Preheat and prep: Heat your oven to 400°F (200°C). Lightly grease a 9x13-inch baking dish or a large oven-safe skillet with olive oil.
Make the meatball mixture: In a large bowl, combine ground beef (and sausage if using), Parmesan, almond flour, egg, garlic, onion, Italian seasoning, fennel seeds, red pepper flakes, salt, and pepper. Mix gently with your hands until just combined. Do not overmix or the meatballs can turn dense.
Shape the meatballs: Roll into golf ball–sized meatballs (about 1 1/2 inches).
You should get 18–22 meatballs depending on size.
Bake the meatballs: Arrange in the prepared dish and bake for 15–18 minutes, until mostly cooked through and lightly browned. They don’t need to be fully done yet.
Add sauce and cheese: Spoon marinara over and around the meatballs. Sprinkle with mozzarella and the extra Parmesan, covering evenly but leaving a few meatball peaks exposed.
Finish baking: Return to the oven for 10–12 minutes, until the cheese is melted and bubbly.
For a golden top, switch to broil for 1–3 minutes. Watch closely.
Rest and garnish: Let the bake rest for 5 minutes so the sauce settles. Finish with chopped basil or parsley.
Serve: Spoon into bowls or plates.
Pair with a crisp salad, roasted veggies, or zucchini noodles for a full low-carb meal.