Mix together the beef, bread crumbs, onion, egg, salt, pepper, and 1/2 cup of the tomato sauce. Form this mixture into a loaf and place it in a shallow pan. Stir together the remaining tomato sauce, vinegar, sugar, mustard, Worcestershire and the water (if too thick).
Preheat oven to 375 °F. Mix ground beef, salt, pepper, onion, bell pepper, egg, tomatoes and oats together well and place in a baking dish. Shape into a loaf. Mix ketchup, brown sugar and mustard and spread on loaf. Bake for 1 hour.
Pour the sugar-free BBQ sauce on top of the meatloaf. You can use bottled sauce, but my Homemade Low Carb BBQ Sauce is easy to make, and it tastes so much better.
The flavorful topping is what makes Paula Deen’s meatloaf a cut above the rest. Simple, yet effective. Use 85/15 or 80/20 ground beef to ensure super moist and juicy meatloaf. If you don’t want the meatloaf to be too fatty, you can use 90/10 and just add more canned tomatoes to the recipe. Use fresh ground beef as much as you can.