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In a 6 quart slow cooker, mix together the cream of mushroom soup, beef broth, onion soup mix, and A1 steak sauce until well combined.
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Add the frozen meatballs and stir to coat them evenly in the sauce. Cover and cook on Low for 6–8 hours or High for 3–5 hours.
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If serving with egg noodles, cook the noodles according to package directions while the meatballs finish cooking. Drain well.
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Once the meatballs are done, stir in the sour cream until the sauce is smooth and creamy.
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Serve the meatballs over the noodles or toss everything together before serving.