Zuppa Toscana Keto Meatball Soup with Sausage and Kale

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Zuppa Toscana Keto Meatball Soup with Sausage and Kale

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Nutritional information

Net Carbs
  • 1 hour
  • Serves 0
  • Easy




This hearty, savory, and a little spicy keto meatball soup, made with sausage embraces the power of antioxidant-rich superfood kale while spicing it up with some freshly made, spiced pork meatballs. Don’t worry if you’re pressed for time, you can always substitute the meatballs for some loose Italian sausage. Just be sure to check for fillers that include extra carbs.

This soup recipe comes from the cookbook I authored with Rachel Gregory, a board-certified Nutrition Specialist, Athletic Trainer and Strength and Conditioning Coach. It’s called the 21-Day Ketogenic Diet Weight Loss Challenge: Recipes and Workouts for a Slimmer, Healthier You

Looking for another great soup recipe? Try my Savory Low-Carb Pumpkin Soup Recipe w/ Curry & Coconut.

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In a large bowl, stir together the pork, salt, sage, thyme, and allspice until well combined. Form the mixture into ½-inch balls.


In a large stockpot, combine the bone broth, onion, Italian seasoning, lemon juice, rosemary, garlic, and bay leaves. Bring to a boil over medium-high heat. Reduce the heat to medium-low and let simmer, uncovered, for about 30 minutes.


Strain the solids from the broth, and return the broth to the stockpot.


Add the Parmesan and cream and cook, stirring, over low heat for about 5 minutes. Add the kale, wine, and meatballs. Cook for another 10 minutes or until the kale is tender. Taste and season with salt and pepper.


To serve, divide the soup among eight serving bowls and garnish with red pepper flakes. Store leftovers in airtight containers in the refrigerator for up to 4 days or in the freezer for up to 3 months.

Amanda C. Hughes

Amanda C. Hughes has been developing ketogenic and paleo recipes for over a decade. She has developed recipes for top nutrition coaches and subscription meal boxes. She's the author of the best-selling Wicked Good Ketogenic Diet Cookbook, Keto Life, Keto All the Way, and developed recipes for the 21-Day Ketogenic Diet Weight-Loss Challenge. Disclaimer: Please enjoy the recipes and personal anecdotes on WickedStuffed, but please understand this is a recipe blog. I do my best to provide nutritional information based on the tools available to me, but you should seek proper nutritional advice from a dietician. Additionally, many of the links on my blog are affiliate links, which helps to pay down the cost of keeping this blog up and running.

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3 Comments Hide Comments

This soup is awesome. Flavor is amazing. A couple of things- though I figured out from the photos when to add the onions, it should be listed in the steps. Second, the liquid in the finished soup is quite runny. And third, the kale and Parmesan in our soup stuck together into tasty but awkward masses.

Overall, though, the flavor was so good I will make it again!

Thanks! I updated the recipe to include the onions – whoops! The broth is definitely accurate, it is meant to be thin like a chicken broth vs. thick like a chowder. It’s a preference for me, I like it really brothy, but I think you could thicken it up with some arrowroot powder or xanthan gum.

This soup is amazing! Hearty and filling…I changed nothing about the recipe and have already passed it on to a handful of friends!! Keep up the good work!

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