Tomato-Cream Pasta

Creamy Tomato Spaghetti & Meatballs

The meatballs brown, simmer in tomato, and then the cream goes in to turn the sauce smooth and peach-coloured.

50 min · 4 servings · Skillet + stovetop pasta

A bowl of spaghetti in a creamy peach-orange tomato-cream sauce with browned meatballs on top and chopped parsley

About Darleen

on Recipesdarleen

Darleen is a mom who turned her slow cooker into a lifesaver, sharing cozy, easy-to-make recipes that bring comfort to busy days.

268 recipes by Darleen Vance

Published March 1, 2026

How Recipesdarleen publishes recipes

These are plain beef meatballs with panko, egg and Parmesan, browned and then cooked the rest of the way in the sauce.

Half a cup of cream at the end changes the pan from a red tomato sauce into a smooth, peach-orange one that clings to the spaghetti.

From Red Sauce to Tomato-Cream

The sauce is made in the same pan the meatballs brown in, and changes colour at the last layer.

  1. The browning

    Medium heat, turning until browned

    16 beef meatballs in 1 tbsp olive oil

    A browned crust on the meatballs and a base in the pan.

  2. The tomato

    Covered, until the meatballs reach 160°F

    2 cloves garlic, 1 cup crushed tomatoes and 1/4 cup broth

    The red body of the sauce, and the liquid the meatballs finish cooking in.

  3. The cream

    A gentle simmer, 3 to 4 minutes

    1/2 cup heavy cream

    Turns the sauce smooth and peach-orange.

Then tasteToss the al dente spaghetti through the sauce, then top with the meatballs and parsley.

How to Make It

  1. Sixteen meatballs mixed and rolled

    Mix the beef, panko, egg, Parmesan, Italian seasoning and salt, and form the mixture into 16 meatballs.

  2. Browned, then covered in tomato to 160°F

    Brown the meatballs in olive oil over medium heat, turning them until browned all over. Add the garlic, tomatoes and broth, cover, and simmer until the meatballs reach 160°F.

  3. Cream stirred in for a peach-orange sauce

    Stir in the cream and simmer gently for 3 to 4 minutes, until the sauce is smooth and peach-orange.

  4. Spaghetti tossed, meatballs and parsley on top

    Cook the spaghetti until al dente, drain it and toss it with the sauce. Serve with the browned meatballs and parsley.

Ingredient Notes

Ground beef
One pound makes all 16 meatballs, and the finished centres need to reach 160°F.
Crushed tomatoes and broth
A cup of tomatoes with a quarter cup of chicken or beef broth; either broth works.
Heavy cream
Half a cup, added last, which is what turns the sauce peach-orange.

Why This Recipe Works

  • Browning the meatballs first builds the dark surface; covering the pan afterwards finishes the inside gently in the tomato.
  • Broth keeps the crushed tomatoes loose enough to simmer covered without catching.
  • Adding the cream only after the meatballs reach 160°F keeps the simmer gentle and the sauce smooth.
  • Tossing the drained spaghetti through the sauce coats every strand before the meatballs are set on top.

Frequently Asked Questions

Is this a marinara?

No. It starts with crushed tomatoes but the cream makes it a smooth tomato-cream sauce rather than a chunky red one.

How do I check the meatballs?

Put an instant-read thermometer into the centre of one of the larger meatballs. Ground beef is done at 160°F.

Can the sauce boil after the cream goes in?

Keep it to a gentle simmer. A hard boil can make the cream sauce break.

Success Tips

  • Roll the meatballs the same size so all 16 reach temperature together.
  • Let each side brown before turning; they release from the pan once a crust forms.
  • Once the cream is in, keep the heat low enough that the sauce barely bubbles.

Serving Ideas

Pile the sauced spaghetti into bowls and set the browned meatballs on top, about four to a bowl, with parsley over them.

Recipesdarleen

Creamy Tomato Spaghetti & Meatballs

The meatballs brown, simmer in tomato, and then the cream goes in to turn the sauce smooth and peach-coloured.

Prep
20 min
Cook
30 min
Total
50 min
Yield
4 servings

Skillet + stovetop pasta

EquipmentLarge skillet with a lid · Large pot · Instant-read thermometer

Before you startPut the pasta water on to heat while the meatballs simmer, so the spaghetti is ready just after the cream goes in.

Ingredients

Instructions

  1. Mix beef, panko, egg, Parmesan, Italian seasoning and salt; form 16 meatballs.
  2. Brown the meatballs in olive oil over medium heat, turning until browned. Add garlic, tomatoes and broth, cover and simmer until the meatballs reach 160°F.
  3. Stir in cream and simmer gently 3 to 4 minutes until the sauce turns smooth peach-orange.
  4. Cook spaghetti until al dente, drain, and toss with the sauce. Serve with the browned meatballs and parsley.