Preheat your oven to 400°F.
In a bowl, combine the lean ground turkey, egg, almond flour, grated Parmesan, minced garlic, chopped fresh basil, salt, and pepper. Mix well until all ingredients are evenly distributed.
Shape the mixture into meatballs, about the size of a golf ball.
Heat a non-stick skillet over medium heat and add olive oil. Sear the meatballs on all sides for about 2-3 minutes per side until they develop a golden crust.
Transfer the meatballs to a baking sheet and bake in the preheated oven for about 10-12 minutes, or until fully cooked through.
Meanwhile, using a spiralizer or a vegetable peeler, create noodles from the zucchini.
Warm the tomato sauce in a small pan over low heat, adding a pinch of salt and pepper to taste.
Plate the zucchini noodles, top with the baked meatballs, and drizzle the warm tomato sauce over the top.
Garnish with additional fresh basil if desired and serve immediately.