sounds good to me, but double check that the meatballs and sausage are gluten free. sounds like a big pile of meat and veggies to me...

Some people like to [even need to!] avoid nightshades.

Tomato is a nightshade. I say try it and see how it affects you. But if you're unaffected by nightshades, or by tomatos specifically, then go for it!

If you wanted to get really strictly into the re-enactment thing (and I don't stress about whether people do, but it's some people's thing and not others'), almost no modern fruit or veggie is something that our paleolithic ancestors would have recognized. But the early tomatoes were bred by Paleo people in South America, or at least close-to-Paleo. And, hey, fruit off a vine.

The only real drawbacks are (1) what gilliebean said about nightshade sensitivity and (2) tomatoes make some people's blood sugar spike. This doesn't happen with everybody but it's something to keep in mind if you already have blood sugar issues.

It's ok as long as there's no added sugar to the sauce, which many recipes call for.

As long as you are not one of the people avoiding Nightshades {either due to straight allergy, or to avoid further irritating any existing auto-immune troubles} , I don't see why not.

Just make sure that what meat you are eating is clean and grassfed as much as possible. Watch out for cereal fillers and sugars in some sausages!

I have even made a spagetti squash to have buttered noodles under the sauce sometimes, but red sauce is tasty and fine as a stew!

Mommy, where's my spoon! (Heh)

Tomatoes - and especially cooked ones - have a lot of sugar. I use any kind of cooked tomatoes sparingly, as they raise my BG a bit. Dr. Bernstein of diabetes fame advises very little tomatoes in the diet though, of course, he is speaking to diabetics with that advice.

When I eat fresh tomatoes, I really try to get heirloom. I don't know for certain, but it's my sense they don't have as much sugar, unlike modern varieties bred for sweetness (and they, of course, taste much better!)