For the Meatballs
Pour the tomato juice into a wide-bottomed pot. Heat the pot over medium-high heat and bring tomato juice to a boil.
Reduce heat and simmer in uncovered pot until tomato juice thickens and reduces to half, about 50 minutes. Tomato juice will start to splatter once it has thickened.
While the juice is reducing, combine the meat, almond flour, egg, onion, garlic, and one teaspoon kosher salt. Form into small meatballs. Set aside.
Once the sauce has thickened, add the crushed pineapple, honey, apple cider vinegar, remaining kosher salt, and pepper. Stir well to combine.
Drop meatballs gently into the bubbling sauce. Bring back to a boil.
Lower heat and simmer for 45 minutes with lid partially open. Serve over spaghetti squash.









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