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Cheesy Swedish Meatball & Noodle Casserole

Here’s a rich, cozy Cheesy Swedish Meatball & Noodle Casserole — creamy, savory, and perfect for family dinners.

🧀 Cheesy Swedish Meatball & Noodle Casserole

🍽 Serves: 6

⏱ Time: ~45 minutes


🛒 Ingredients

For the Meatballs

  • 1 lb (450g) ground beef

  • ½ lb (225g) ground pork (or use all beef)

  • ½ cup breadcrumbs

  • ¼ cup milk

  • 1 small onion, finely grated

  • 1 egg

  • 1 tsp salt

  • ½ tsp black pepper

  • ¼ tsp nutmeg

  • ¼ tsp allspice

(You can also use 20–24 frozen fully cooked meatballs for a shortcut.)


For the Casserole

  • 12 oz (340g) egg noodles

  • 3 tbsp butter

  • 3 tbsp flour

  • 2 cups beef broth

  • 1 cup heavy cream (or half-and-half)

  • 1 tbsp Worcestershire sauce

  • 1 tsp Dijon mustard

  • 1 cup sour cream

  • 1½ cups shredded mozzarella or Swiss cheese

  • ½ cup grated Parmesan

  • Salt & pepper to taste

  • Fresh parsley (optional garnish)


👩‍🍳 Instructions

1️⃣ Make the Meatballs

  1. Preheat oven to 400°F (200°C).

  2. Mix all meatball ingredients until just combined.

  3. Roll into 1-inch balls and place on a lined baking sheet.

  4. Bake 15–18 minutes until cooked through.
    (If using frozen meatballs, cook according to package.)


2️⃣ Cook the Noodles

  • Boil egg noodles in salted water until just al dente.

  • Drain and set aside.


3️⃣ Make the Creamy Swedish Sauce

  1. In a large skillet, melt butter over medium heat.

  2. Whisk in flour and cook 1–2 minutes (light golden).

  3. Slowly whisk in beef broth until smooth.

  4. Add cream, Worcestershire, and Dijon.

  5. Simmer 3–5 minutes until thickened.

  6. Stir in sour cream and 1 cup shredded cheese.

  7. Season with salt and pepper.


4️⃣ Assemble

  • In a large baking dish, combine:

    • Cooked noodles

    • Meatballs

    • Creamy sauce

  • Stir gently to coat.

  • Top with remaining cheese + Parmesan.


5️⃣ Bake

  • Bake at 375°F (190°C) for 15–20 minutes

  • Broil 2–3 minutes for golden bubbly top.


🌿 Optional Add-Ins

  • Sautéed mushrooms

  • Caramelized onions

  • Frozen peas

  • A pinch of nutmeg in the sauce for extra authenticity


🥘 Make-Ahead Tips

  • Assemble up to 24 hours in advance and refrigerate.

  • Add 5–10 extra baking minutes if cold.

  • Freezes well for up to 2 months.


If you’d like, I can also give:

  • A shortcut 30-minute version

  • A lighter/low-calorie version

  • Or a Crockpot version 😊

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