Meatball Pasta Bake

This is a fusion dish blending Swedish meatballs and Italian pasta into a comforting baked casserole.
This modern twist combines Nordic flavors with Italian style. A comforting fusion of tender meatballs, creamy sauce, and pasta, topped with melted Gruyere.
Ingredients
For the Meatballs:
- 1 large egg
- ¼ cup fine dry breadcrumbs
- ¼ cup chopped yellow onion
- 2 tbsp whole milk
- ½ tsp kosher salt
- ¼ tsp freshly grated nutmeg
- ¼ tsp ground allspice
- ⅛ tsp cayenne pepper
- 1 lb 85% lean ground beef
For Others:
- 1 tbsp olive oil (or neutral oil like avocado)
- 8 oz dried farfalle
- 2½ cups low-sodium beef broth
- 1 cup heavy whipping cream
- 4 tsp Worcestershire sauce
- 1 cup shredded Gruyere cheese
- 1 tbsp fresh dill, chopped
- Lemon wedges
Instructions
Step 1. Prep & Meatball Mixture
- Prep Work: Preheat oven to 375°F (190°C). Lightly grease a 7x11-inch baking dish.
- Bind the Meatballs: In a bowl, whisk the egg until smooth. Stir in breadcrumbs, onion, milk, salt, nutmeg, allspice, and cayenne. Let sit 2 minutes to soften crumbs. Add ground beef and gently mix with hands or a fork until just combine.
- Shape: Roll 1½-tbsp portions into balls (≈24 meatballs).
Tip: Moisten hands with water to prevent sticking.
Step 2. Sear the Meatballs
- Heat oil in a large skillet over medium-high. Sear meatballs in batches, turning occasionally, until golden on all sides (≈8 minutes total).
They’ll finish cooking in the oven. So you don’t need to be hurry.
Then transfer to a plate.
Step 3. Cook Pasta & Layer
- Boil pasta in salted water until al dent. Drain, then spread evenly in the baking dish. Arrange seared meatballs over the pasta.
Step 4. Create the Cream Sauce
- Deglaze: Pour beef broth into the same skillet.
- Reduce & Enrich: Stir in cream and Worcestershire. Simmer 6–8 minutes, stirring often, until slightly thickened.
Step 5. Assemble & Bake
- Sauce It Up: Pour sauce over meatballs and pasta. Cover tightly with foil.
- First Bake: Bake 20 minutes until bubbly.
- Cheese Topping: Uncover, sprinkle Gruyere evenly, and bake 3–5 minutes more until melted and golden.
Step 6. Serve
- Garnish with dill and serve with lemon wedges. Squeeze lemon over portions to balance richness.