Paleo Thai Meatballs with Sate Sauce

C chose what we were having for dinner last night and picked meatballs with zoodles….

Then she went out to play and forgot that she was supposed to be cooking dinner…  so I did it.  What C had failed to specify was what kind of meatballs she wanted.

I didn’t feel like making a tomato sauce and doing Italian style meatballs, I wanted something a little spicier.

So I decided to make Thai style ones.

The meatballs were made using some 100% grass-fed and grass-finished ground beef that we bought from Sunworks Farm at our last trip to Symons Valley Ranch Farmers Market.

This recipe is a stage 4 reintroduction because the meatballs contain tomato paste, and the sate sauce contains chilli peppers in the thai red curry paste.  When reintroducing foods on the AIP, I recommend this guide.

Paleo Thai Meatballs

serves 6


8 button mushrooms

1 small onion

2lb ground beef (100% grass-fed and grass-finished for preference)

1/2 bunch cilantro – chopped

2 tbsp paleo-friendly fish sauce

2 tbsp coconut aminos

2 tbsp tomato paste

sea salt and freshly ground black pepper to taste (you may not need the salt because the soy and fish sauces are both salty)

2 tbsp fat of choice – I used coconut oil.

First of all you line a baking pan with foil because it makes the cleanup much easier.  If you don’t want to use aluminum foil, you don’t have to line it, but you will have to scrub your pan.  I am lazy, so I lined mine.

Preheat your oven to 375F/190C.

While the oven is heating, put the onion and mushrooms in the food processor and pulse until finely chopped.

Mix the onion and mushrooms with the ground beef , cilantro, fish sauce, soy sauce or coconut aminos, tomato paste and season well with salt and pepper.  You may not need the salt – cook a little bit of the mixture and taste it before adding the salt.

Roll into meatballs about 1 1/2 inches across – I made 34 meatballs out of this batch.

By this time the oven should be nice and hot, so slip these babies into the oven and cook for 20-30 minutes until they are cooked through.

These are good hot or cold.


I served these hot, topped with a Paleo version of a Thai Sate sauce and hand cut zoodles.

Paleo Thai Sate Sauce

makes a huge amount!

1 cup coconut milk – either homemade or canned (if using canned, read the ingredients – you want coconut milk that only contains coconut and water)

1 tsp sea salt

3 tsp lime juice

2 tbsp honey or other sweetener

2 cloves garlic – crushed

1 cup smooth almond butter

2 tsp sesame oil

2 tbsp Thai red curry paste

hot sauce to taste

black pepper to taste

I deliberately make a huge amount of this sauce whenever I make it because hubby loves it and will eat it as a snack, dipping hardboiled eggs, veggies or whatever else he can find in it.  This quantity makes double the amount we needed to serve with the meatballs, but that just means there are leftovers to snack on in the fridge.

In a small pan, heat the coconut oil and almond butter together with the curry paste until smooth and thick.  Whisk in the rest of the ingredients and season to taste with black pepper and hot sauce.

Serve at once with the meatballs or stash it in the fridge for snacking.


I served it all with Zoodles (Zucchini Noodles) that I pretty much cooked as in this post.

The general consensus was that it was a delicious meal.


3 thoughts on “Paleo Thai Meatballs with Sate Sauce

  1. I’m giving paleo a try these days, I gave up grains completely (for now) and still have legumes once a week along with homemade yogurt. But the last week I’ve been pretty good at sticking with it and I have some ground beef that needs a recipe and I think I just found it! I think I will use sprouted mung beans as the “noodles”.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s