First, preheat your oven to 400F. Then, add egg, grated onion, coconut flour, minced garlic, pumpkin puree and seasonings to a large bowl. Stir with a fork until combined. Then, add in the ground turkey and use your hands to gently incorporate, without over-mixing.
1 lb ground turkey, 1 large egg, ¼ cup grated or finely diced yellow onion, 2 tbsp coconut flour, 3 garlic cloves, ¼ cup pumpkin puree, 1 tsp kosher salt, ½ tsp black pepper, ½ tsp dried thyme, ½ tsp dried rosemary
I prefer to make mini meatballs for this recipe so that they are bite-sized, but you can also do normal-sized. For mini meatballs, scoop out 1 heaping tablespoon (or 2 tbsp for larger meatballs) of the ground turkey mixture, roll it into a ball and place on a baking sheet. You should get about 32 mini meatballs or about 16-18 larger meatballs. Transfer baking sheet to the oven and cook for 10 minutes for mini meatballs or 15 minutes for larger meatballs.
Meanwhile, bring a medium-sized pot of water to a boil. Once boiling, heavily season the water with kosher salt before adding the orzo and cooking to al-dente according to package instructions. Be sure to reserve a good amount of the pasta water before draining the excess off.
1 cup dry orzo
Bring a large pan to medium heat. Once hot, add avocado oil. Then, add onion and sauté, stirring occasionally, for about 3 minutes. Next, add in tomato paste and garlic and stir. Allow that to cook, stirring occasionally, for 4-5 minutes or until the tomato paste has turned to a deeper, darker red color.
1 tbsp avocado oil, ½ yellow onion, 3 garlic cloves, ¼ cup tomato paste
Then, add in the pumpkin puree and stir to combine. Deglaze the pan with the vodka and allow it to cook off for 1-2 more minutes.
1 cup pumpkin puree, ¼ cup vodka
Reduce the heat to low and add in the coconut milk (or heavy cream), followed by the grated parmesan. Continue stirring until incorporated and the parmesan has melted.
1 cup full-fat canned coconut milk, ½ cup finely grated parmesan cheese
Taste the sauce and season with nutmeg, red pepper flakes, salt and pepper. Then, add in the cooked orzo and stir to coat it in the sauce.
¼ tsp ground nutmeg, kosher salt & black pepper, red pepper flakes
At this point, you can either add the cooked turkey meatballs directly into the pan with the orzo and sauce, or plate the orzo with some of the meatballs on top. If you add the turkey meatballs to the pan, be gentle when stirring them in and feel free to add additional pasta water to thin out the sauce and help it stick to everything!
Garnish with more freshly grated parmesan and black pepper. Enjoy!