Turkey Pesto Meatballs and Orecchiette

Grace Evans
Grace Evans
Published: June 20, 2026
Tags: Meatballs, Italian, Weeknight Dinner, Pasta, Turkey, Sheet Pan, Pesto, Zucchini, Orecchiette, Summer Squash

Turkey Pesto Orecchiette

Tender turkey meatballs seasoned with basil pesto roast alongside zucchini, then finish in a light pesto broth with orecchiette pasta.

Prep Time:25 minCook Time:35 minTotal Time:60 minServings:4Difficulty:Medium

This pasta dinner builds a lot of flavor from a short ingredient list: basil pesto seasons the turkey meatballs, enriches the broth, and finishes each bowl. Roasting the meatballs on a sheet pan keeps them tender inside while giving the zucchini enough heat to brown at the edges.

Orecchiette is especially useful here because the little cups catch bits of pesto, parmesan, and broth. The finished dish should be saucy rather than heavy, with just enough green broth in the bottom of each bowl to keep the pasta glossy.

Use a pesto you like on its own, whether homemade or a good refrigerated brand. If your pesto is very salty, season the meatball mixture and zucchini a little more cautiously, then correct the broth at the end.

The recipe moves quickly once the pasta is cooked, so have the broth, remaining pesto, and parmesan ready before you drain the orecchiette. Serve the bowls immediately while the meatballs are hot and the sauce is loose.

Nutrition (per serving)

Calories:760 kcal
Protein:45 g
Carbs:86 g
Fat:28 g

Directions

  1. 1
    An oiled lined sheet pan ready for meatballs

    Heat the oven to 450°F. Oil a large rimmed sheet pan, or line it with nonstick foil and oil the surface lightly.

  2. 2
    Turkey pesto meatball ingredients being mixed in a bowl

    In a large bowl, combine the ground turkey, panko, 1/4 cup pesto, half of the minced garlic, parmesan, water, 1 teaspoon kosher salt, black pepper, and the egg. Mix gently with a fork until the ingredients are evenly combined.

  3. 3
    Raw turkey pesto meatballs arranged on a sheet pan

    Lightly oil your hands and shape the turkey mixture into small meatballs, using about 1 heaping tablespoon for each one. Arrange them with a little space between each meatball on the prepared sheet pan.

  4. 4
    Zucchini slices arranged around turkey pesto meatballs on a sheet pan

    Toss the zucchini with 1 to 2 tablespoons olive oil, the remaining 1 teaspoon kosher salt, and a few grinds of pepper. Scatter the zucchini around the meatballs in a single layer.

  5. 5
    Roasted turkey pesto meatballs and zucchini on a sheet pan

    Roast for 15 to 18 minutes, until the meatballs are cooked through and the zucchini is tender. If you want deeper color, broil the pan for 2 to 4 minutes, watching closely.

  6. 6
    Orecchiette boiling in a pot of salted water

    While the sheet pan roasts, cook the orecchiette in a large pot of well-salted boiling water until 1 minute shy of al dente. Reserve 1 cup of pasta water, then drain the pasta.

  7. 7
    Minced garlic sizzling in olive oil

    Return the empty pot to medium-high heat. Add 2 tablespoons olive oil and the remaining minced garlic, and cook for about 1 minute, just until the garlic smells fragrant and begins to turn golden at the edges.

  8. 8
    Orecchiette, meatballs, zucchini, and pesto broth combined in a pot

    Pour in the broth and bring it to a simmer. Stir in 1/2 cup pesto until warmed through, then add the drained orecchiette, roasted meatballs, and zucchini.

  9. 9
    Pasta water added while orecchiette and meatballs are tossed with pesto broth

    Toss and simmer everything together for 1 to 2 minutes, adding a splash of reserved pasta water if the pot looks dry or you want a brothier bowl.

  10. 10
    Finished bowls of orecchiette with turkey pesto meatballs, zucchini, parmesan, and pesto

    Divide the orecchiette, meatballs, zucchini, and pesto broth among shallow bowls. Finish with the remaining pesto, extra parmesan, and more black pepper, then serve right away.

Ingredients

  • Olive Oil:3 tablespoons
  • Ground Turkey:1 pound
  • Plain Panko Breadcrumbs:1/2 cup
  • Basil Pesto, divided:1 cup
  • Garlic Cloves, minced and divided:4
  • Parmesan Cheese, finely grated, plus more for serving:2 tablespoons
  • Water:1 tablespoon
  • Kosher Salt:2 teaspoons
  • Freshly Ground Black Pepper:1/2 teaspoon
  • Large Egg:1
  • Zucchini or Summer Squash, sliced into 1/4-inch half-moons:1 pound
  • Dried Orecchiette:1 pound
  • Chicken or Vegetable Broth:2 cups
  • Reserved Pasta Water, as needed:1 cup

Tips & Notes

  • For a shortcut broth, stir bouillon base into hot reserved pasta water and use it in place of boxed broth.
  • A small cookie scoop makes evenly sized meatballs that cook at the same rate.
  • Do not overmix the turkey mixture; gentle mixing keeps the meatballs tender.
  • If your pesto is very thick, loosen the final sauce with extra pasta water a few tablespoons at a time.