
Chilly weather calls for a nice big bowl of Italian Wedding Soup! This comforting recipe is made with cauliflower rice for a healthier low carb option. Only 3.7g net carbs per serving!

You know that damp cold that chills you to the bone? The temperature might not even be that low, but the dreary, drizzly cold just moves right through you. That’s the kind of weather that screams for this Keto Italian Wedding Soup!
It’s a rich warm broth full of succulent keto meatballs and sprinkled with plenty of Parmesan cheese. But skip the pasta and pop in some cauliflower rice instead. Now you’ve just amped up the nutrition and managed to warm yourself up at the same time.
The perfect meal for these chilly winter days!

Why you need this soup recipe
I have updated this recipe ever so slightly because I really wanted to include my make ahead meatballs. If you have some of these on hand, you can make this Italian Wedding Soup Recipe at a moment’s notice.
So I am giving you three options for making this delicious keto soup. You can make the meatballs at the time you make them soup, and allow them to cook in the broth. Or you can make the meatballs and pre-cook them, and then add them to the soup at the end.
Finally, you can make a big batch of the meatballs, freeze them, and add them to the soup in their frozen state. Just keep the soup simmering until the meatballs are warmed through!
That’s what I’ve been doing lately: making the full batch of keto meatballs, baking them, and then freezing them. That way, I have quick meal options on chilly days. I also love them in Keto Meatball Casserole!

Ingredients you need
- Keto meatballs: You can add them fresh, cooked, or frozen!
- Chicken broth: I like to get a good keto-friendly bone broth for the best flavor.
- Cauliflower rice: This takes the place of acini de pepe that is standard in Italian Wedding Soup. I swear you won’t taste any difference and it’s better for you!
- Spinach: You can use fresh or frozen spinach for this recipe.
- Parmesan: Sprinkle the top of your soup with plenty of Parmesan cheese for a real Italian meal.
- Aromatics: Onion, celery, garlic.
- Seasoning: Salt, pepper, oregano
Step by Step Directions

1. Prepare the meatballs: Prepare the meatball mixture according to the directions. You can make them as big or as small as you like. Refrigerate or pre-cook the meatballs before adding to the soup.
2. Sauté the aromatics: In a large saucepan or stock pot, heat the oil over medium heat until shimmering. Add the onion, celery, salt, and pepper and sauté until vegetables are tender, about 5 minutes. Add the garlic and cook another minute.
3. Add the broth: Stir in the chicken broth and oregano and bring to a strong simmer. Add the cauliflower rice and the meatballs and cook until the meatballs are cooked or warmed through, 5 to 10 minutes.
4. Add the spinach: Add the spinach leaves and cook until wilted, 2 minutes more. Season to taste and sprinkle with additional Parmesan.

Expert Tips
I recommend making the meatballs on the smaller side for this soup. They will cook through faster and you can get more per serving. I like to make mine about 3/4 inches in diameter when uncooked. They will shrink as they cook.
Most Italian Wedding Soup recipes have you cooking the meatballs right in the broth. But I really prefer them pre-cooked. They have more flavor and better texture, in my opinion.
You can cook the meatballs from frozen right in the soup! Once you get the broth simmering, add them right in and let them thaw and warm through. They are pre-cooked so there’s no worry of undercooked meat.
Frequently Asked Questions
The name actually comes from a mistranslation of “minestra maritata”. This Italian phrase translates to “married soup” and refers to the marriage of ingredients, not to actual weddings. But isn’t it nice to imagine that it’s served at nuptial feasts to honor the bride and groom?
Italian Wedding Soup typically consists of meatballs, broth, spinach, and small, round pasta called Acini de Pepe. For this keto friendly version, I have replaced the pasta with cauliflower rice. And it’s just as tasty and even more nutritious!
This Keto Italian Wedding Soup has 5.2g of carbs and 1.5g of fiber per serving. So it has only 3.7g net carbs per yummy bowl of soup.

More delicious soup recipes


Keto Italian Wedding Soup Recipe
Ingredients
Meatballs
- 1/3 recipe Keto Meatballs
Italian Wedding Soup
- 2 tbsp avocado oil
- 1/4 cup (40 g) chopped onion
- 4 stalks celery, chopped
- 1 tsp salt
- 1/2 tsp (0.5 tsp) pepper
- 3 cloves garlic, minced
- 1 tsp dried oregano
- 6 cups (1.41 kg) chicken broth
- 2 cups (320 g) riced cauliflower
- 2 cups (60 g) packed spinach leaves, (or 1 cup frozen spinach)
- Additional salt and pepper
- Parmesan for sprinkling
Instructions
Meatballs
- Prepare the meatball mixture according to the directions. You can make them as big or as small as you like.
- At this point, you can either refrigerate them and add to the soup to be cooked in the broth. Or you can pre-cook them and add to the soup at the end. You can even freeze them and add them straight to the broth from frozen.
Italian Wedding Soup
- In a large saucepan or stock pot, heat the oil over medium heat until shimmering. Add the onion, celery, salt, and pepper and sauté until vegetables are tender, about 5 minutes. Add the garlic and cook another minute.
- Stir in the chicken broth and oregano and bring to a strong simmer. Add the cauliflower rice and the meatballs and cook until the meatballs are cooked or warmed through, 5 to 10 minutes.
- Add the spinach leaves and cook until wilted, 2 minutes more. Season to taste and sprinkle with additional Parmesan.
Notes
Nutrition
Nutritional Disclaimer
Please note that I am not a medical or nutritional professional. I am simply recounting and sharing my own experiences on this blog. Nothing I express here should be taken as medical advice and you should consult with your doctor before starting any diet or exercise program. I provide nutritional information for my recipes simply as a courtesy to my readers. It is calculated using MacGourmet software and I remove erythritol from the final carb count and net carb count, as it does not affect my own blood glucose levels. I do my best to be as accurate as possible but you should independently calculate nutritional information on your own before relying on them. I expressly disclaim any and all liability of any kind with respect to any act or omission wholly or in part in reliance on anything contained in this website.
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Wonderful twist on this recipe to make it low carb.
I adore Italian wedding soup and have my Italian grandmother’s recipe which I use without adding the ancini de Pepe so your excellent idea for cauli-rice will be even better!!!
I love Vietnamese Pho but rarely make it at home. I do make a really wonderful and comforting Curried Chicken Soup with curry powder and coconut milk.
Ooh!! That sounds good!!
I tried to enter, but it said it needed a valid email address. I gave them my email address. What can I do now?
Love minestrone but your italian wedding soup looks delicious!
I’m a soupy kind of girl, so bring it On! Love them All! Cannot wait to try your Italian Wedding Soup!
I love Italien wedding soup. Thank you for giving me us this recipe. I will definitely try it.
Carolyn, your soup looks SO delicious. I’m excited to try the meatball recipe!! They look wonderful. My favorite soup at the moment is a curried cauliflower soup!
Tomato soup and grilled cheese- my favorite?
One of our family favorites is a simple white chili.
I love Chicken Tortilla Soup and The Moosewood Cookbook’s Kale and White Bean Soup. This pot is gorgeous!
My favorite comforting soup is old-fashioned chicken noodle.
Very comforting however noodles are not low carb.
Beautiful soup pot!
I was just wanting soup last night, and this looks perfect, cause I love Meatballs!
Thanks Carolyn, you came thru again. : )
does the cauliflower get cooked before ricing?
no, you’ll just end up mashing it if it is already cooked!
What beautiful Pots!! Perfect for that beautiful soup!!