Keeps them in shape and hands clean.
  • Large pot or Dutch oven – essential for simmering the soup and cooking everything together in one pan.
  • Skillet or frying pan – for browning the meatballs so they get a nice crust and flavor.
  • Stirring spoon or spatula – helps you mix, stir, and turn the meatballs smoothly without breaking them.
  • Measuring cups and spoons – for accuracy, especially with seasonings and liquids.

Flavor Variations & Add-Ins

  • Use ground turkey or chicken instead of beef for a leaner, lighter soup.
  • Add chopped bell peppers or zucchini to the soup for more veggies and crunch.
  • Mix in mozzarella or shredded provolone cheese into the meatballs for extra gooeyness.
  • Stir in fresh basil or oregano for a different herb twist — perfect for a more Mediterranean flavor.

Creamy Italian Meatball Soup

Ingredients You’ll Need:

For the Meatballs:

  • 1 lb (450g) ground beef (or a mix of beef and pork)
  • 1/4 cup breadcrumbs
  • 1/4 cup grated Parmesan cheese
  • 1 large egg
  • 2 cloves garlic, minced
  • 2 tbsp fresh parsley, chopped
  • 1 tsp Italian seasoning
  • Salt and pepper, to taste

For the Soup:

  • 2 tbsp olive oil
  • 1 small onion, finely chopped
  • 2 cloves garlic, minced
  • 4 cups (1 liter) chicken broth
  • 1 cup (240 ml) heavy cream
  • 1/2 cup (120 ml) canned diced tomatoes, drained
  • 1 cup small pasta (such as ditalini or small shells)
  • 2 cups fresh spinach, roughly chopped
  • 1 tsp crushed red pepper flakes (optional, for a little heat)
  • Salt and freshly ground black pepper, to taste
  • Fresh parsley, chopped, for garnish
  • Grated Parmesan cheese, for serving

How Much Time Will You Need?

This recipe takes about 20 minutes to prepare and cook the meatballs and soup base, plus another 10-15 minutes to simmer and cook the pasta. Overall, expect to spend around 35 minutes from start to finish for a warm and creamy meal.

Step-by-Step Instructions:

1. Prepare the Meatballs:

In a large bowl, gently mix the ground beef, breadcrumbs, Parmesan cheese, egg, minced garlic, chopped parsley, Italian seasoning, salt, and pepper. Shape the mixture into small meatballs, about 1 inch in diameter. Try not to overmix to keep the meatballs tender.

2. Brown the Meatballs:

Heat olive oil in a large pot or Dutch oven over medium heat. Add the meatballs in batches, browning them on all sides until golden. They don’t need to be fully cooked now, just nicely seared. Remove the meatballs from the pot and set aside.

3. Make the Soup Base:

In the same pot, add chopped onion and garlic. Cook for about 3 to 4 minutes until they become translucent and fragrant. Pour in the chicken broth, drained diced tomatoes, and red pepper flakes if you like a little heat. Bring the soup to a gentle simmer.

4. Combine Meatballs and Simmer:

Return the browned meatballs to the pot. Reduce the heat to low and let everything simmer for about 10 minutes, or until the meatballs are cooked through.

5. Cook Pasta and Add Spinach & Cream:

Stir in the small pasta and cook according to the package directions (usually 7–8 minutes), until tender but still firm. Add the chopped spinach and heavy cream, stirring gently until the spinach wilts and the soup is heated through, about 2-3 minutes. Taste and adjust salt and pepper to your liking.

6. Serve and Garnish:

Ladle the soup into bowls and sprinkle with fresh parsley and plenty of grated Parmesan cheese. For an extra touch, serve with crusty bread to soak up all the creamy goodness.

Can I Use Frozen Meatballs Instead of Making Fresh?

Yes, you can! Just thaw frozen meatballs completely before adding them to the soup. Simmer them gently in the broth until heated through, which usually takes about 10 minutes.

What Can I Substitute for Heavy Cream?

If you want a lighter version, use half-and-half or whole milk mixed with a tablespoon of flour or cornstarch to thicken. For a dairy-free option, coconut cream works well and adds a subtle richness.

Can I Make This Soup Ahead of Time?

Absolutely! Prepare the meatballs and soup, then refrigerate for up to 3 days. Reheat gently on the stove, adding a splash of broth or cream if the soup gets too thick.

How Should I Store Leftovers?

Keep leftovers in an airtight container in the fridge for 3-4 days. When reheating, warm slowly on the stove or in the microwave, stirring often to prevent curdling.

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