Into a large mixing bowl, add the ground pork, zucchini, parmesan cheese, almond flour, onion, garlic, Italian seasoning, salt and pepper to a bowl. Use a food processor, if desired.
Mix the ingredients together until evenly incorporated.
Scoop the pork mixture about 2 tablespoons at a time, rolling it between two hands into a ball.
Heat olive oil in a large skillet over medium high heat. Add meatballs, leaving space around each one so they brown and caramelize instead of steam. Depending on the size of the skillet, it might take 2-3 batches to finish cooking all meatballs. Cook to an internal temperature of 145º F (or until you break one open and they are fully cooked!). Once they are cooked through, remove from heat and set aside.
If desired, add back to skillet with a keto marinara sauce, and heat the meatballs and sauce together.
Serve pork meatballs over zoodles, spaghetti squash, or kojac pasta. Garnish with extra parmesan, chopped parsley, and red pepper flakes, if desired!