Traditionally, you serve Swedish meatballs with egg noodles. You can also serve them over rice, mashed potatoes, or with your favorite fresh bread. While the meatballs and sauce aren't low carb or keto, if you want to cut back on the carbs and calories you can serve them over cauliflower rice, cauliflower mash, zoodles, shitake noodles (like we used for our keto beef stroganoff) or palm noodles (like we used for our keto Cajun chicken Alfredo)