Keto Million Dollar Spaghetti Casserole

Keto Million Dollar Spaghetti Casserole is a low-carb, high-fat version of the classic Million Dollar Spaghetti casserole, which is typically made with pasta, ground beef, tomato sauce, cream cheese, sour cream, and plenty of cheese. The keto version replaces the traditional pasta with a keto-friendly alternative, such as zucchini noodles or shirataki noodles, to keep the dish low in carbohydrates and suitable for a ketogenic diet.

Here’s a basic recipe for Keto Million Dollar Spaghetti Casserole:


  • 1 pound ground beef (or ground turkey)
  • 1 small onion, chopped
  • 2 cloves garlic, minced
  • 1 (14 oz) can crushed tomatoes (sugar-free and no added carbs)
  • 1 cup full-fat sour cream
  • 1 cup cream cheese, softened
  • 1 cup shredded mozzarella cheese
  • 1/2 cup grated Parmesan cheese
  • 2 cups cooked keto-friendly noodles (e.g., zucchini noodles, shirataki noodles)
  • Salt and pepper to taste
  • Fresh parsley, chopped (for garnish)

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