Creamy Swedish Meatball Bake

Featured in Perfect Pasta Dishes.

This creamy Swedish meatball noodle bake is the perfect blend of tender homemade meatballs, egg noodles, and rich, cheesy sauce. Juicy meatballs are effortlessly browned, then combined with egg noodles and a creamy, savory sauce crafted with beef broth, heavy cream, and Worcestershire. Once layered in a baking dish and topped with Swiss cheese, the dish is baked until golden and bubbly, delivering ultimate comfort with every bite. A sprinkle of chopped parsley adds a fresh note, rounding out this cozy, satisfying meal for the whole family. Serves six and is best served warm from the oven.

A woman in a white chef's outfit with a chef's hat and apron.
Updated on Thu, 20 Mar 2025 02:18:25 GMT
A pan of meatballs and noodles. Pin it
A pan of meatballs and noodles. | cuisinegenial.com

This Swedish meatball noodle bake transforms classic comfort food into a hearty casserole that's perfect for feeding a hungry family. The tender meatballs nestle among creamy egg noodles, all smothered in a rich sauce that captures the essence of traditional Swedish flavors.

I first made this during a particularly hectic holiday season when I needed something comforting yet impressive for unexpected guests. The combination of familiar flavors with the twist of baking it all together earned such rave reviews that it's now my go-to dish whenever comfort food is called for.

  • Ground beef: forms the foundation of authentic Swedish meatballs providing rich flavor and satisfying texture
  • Breadcrumbs and egg: work as binders keeping the meatballs tender while helping them hold their shape
  • Grated onion: adds moisture and flavor without overwhelming chunks
  • Nutmeg: is the secret signature spice that gives Swedish meatballs their distinctive warm flavor
  • Heavy cream: creates the luscious sauce that sets Swedish meatballs apart from other varieties
  • Egg noodles: are the perfect choice for catching and carrying the creamy sauce in every bite
  • Swiss cheese: adds a nutty complexity that complements the cream sauce beautifully

Step-by-Step Instructions

Prepare the meatballs:
Combine ground beef, breadcrumbs, beaten egg, grated onion, nutmeg, garlic powder, salt, and pepper in a large bowl. Mix gently with your hands until just combined avoid overmixing which can make meatballs tough. Use a tablespoon measure to portion out uniform 1 1/2 tablespoon amounts and roll between your palms to form neat balls.
Brown the meatballs:
Heat olive oil in a large skillet until shimmering but not smoking. Add meatballs in a single layer without overcrowding the pan you may need to work in batches. Brown on all sides for about 2 minutes per side. They should develop a deep brown crust but remain slightly underdone inside as they'll finish cooking in the oven.
Create the signature sauce:
Using the same skillet with all those flavorful browned bits, add beef broth, heavy cream, and Worcestershire sauce. Scrape the bottom of the pan vigorously with a wooden spoon to incorporate all the caramelized meat flavors into your sauce. Allow the mixture to simmer gently for 10 minutes, stirring occasionally until it thickens slightly but remains pourable.
Assemble and bake:
Spread partially cooked egg noodles across the bottom of your prepared baking dish creating an even layer. Nestle the browned meatballs throughout the noodles spacing them evenly. Pour the thickened sauce over everything ensuring all noodles are covered to prevent drying out. Sprinkle Swiss cheese evenly across the top covering both noodles and meatballs.

Nutmeg is absolutely essential in this recipe. The first time I made these meatballs without it, my Swedish neighbor politely suggested something was "missing." That tiny quarter teaspoon makes all the difference, transforming ordinary meatballs into something authentically Swedish with its warm, slightly sweet aroma that perfectly balances the richness of the cream sauce.

Make-Ahead Options

This casserole is perfect for preparing in advance. You can assemble the entire dish up to the point of baking, cover tightly with foil, and refrigerate for up to 24 hours. When ready to serve, simply allow the dish to sit at room temperature for 30 minutes before baking, and add an extra 10-15 minutes to the baking time since you're starting with cold ingredients.

Perfect Pairings

The creamy richness of this dish pairs beautifully with something bright and acidic. Consider serving alongside a simple green salad dressed with vinaigrette or traditional lingonberry jam for an authentic Swedish experience. The sweet-tart flavor of lingonberries cuts through the richness of the cream sauce, creating a perfect balance with each bite.

Cultural Context

Swedish meatballs or "köttbullar" have been a staple in Swedish cuisine since the 1800s. Traditionally served with lingonberry jam and pickled cucumbers, they became internationally famous through IKEA's food courts. This casserole version maintains the authentic flavors while adapting them to a more convenient format perfect for American family dinners.

Frequently Asked Questions

→ How do I make tender meatballs for the bake?

The key to tender meatballs is using breadcrumbs, a beaten egg, and grated onion to keep the mixture moist. Avoid overmixing the ingredients to maintain a soft texture.

→ Can I use a different type of pasta?

Yes, you can substitute egg noodles with other pasta like penne or rotini. Just cook them slightly less than al dente as they will continue cooking in the oven.

→ What can I substitute for Swiss cheese?

If you don't have Swiss cheese, grated Gruyère, mozzarella, or even a mild cheddar can work well while maintaining the dish's creaminess.

→ Can I prepare this dish in advance?

Absolutely! Assemble the dish entirely, cover, and refrigerate for up to a day. When ready to bake, allow it to come to room temperature and then bake as directed.

→ How do I reheat leftovers?

To reheat, cover the dish with foil and warm in a 350°F oven until heated through, or use a microwave for individual servings.

Swedish Meatball Noodle Casserole

Creamy baked noodles with tender meatballs and melted cheese. A cozy and delicious family meal.

Prep Time
20 Minutes
Cook Time
40 Minutes
Total Time
60 Minutes
By: Ferdaous

Category: Pasta

Difficulty: Intermediate

Cuisine: Swedish

Yield: 6 Servings

Dietary: ~

Ingredients

→ Meatballs

01 1 lb ground beef
02 1/2 cup breadcrumbs
03 1 large egg, beaten
04 1/2 onion, grated
05 1/4 teaspoon ground nutmeg
06 1/2 teaspoon garlic powder
07 1 teaspoon Kosher salt
08 1/2 teaspoon freshly ground black pepper
09 2 tablespoons olive oil

→ Casserole

10 1 cup beef broth
11 1 pint heavy cream
12 1 tablespoon Worcestershire sauce
13 2 1/2 cups egg noodles
14 1 1/2 cups Swiss cheese, grated
15 Kosher salt, to taste
16 Freshly ground black pepper, to taste
17 Fresh parsley, chopped, for serving

Instructions

Step 01

Preheat oven to 375°F and grease a 9x13-inch baking dish with nonstick spray. Set aside.

Step 02

In a large bowl, mix together the ground beef, breadcrumbs, egg, onion, nutmeg, garlic powder, Kosher salt, and black pepper. Scoop 1 1/2 tablespoons of the mixture and roll into balls.

Step 03

Heat olive oil in a large skillet over medium-high heat. Add the meatballs and brown on all sides. Transfer meatballs to a plate and set aside.

Step 04

Bring a large pot of salted water to a boil. Cook egg noodles for 2 minutes less than the package instructions. Drain and set aside.

Step 05

In the same skillet used for the meatballs, add beef broth, heavy cream, and Worcestershire sauce. Scrape up any browned bits from the bottom of the pan. Simmer for about 10 minutes until slightly thickened. Season with salt and pepper to taste.

Step 06

Arrange the cooked noodles in the prepared baking dish. Nestle the cooked meatballs into the noodles. Pour the sauce evenly over the top and sprinkle with grated Swiss cheese.

Step 07

Bake in the oven until the cheese is melted and bubbly, about 20 minutes. Let rest for 5 minutes before serving. Garnish with chopped parsley before serving.

Tools You'll Need

  • 9x13-inch baking dish
  • Large skillet
  • Large pot
  • Mixing bowl

Allergy Information

Please check ingredients for potential allergens and consult a health professional if in doubt.
  • Contains dairy
  • Contains gluten
  • Contains egg

Nutrition Facts (Per Serving)

It is important to consider this information as approximate and not to use it as definitive health advice.
  • Calories: 480
  • Total Fat: 30 g
  • Total Carbohydrate: 34 g
  • Protein: 18 g