Meatballs in mushroom sauce is the ultimate comfort food! Beef and pork meatballs pan seared and simmered in a creamy mushroom sauce.

Is it just me or after a really trying week do you also want a big huge bowl of comfort food? I know that I need it! Especially days when it’s blustery and cold outside. That is when it’s time for some stick to your ribs, make your tummy smile food. And that is exactly what these Meatballs in Mushroom Sauce are. 

My whole family loved these, and I am sure that yours will too. Let’s talk about what you need to make them.

What ingredients do you need to make meatballs in mushroom sauce?

There are two parts to this dish: the meatballs and the cream sauce. Both are relatively easy to make and they don’t need many ingredients.

For the meatballs:

  • GROUND BEEF AND COUNTRY SAUSAGE: The combination of both meats really makes these meatballs shine. Country sausage is sometimes called “breakfast sausage” it is usually seasoned with salt, pepper and sage. It is different than Italian sausage, don’t substitute Italian sausage in this recipe.
  • ONION/GARLIC: Mince these so there are not large chunks of them in the meatballs.
  • HERBS DE PROVENCE: A dried herb blend with herbs that are typically found in the Provence region of France. It is usually a blend of savory, thyme, rosemary, marjoram, oregano and sometimes lavender.
  • EGG/BREADCRUMBS: Both of these help bind and hold the meatballs together.
  • WORCESTERSHIRE SAUCE: A fermented sauce that has the same umami quality as soy sauce.
  • SALT/PEPPER

For the Mushroom Sauce you’ll need:

  • MUSHROOMS: I like to use crimini mushrooms in this recipe. They have a much more earthy flavor than white button mushrooms.
  • FLOUR: This will help thicken the sauce
  • BEEF BROTH: Use low sodium so that you can control the salt content of the recipe.
  • MILK: Use whole milk or half and half for a creamier sauce.
  • SOUR CREAM: This also adds creaminess while giving the sauce a little tang. Use full fat sour cream. Non-fat sour cream may cause the sauce to separate a bit.

How do you make meatballs in cream sauce:

The two parts of this recipe: the meatballs and the cream sauce. Start out separately but then come together to simmer resulting in one delicious comfort food dinner.

  • STEP #1: In a bowl combine sausage, ground beef, minced onion, garlic, bread crumbs, egg, Herbs de Provence, Worcestershire, 1/2 teaspoon salt and 1/4 teaspoon black pepper. Mix with hands until well combined. Roll into approximately 15 meatballs.
  • STEP #2: Heat olive oil in large pan over medium heat. Fry meatballs in batches until all are browned, but not cooked through. Set aside. The meatballs will finish cooking in the sauce.
  • STEP #3: Reserve pan drippings. Add sliced onion and mushrooms to the pan. Cook 5-7 minutes or until browned. Sprinkle flour over the top and cook 1 minute.
  • STEP #4: Pour beef broth into the pan. Be sure to scrape up flavor bits from the bottom.
  • STEP #5: Whisk in the milk and sour cream. Bring to a boil. Reduce heat to low. Return meatballs to the pan. Spoon sauce over the meatballs and cook 25-30 minutes or until meatballs are cooked through. Season to taste with salt and pepper. Serve.

To me these Meatballs in Mushrooms Sauce are perfect served over a mound of my Homemade Mashed Potatoes. Since this dish is so decadent, it’s also great to have a simple vegetable side dish to serve along side, I recommend sautéed broccoli or dill green beans.

If you’re looking for more meatball recipes, check these out:

Love mushrooms? SAME! Here are some of my favorite recipes highlighting mushrooms:

Note: This post was originally published in 2009. It was updated in 2021 with new photos, step by step photos and nutrition information.

Meatballs in Mushroom Cream Sauce
20m
Prep
35m
Cook
55m
Total

Servings

4

Ingredients

  • 1/2 pound ground pork sausage
  • 1/2 pound ground beef
  • 1 medium onion (1/2 minced and 1/2 sliced)
  • 4 cloves garlic (minced)
  • 1/3 cup plain dry bread crumbs
  • 1 egg (beaten)
  • 1 teaspoon Herbs de Provence
  • 1 tablespoon Worcestershire
  • 1/2 teaspoon kosher salt (plus more to taste)
  • 1/4 teaspoon fresh cracked black pepper (plus more to taste)
  • 2 tablespoons olive oil
  • 2 cups sliced mushrooms
  • 2 tablespoons flour
  • 1 cup low-sodium beef broth
  • 1 cup milk
  • 1/4 cup sour cream

Instructions

  1. In a bowl combine sausage, ground beef, minced onion, garlic, bread crumbs, egg, Herbs de Provence, Worcestershire, 1/2 teaspoon salt and 1/4 teaspoon black pepper. Mix with hands until well combined. Roll into approximately 15 meatballs.
  2. Heat olive oil in large pan over medium heat. Fry meatballs in batches until all are browned, but not cooked through. Set aside. The meatballs will finish cooking in the sauce.
  3. Reserve pan drippings. Add sliced onion and mushrooms to the pan. Cook 5-7 minutes or until browned. Sprinkle flour over the top and cook 1 minute.
  4. Pour beef broth into the pan. Be sure to scrape up flavor bits from the bottom.
  5. Whisk in the milk and sour cream. Bring to a boil. Reduce heat to low. Return meatballs to the pan. Spoon sauce over the meatballs and cook 25-30 minutes or until meatballs are cooked through. Season to taste with salt and pepper. Serve.
Nutrition Facts
Amount per serving
Calories
348
% Daily Value*
Total Fat 19g 24%
Saturated Fat 6g 30%
Cholesterol 107mg 36%
Sodium 744mg 32%
Total Carbohydrate 19g 7%
Dietary Fiber 2g 6%
Total Sugars 6g
Protein 27g
* The % Daily Value tells you how much a nutrient in a serving contributes to a daily diet. 2,000 calories a day is used for general nutrition advice.
★★★★★ 5.0 (2 reviews)
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Deseree

Whether it is cooking it, eating it, shopping for it or watching TV about it, food is one of my favorite things.

27 Reviews

  1. Our Best Meatball Sauce Recipes - The Kitchen Everything May 13, 2025

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  2. Ann August 29, 2024

    Lovely comfort food. I added a bit of Worcestershire sauce and American mustard to the sauce and added finished it all off in the oven.

  3. Autumn Brooke October 1, 2021

    I can’t wait to make this. I love mushrooms and the cream sauce sounds so good.

  4. Deseree January 12, 2021

    Ohhh that sounds like a perfect comfort food meal to me!! Glad you enjoyed them :)

  5. Wendy January 12, 2021

    This is delicious! I bought beautiful organic mushrooms and used a little smoked paprika. We paired it with mashed potatoes and my granddaughter, 6, declared it a big success. A veggie-filled salad and dinner was delicious!

  6. Deseree October 5, 2018

    Hi Lena! I used country sausage, which I think is also known as breakfast sausage. :) I hope you enjoy it! I’ve been meaning to make it again, I think I will this week!

  7. Lena October 5, 2018

    What type of pork sausage do you use? As far as flavoring goes. Breakfast or Italian? Thanks so much! This looks delicious!

  8. Karen August 19, 2017

    I copied this years ago and made it last night for dinner. It was delicious. I didn’t have any pork sausage but substituted a lb of ground beef instead. Put it on Pinterest today under my recipes. Thanks for the great recipe.

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  10. Des @ Life's Ambrosia November 4, 2015

    Parsley :)

  11. Yin Do November 4, 2015

    What herb did you top that off with?

  12. Jenna February 26, 2015

    Super yummy! I’ve made this a few times and enjoy it most when I follow the recipe strictly :)

  13. Kimberly Marie LaMie September 15, 2014

    Love this recipe, and the family loves it too. I made it easier by using precooked meatballs which makes it a good quick meal for a busy family. I serve it over egg noodles sometimes and mashed potatoes at other times.

  14. Deseree July 26, 2014

    You’re welcome! I’m happy to hear that your family enjoyed it :)

  15. Missladyhawke July 26, 2014

    So good! We just had this for dinner and it reminded me of the Beef Stroganoff that my mom made for me when I was a kid. I have one kid who doesn’t like mushrooms too much but she ate the sauce and meatballs anyway. Thank you for a great recipe. And a new favorite.

  16. Deseree August 18, 2009

    You’re welcome Kiesha! I am happy to that you enjoyed these. It is also great to hear that ground turkey works as a substitute. :)

  17. Kiesha August 18, 2009

    ok..just finished..came out FANTASTIC!!!

  18. Kiesha August 18, 2009

    Hey I’m making these as we speak..I substituted ground turkey,because my hubby doesn’t eat red meat nor pork..we’ll see how it goes! Thanks for the great recipe,girl! Keep ’em comin’!

  19. Deseree August 14, 2009

    Hey Aly, I am glad to hear that you not only enjoy this but some of my other recipes as well! I didn’t notice any fat at the top of my sauce but you might be able to get rid of that by dabbing the meatballs with paper towels to get rid of some of the excess fat before putting them back in the sauce.

  20. Aly August 14, 2009

    We made this tonight. So yummy! One question–did yours also have a bit of fat at the top of the sauce? It was from the meatballs when they went back into the sauce.

    In other recipes, thanks for your posts! We’ve made this, the shrimp tacos, chocolate cookies, and others. Everything has been yummy!

  21. Mrs. L August 13, 2009

    Now how did you know I’ve been craving meatballs in a cream sauce! Oh yum, I have to make these soon.

  22. Chrys August 12, 2009

    This is comfort food at it’s best! I can’t wait to try this out. It looks amazing!!

  23. Ciaochowlinda August 12, 2009

    Sounds comforting and truly delicious.

  24. kokomama August 12, 2009

    The meatballs look fabulous! I have such a hard time photographing meat – it always comes out grayish and unappetizing, but your pictures makes the food look as delicious as it sounds.

  25. cassie August 12, 2009

    Looks wonderful. Hope this week is going better for you.

  26. Carrie August 12, 2009

    Comfort food sounds so good to me, too! This looks really great.

  27. Karine August 11, 2009

    These meatballs with this sauce look to be packed with flavors!

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