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Homemade Spaghetti O’s with Liverwurst Mini Meatballs Recipe

Spaghetti O's with Liverwurst Meatballs

Flashback to your childhood when Spaghetti O’s were a staple in your weekly meal rotation. As a mother of two sets of twins and with 22+ years of studying nutrition, Amy Slater knows the importance of providing fun and nourishing meals for her children. With a nutrient-dense spin on the traditional “Spaghetti O’s,” this recipe provides lasting energy and brain power. Kids and adults alike will love this recipe! 

For this pasta recipe, Amy suggests your favorite gluten-free noodle, preferably with only a few simple ingredients. The mini meatballs and pasta sauce are full of flavor and nutrients with US Wellness Favorites: 100% grass-fed ground beef, honey, and… liverwurst! This hidden ingredient packs nutrition into this recipe. US Wellness Liverwurst contains heart, kidney, and liver. Organ meats possess vitamins and minerals like folate, B Vitamins, iron, magnesium, and so much more. Let’s get into the recipe! 

Spaghetti O’s with Liverwurst Mini Meatballs

Recipe & Photos by Amy Slater | @amyslatercoaching

USWM Shopping List: (1) Liverwurst, (2) Ground Beef, Honey



  • ½ roll of Liverwurst
  • 2 pounds Grass-Fed Ground Beef
  • 2 Tbsp Italian Seasoning, dried
  • 1 tbsp garlic powder
  • 1 tsp celtic sea salt
  • ½ tsp black pepper
  • 2 Tbsp grated parmesan cheese (can swap Nutritional Yeast)


  • 2, 32 oz. cans whole tomatoes (with juice)
  • ½ cup coconut milk (or milk of choice)
  • 1 tsp onion powder
  • 2 Tbsp olive oil
  • 2 Tbsp honey
  • 4 Tbsp grated parmesan cheese (can swap Nutritional Yeast)


  • 2 cups cooked pasta (look for small fun shapes or use your favorite brand, gluten-free works well here, just prepare them al dente)




  1. Preheat the oven to 375°F and line a baking sheet with parchment paper.
  2. Combine the liverwurst and ground beef well with your hands.
  3. Add in the spices and parmesan and mix well. Form very small (about the size of the tip of your thumb) meatballs by rolling the meat in your hands. Place on the parchment-lined baking sheet and bake for 15 minutes. 


  1. Add all ingredients to a high-speed blender and process to combine well. 


  1. Add the sauce and meatballs to a large pot and bring to a low simmer for about 1 hour.
  2. Next, fold in the pasta and serve immediately. Alternatively, prepare this recipe on the weekend and reheat it for a lunchbox thermos’ during the week.


Browse nourishing organ meat recipes on the Discover Blog, along with expert advice, kitchen tips, and more! 


Amy Slater

Amy Slater

Amy Slater is a mother of two sets of twins (two boys and two girls) and currently practices as a women’s health coach. Amy has been in the health and fitness field for 22+ years with a bachelor’s degree in Nutrition and Dietetics, a fellowship in Applied Functional Science, and several advanced certifications. She is currently working toward her NP with an emphasis in Functional Medicine. Keep up with Amy on her Instagram and Facebook, and learn more on her website!