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Sausage Meatball Casserole

Sausage Meatball Casserole

I can’t count how many people have asked me what a sausage ball is. When I tell someone that I am bringing sausage balls to a get-together, I have to explain that they are simply meatballs made with sausage meat rather than plain ground beef. This recipe is a favorite to take to such gatherings and I often serve it with a caesar salad or a small side of pasta noodles.
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Prep Time 20 mins
Cook Time 50 mins
Servings 4 people



  • 1 pound ground sausage
  • 1 egg
  • cup chopped green onions
  • 2 tbsp almon flour
  • 2 tbsp Bisquick
  • 3 tbsp grated Parmesan cheese


  • 5 oz bag of Italian style croutons
  • 1 package cream cheese (softened)
  • ½ cup mayonnaise
  • 1 tsp Italian seasoning
  • 1 tsp garlic powder
  • ¼ tsp ground red pepper
  • cup parmesan cheese (divided)
  • 1 jar marinara sauce
  • ¼ cup water


  • Preheat the oven to 400°F.
  • Mix one pound of ground sausage, one egg, one-third cup of green onion, two tablespoons each of almond flour, and Bisquick, and three tablespoons of parmesan cheese in a large bowl. Form into one-inch meatballs. Arrange the meatballs on a baking sheet and bake for twenty minutes or until done.
  • Reduce the oven temperature to 350°F.
  • Pour the croutons into the bottom of a casserole dish.
  • In a medium-size bowl, combine one-half cup of cream cheese, one-half cup of mayonnaise, one teaspoon of Italian seasoning, one teaspoon of garlic powder, and one-quarter of a teaspoon of red pepper. Mix until well and spoon the mixture over the top of the croutons.
  • Mix the Mozzarella and Parmesan cheese together and sprinkle half over the cream cheese mixture.
  • Combine one jar of marinara sauce and one-quarter cup of water in a bowl.
  • Add the meatballs to the casserole and pour the sauce over the top.
  • Sprinkle with the remaining cheese.
  • Bake uncovered in the preheated oven for thirty minutes or until the cheese has melted.
  • Let stand for fifteen minutes before serving.
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