Gluten-free almond flour is the trick to keeping these bison meatballs tender and juicy. This riff on spaghetti and meatballs gets a healthy makeover with simple ingredient swaps. With familiar flavors, it’s great for cooks looking to try bison or buffalo for the first time.
Time-saver
If you’re rushed for time, these bison meatballs can also be served using your favorite no-sugar-added jarred marinara sauce.
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This recipe originally appeared on alive.com as “Italian Sheet-Pan Bison Meatballs with Spaghetti.”
Italian Sheet-Pan Bison Meatballs with Spaghetti

Ingredients
Meatballs
- 1/2 cup almond flour
- 1/2 cup buffalo milk
- 1 large organic egg
- 2 tsp sea salt
- 2 lbs lean ground bison or buffalo
- 1 clove garlic peeled and minced
- 1 tsp finely chopped fresh rosemary
- 1 tsp dried oregano
- 1/2 tsp dried basil
- 1/2 tsp ground black pepper
- 1/8 tsp ground nutmeg
- olive oil for baking sheet
Sauce
- 2 Tbsp extra-virgin olive oil
- 2 cloves garlic peeled and minced
- 24 oz jar tomato passata
- 28 oz can diced tomatoes
- 1/4 tsp sea salt
Serving
- 1 lb sliced whole grain or gluten-free bread
Instructions
- Preheat oven to 450 F.
- Bring large pot of water to boil for pasta.
- In large bowl, mix almond flour, milk, egg, and salt until combined. Mix in bison followed by remaining meatball ingredients. Make sure mixture is uniformly combined.
- Drizzle olive oil on large baking sheet and spread to coat. Hand-roll meatball mixture into 2 to 3 Tbsp-sized balls and line up evenly on baking sheet, making sure meatballs aren’t touching. Bake in preheated oven for 10 minutes, flip, and bake for 7 to 10 minutes longer, until browned and cooked through.
- Meanwhile, make sauce and cook pasta. In large Dutch oven, heat olive oil over medium heat and add garlic, sautéing for a few seconds, until sizzling, being careful not to burn it. Quickly add tomato passata, diced tomatoes, and salt, and bring to a boil. Reduce to a simmer, partially cover, and cook for 20 to 30 minutes. Cook pasta according to package directions and drain.
- Add meatballs into sauce and warm through. Toss some of the tomato sauce with cooked pasta and add to bowls. Top with a few meatballs and more sauce. Serve immediately.