Chicken thigh and olive meatballs soft and bite sized IDDSI Level 6 dysphagia diet texture level

Chicken Thigh and Olive Meatballs

Soft & Bite-Sized (IDDSI Level 6)

Tender foods cut into small, bite-sized pieces that are easy to chew and break apart with minimal effort.

These chicken thigh and olive meatballs are built around tenderness, not browning. Using dark meat gives you a wider margin of success from the start. Thigh meat stays moist under gentle heat, reheats without drying out, and holds together softly instead of tightening as it cools. That makes these meatballs forgiving in real kitchens, especially when they’re cooked ahead and revisited later in the week.

Instead of relying on a crust for flavor, these meatballs are seasoned from the inside. Finely minced olives bring salt and savory depth without sharpness, while milk soaked breadcrumbs keeps the interior cohesive and relaxed. Everything is mixed lightly and shaped small so the meatballs cook evenly and predictably. Nothing here depends on precision timing or last minute attention.

Oven MVPs

Cooking the meatballs by oven braising is a deliberate choice. Starting them raw in a shallow bath of broth and butter allows the heat to stay even and controlled. Covered cooking prevents surface drying, and the gentle oven environment eliminates hot spots that can cause tough edges. The result is a uniformly soft and bite sized (IDDSI Level 6) meatball that rests well in its cooking liquid and reheats without losing structure.

As the braising liquid reduces, it picks up flavor from the meatballs themselves, creating a natural base that can be thickened lightly into a spoonable gravy. This makes the dish adaptable. It can be served simply as is, folded into other components, or adjusted to different texture needs without changing the core recipe. The meatballs remain the same. Only the finish changes.

These meatballs are intentionally flexible. They work as a small, composed appetizer, a protein component alongside grains or vegetables, or even blended smoothly when needed. The goal is not to showcase a single moment at the table, but to create something that stays pleasant and useful across multiple meals. Soft food should still feel deliberate. This recipe is designed to prove that it can.

Chicken thigh and olive meatballs soft and bite sized IDDSI Level 6 dysphagia diet texture level
Amy Listermann, MS, CCC-SLP

Chicken Thigh and Olive Meatballs Recipe

These chicken thigh meatballs are designed to stay tender and forgiving, even after reheating. Dark meat provides natural moisture, while finely minced olives add savory lift without overpowering the dish. The mixture relies on a milk soaked breadcrumbs rather than heavy binders, making meatballs that hold together softly and adapt easily across texture levels. Serve as a small appetizer, or fold into sauces and bases like polenta for a full meal.
Prep Time 15 minutes
Cook Time 25 minutes
Total Time 40 minutes
Servings: 6
Course: Appetizer, Main Course
Cuisine: Mediterranean
Calories: 320

Ingredients
  

  • lb ground chicken thighs
  • ½ cup breadcrumbs or gluten-free breadcrumbs
  • ½ cup milk
  • 1 large egg
  • cup finely grated parmesan cheese
  • ¼ cup mild green olives Castelvetrano or Manzanilla, pitted, very finely minced or pasted
  • 1 small shallot or ¼ small onion very finely minced or puréed
  • 1 Tbsp olive oil
  • ½ tsp salt
  • ¼ tsp white or black pepper
  • Pinch of nutmeg
  • cups chicken broth
  • 1 tbsp butter

Equipment

  • Mixing bowl
  • Measuring cups and spoons
  • Oven safe skillet or shallow dutch oven with lid
  • spoon/spatula
  • Oven

Method
 

  1. Heat oven to 325℉. In a large bowl, combine breadcrumbs and milk. Let soak 1–2 minutes until fully absorbed. Add egg, parmesan, minced olives, shallot, olive oil, salt, pepper, and nutmeg Stir until smooth and cohesive. Gently fold in the ground chicken thighs just until combined. Do not overmix. Using damp hands, form mixture into small uniform meatballs (use a fork width to measure approximate size for SB6).
  2. In a wide, deep baking dish or covered casserole dish, add broth and butter. Place raw meatballs into the simmering liquid in a single layer. The liquid should come about halfway up the sides.
  3. Cover and bake for 30-35 minutes, until fully cooked (tests at 165℉). Let them rest in the liquid until serving or transferring.
IDDSI Texture Modifications:
  • Puree 4 (PU4): Following baking, blend meatballs with splashes of cooking liquid until smooth, no particles to chew. 
  • Minced & Moist (MM5): Take off the foil/lid for the final 5-10 minutes of baking to help the liquid reduce. After chicken is done cooking, you can make a gravy by bringing cooking liquid to a boil and mixing in a slurry of cornstarch (3/4 tsp cornstarch and 1 1/2 tbsp cold water), and stirring. The liquid will look thinner when it is hot but will thicken as it cools, so be sure to test at service.
  • Easy to Chew 7 (EC7): Enjoy this recipe as is, it fits your level.
Testing Method: Each piece should be cuttable with the side of a fork and pass the fork pressure test; no knife required.
Piece Size: Maximum 1.5 cm for adults (8 mm for children). Trim larger pieces before serving.
Texture Goal: Soft, tender, and moist throughout with no hard edges, gristle, or chewy skins. Wet cooking methods are highly recommended.
Temperature Note: Heat can change firmness; always check texture again after reheating.

Because these meatballs are cooked with wet heat from start to finish, they behave differently than browned or pan seared versions. The texture stays consistent, the interior remains cohesive, and the surface doesn’t dry out. That consistency matters just as much after the first serving as it does at the table. Leftovers reheat evenly, sauces stay emulsified, and the meatballs don’t require rescuing or reworking to be enjoyable again.

This approach also makes the recipe easier to adapt. The base stays the same whether the meatballs are served whole, chopped, or blended. Small adjustments to the surrounding liquid are enough to change how the dish functions, without changing how it’s made. That flexibility is intentional. It allows one recipe to meet different needs without becoming a different recipe altogether.

At its core, this is a dish designed to be calm. The ingredients are familiar, the method is forgiving, and the results hold up over time. Whether these meatballs are part of a larger meal or enjoyed on their own, they’re meant to reduce effort without lowering standards. Good food doesn’t have to demand constant attention. Sometimes the most successful recipes are the ones that quietly keep working long after the cooking is done.

Hungry for more?

If you have more chicken to move through, you can try out my chicken piccata pasta bake, its another oven meal that you can assemble and cook.

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