Prep the slow cooker. Lightly coat the insert with cooking spray or a little olive oil to prevent sticking.
Build the sauce base. Add the marinara, crushed tomatoes, tomato paste (if using), basil, a pinch of salt and pepper, and sugar or honey (if using) to the slow cooker. Stir to combine and spread the sauce evenly.
Mix the meatball ingredients. In a large bowl, combine ground turkey, egg, breadcrumbs, Parmesan, milk, garlic, onion, parsley, salt, pepper, oregano, and red pepper flakes.
Stir gently with a fork or your hands until just combined. Do not overmix.
Shape the meatballs. With damp hands or a small scoop, form meatballs about 1 1/2 inches in diameter. You should get 18–24, depending on size.
Nestle into the sauce. Place meatballs into the slow cooker in a single layer as much as possible.
It’s fine if they touch, but avoid stacking too high.
Cook low and slow. Cover and cook on LOW for 4–5 hours or on HIGH for 2–3 hours, until meatballs are cooked through and reach an internal temperature of 165°F (74°C).
Taste and finish. Stir gently, taste the sauce, and adjust salt and pepper. If using fresh basil, toss it in now. For extra richness, you can swirl in a tablespoon of butter.
Serve your way. Spoon over hot pasta, tuck into rolls for meatball subs, or serve over zucchini noodles or spaghetti squash.
Finish with Parmesan and a sprinkle of basil.