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Swedish Meatball Casserole is a classic comfort meal! Tender meatballs are layered over perfectly cooked pasta and baked in a rich, creamy gravy. It’s easy enough for weeknights but impressive enough for entertaining!

A Reader’s Review
So easy and delicious!!? I have always loved a good Swedish Meatball recipe and this one is wonderful and so easy to make with the frozen meatballs. This recipe is a keeper!
Reasons You’ll Love This Recipe
- Super flavorful: You will love the warm, cozy flavors of the allspice and nutmeg. They perfectly balance the bold flavors.
- Simple to Make: This meatball casserole recipe is a breeze! Use frozen meatballs and simply boil the pasta, mix the sauce, and you’re all set!
- Kid-Friendly: The combination of simple ingredients like meatballs and noodles in a creamy sauce will make this one of your kids’ favorite meals.
Swedish Meatball Casserole Ingredients

- Meatballs: This recipe calls for frozen meatballs, which can be so convenient, like in my slow cooker Swedish Meatballs. But if you have time, try these homemade Swedish meatballs or turkey meatballs.
- Switch Out the Noodles: You could pair these meatballs with rice or zucchini noodles.
- Add Fresh Herbs: Garnish your Swedish meatball casserole with fresh parsley for extra flavor and a perfect presentation!
How to Make a Swedish Meatball Pasta Bake
You’re going to want to make this easy Swedish meatball casserole again and again. It only requires a handful of simple ingredients. If you’re looking for another simple recipe, try my potsticker casserole next!
- Cook Noodles: Preheat the oven to 375°F, then spray a 9×13-inch baking dish with nonstick spray. Cook and drain the pasta al dente according to the package directions, then place it in the prepared baking dish. Place the frozen meatballs on top of the noodles.
- Start the Sauce: Melt the butter in a medium skillet over medium-high heat. Then add the flour and whisk to create a paste.
- Add To & Thicken Sauce: Slowly stir in beef broth and heavy cream. Stir in the Worcestershire sauce, Dijon mustard, allspice, and nutmeg. Season with salt and pepper to taste. Bring to a simmer until the sauce starts to thicken.
- Pour & Bake: Pour the sauce over the meatballs and noodles. Place in the oven and bake for 25 minutes or until the meatballs are warmed through. Garnish the Swedish meatball casserole with parsley and enjoy!




Switch It Up
If you love Swedish meatballs as much as I do, try some of my other recipes, like my Swedish Meatball Pasta or Swedish Meatball Soup.

All Things Swedish Meatballs
I know how much you love my Swedish meatballs! I’ve rounded up every version, from quick and easy to homemade favorites! You can find them all in one place!
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Swedish Meatball Casserole
Ingredients
- 10 ounces rotini pasta, cooked and drained
- 26 ounces frozen meatballs, precooked
- 4 tablespoons butter
- 3 tablespoons flour
- 2 cups beef broth
- 1 cup heavy cream
- 1 tablespoon Worcestershire sauce
- 1 teaspoon Dijon mustard
- ⅛ teaspoon allspice
- ⅛ teaspoon nutmeg
- ¼ teaspoon salt or to taste
- pepper to taste
Instructions
- Preheat the oven to 375 degrees Fahrenheit. Spray a 9×13-inch baking dish with nonstick spray.
- Cook and drain 10 ounces rotini pasta, Al Dente, according to the package directions, then place in the bottom of the prepared baking dish.
- Place 26 ounces frozen meatballs, on top of the noodles.
- For the sauce, melt 4 tablespoons butter in a medium skillet over medium-high heat. Add 3 tablespoons flour and whisk to create a paste.
- Slowly stir in 2 cups beef broth and 1 cup heavy cream.
- Stir in 1 tablespoon Worcestershire sauce, 1 teaspoon Dijon mustard, ⅛ teaspoon allspice, and ⅛ teaspoon nutmeg. Season with ¼ teaspoon salt and pepper to taste. Bring to a simmer until the sauce starts to thicken.
- Pour the sauce over the meatballs and noodles.
- Bake for 25 minutes or until the meatballs are warmed through.
- Garnish the casserole with parsley, and enjoy!
Video
Notes
Storing & Reheating Instructions
- Refrigerate: Store leftovers in an airtight container for 3–4 days.
- Freeze: Freeze unbaked casserole, tightly covered, for up to 2 months. Thaw overnight in the fridge, then bake as directed. Perfect for easy meal prep or busy nights.
- Reheat: Microwave until warmed through, or bake in a covered oven-safe dish at 350°F for 20 minutes.
Nutrition
Nutrition information is automatically calculated, so should only be used as an approximation.
Storing and Reheating Leftover Swedish Meatball Casserole
This casserole makes great leftovers. You can whip up a batch at the beginning of the week, which will give you quick, reheatable lunches or dinners on busy nights. Here are instructions on how to make your meal last!
- In the Refrigerator: Leftovers will last in the fridge for about 3 to 4 days. To keep it fresh, store it in an airtight container.
- To Reheat: Reheat leftovers in the microwave until warmed through. When reheating in the oven, place in an oven-safe dish. Cover with aluminum foil and bake for about 20 minutes at 350 degrees Fahrenheit.
- In the Freezer: When covered, your unbaked casserole can be stored in the freezer for up to one or two months. When you’re ready to enjoy it, simply thaw it overnight in the fridge, then bake as directed. It’s that simple! This Swedish meatball casserole is perfect for meal prepping or having on hand for those hectic nights when you need a quick and delicious meal.

More Delicious Casserole Recipes
Casseroles are the best comfort food! Not only are they simple to make, but they taste so good! Check out our complete list of casserole recipes, and here are some of our favorites that I know you’ll love!


















Very easy and really a good meal!
My wife and sister in law loved it.
I used the Earth Best mini meatballs and they were a hit! Also traditional German egg noodles as my mom always served them with Swedish Meatballs when I was growing up.
I think next time I may try a little less heavy cream and adding some sour cream.
I also added a teaspoon of Better then Bullion beef and it gave it some more flavor.
If I could give this recipe 10 stars as the rating, I would!
My older son (highly functional autistic), who is extremely particular about food, loved the dish. He even packed it for work lunch for the next day. This was the first time he agreed to pack dinner for the next day’s work lunch. And my husband, who’s working on getting his swallowing function back after extended radiation therapy to his throat, had more than the usual amount of food.
I was ecstatic that the dish was so well received by my family. It is a super winner!
I love hearing this! Thank you so much for sharing! This absolutely made my whole week!
I made the Swedish meatball casserole and it was a hit with my husband. I didn’t use frozen meatballs I made my own using your recipe in the Swedish meatballs recipe. My sister-in-law made the best Swedish meatball recipe and it was a hit with her family.
So easy and delicious!!? I have always loved a good Swedish Meatball recipe and this one is wonderful and so easy to make with the frozen meatballs. This recipe is a keeper!
The calorie count is that per serving ?? And what is a serving??
Hi Linda, thank you for your comment. This casserole makes 6 servings so 1/6th of the casserole is a serving. I hope this helps!
SUPER MEAL!
I made this last night, and it was a hit. I 1.5X the recipe and used half n half instead of the heavy cream. It still was delicious and so easy to make. One thing that really helped make it super yummy, I used the Pennsylvania Dutch Hearty Style Noodles (thicker than traditional noodles). I was a little afraid it would be a little too soupy, but the thick noodles really absorbed the tasty sauce. Thank you, Alyssa!
I recently made this casserole at the assisted living facility where I work. Our elderly residents loved it!! Thank you for this recipe! It’s hard to find something that 12 people can all agree on.
Very tasty. Next time, I’ll Double the gravy!
This looks so yummy; however, one family member can’t have milk. Is there something I could use in place of the cream/milk?
Hi Susan, thank you for your question. You could probably use any milk replacement but it won’t be as creamy. Unsweetened coconut cream would also work but it might lend a coconut flavor, but it would be creamier! Let me know what you use and how it turns out!
Country Crock makes a “plant cream.” It’s a dairy-free heavy cream that can be used in recipes to replace heavy cream. Highly recommend.
Can you use frozen Italian meatballs?
Hi Mary Jane, yes you can use frozen Italian meatballs, they will work great!
Are you kidding, did you read the instructions, ( 26 ounces frozen meatballs, precooked ) so why not use Italian , you must be joking about your question. Guess some people just don’t understand cooking with imagination