Smalls Cat Food Review: Is Fresh Food Better for Your Cat?

I know you're here because you love your cat and you're trying to figure out if that trendy fresh food delivery service is actually worth the hype, and the price tag. You've seen the ads, heard the testimonials, and maybe even noticed your cat turning up their nose at their usual kibble. The short answer is this: fresh, minimally processed cat food can offer real benefits for many cats, but it's not a magic bullet, and it comes with its own set of considerations. Let's walk through everything you need to know, from the ingredient list to the science behind it, so you can make an informed decision for your feline family member.

⚠️ Red-Flag Emergency Box

⚠️ Emergency: If your cat is showing any of the following signs, do not experiment with diet changes. Go to the nearest veterinary emergency hospital immediately:

• Not eating for more than 24 hours (cats can develop dangerous hepatic lipidosis quickly)
• Vomiting multiple times in a day or unable to keep water down
• Bloody diarrhea or black, tarry stools
• Sudden, severe lethargy or collapse
• Difficulty breathing or open-mouth breathing
• Known or suspected ingestion of a toxic food (onions, garlic, grapes, raisins, xylitol, raw dough)
• Signs of a severe allergic reaction: facial swelling, hives, sudden vomiting/diarrhea after eating

What You're Seeing and What It Likely Means

You're probably noticing a few things that have you questioning your cat's current diet. Maybe your cat is leaving kibble in the bowl, or you've observed a dull coat, low energy, or even some digestive upset like occasional vomiting or soft stools. Perhaps you've read about the link between dry food and chronic dehydration, urinary tract issues, or dental disease. You're not imagining things, these are real concerns that have driven many pet owners to explore fresh food options.

The reality is that the vast majority of commercial cat foods, both dry and wet, are formulated to meet the nutritional standards set by organizations like the Association of American Feed Control Officials (AAFCO). However, "meeting minimum requirements" and "optimizing health" are two different things. A 2023 study comparing a premium dry cat food to a basic grocery store brand found that the premium diet led to significantly better digestibility and improved gut health markers in cats (S2 #3). This tells us that ingredient quality and formulation matter, even within the same category of food.

When you look at a brand like Smalls, you're looking at a product that sits at the far end of the "minimally processed" spectrum. These foods are typically cooked at lower temperatures than kibble, which is extruded under high heat and pressure. The claim is that this gentler processing preserves more natural nutrients, enzymes, and moisture. The key takeaway here is that while fresh food isn't a cure-all, it addresses several common nutritional shortcomings of standard dry diets, particularly around moisture content and ingredient quality.

What You Can Safely Do Right Now

Before you make any drastic changes, here's a step-by-step approach to evaluating and potentially transitioning your cat to a fresh food diet.

Step 1: Assess Your Cat's Current Health

Take a good, honest look at your cat. Use this simple checklist:

• Coat and Skin: Is the fur glossy or dull? Are there flakes of dandruff? Is the skin dry or greasy?
• Energy Level: Is your cat playful and active for their age, or are they sleeping more than usual?
• Weight and Body Condition: Can you easily feel their ribs with a light layer of fat over them? Is there a visible waist when viewed from above?
• Hydration: Gently lift the skin between their shoulder blades. Does it snap back immediately, or does it tent slowly?
• Litter Box: Are the stools well-formed and dark brown? Is the urine clear and not overly concentrated?

Step 2: Read the Label Like a Pro

If you're considering Smalls or any fresh food, you need to become a label detective. Look for these key elements:

• AAFCO Statement: The food must state that it is "complete and balanced" for your cat's life stage (adult maintenance, growth, all life stages). This is non-negotiable.
• Guaranteed Analysis: This shows minimum percentages of crude protein and fat, and maximum percentages of crude fiber and moisture. Fresh foods will have much higher moisture (70-80%) compared to kibble (6-10%).
• Ingredient List: Ingredients are listed in descending order by weight. Look for named protein sources (chicken, turkey, beef, fish) as the first ingredient. Be wary of vague terms like "meat meal" or "poultry by-product meal" without species specification.

Step 3: The Transition Protocol

Cats are creatures of habit, and their digestive systems are sensitive. A sudden switch to fresh food can cause vomiting, diarrhea, or a complete refusal to eat. Follow this 7-10 day transition schedule:

If at any point your cat develops soft stools or vomiting, go back to the previous ratio for a few days and try again more slowly. Some cats, especially seniors or those with sensitive stomachs, may need a 14-21 day transition.

Step 4: Observe and Document

Keep a simple journal for the first two weeks on the new diet. Note:

• How much your cat eats at each meal
• Stool quality (use the Purina Fecal Scoring System: 1-2 is constipation, 3-4 is ideal, 5-7 is diarrhea)
• Energy levels and behavior
• Any changes in thirst or urination

When to Call Your Veterinarian

You don't need to run to the vet for every little thing, but there are clear "yellow light" situations where a phone call or appointment is warranted.

Call Your Vet If:

• Your cat refuses to eat the new food for more than 24 hours. Cats can develop hepatic lipidosis (fatty liver disease) if they stop eating, especially if they are overweight. This is a medical emergency that can develop in as little as 48-72 hours.
• Vomiting occurs more than twice in 24 hours. Occasional regurgitation (undigested food brought up shortly after eating) is different from vomiting (forceful expulsion of digested stomach contents). If your cat is actively vomiting, stop the new food and call your vet.
• Diarrhea persists for more than 48 hours. While some loose stool is normal during a transition, persistent diarrhea can lead to dehydration and electrolyte imbalances.
• You notice a sudden increase in thirst or urination. This can be a sign of kidney disease, diabetes, or hyperthyroidism, and should be investigated regardless of diet.
• Your cat develops a new allergy symptom. This could include itching, hair loss, red or inflamed skin, ear infections, or excessive grooming. Food allergies in cats most commonly manifest as skin issues, not digestive upset.
• Your cat has a known medical condition. Cats with kidney disease, diabetes, pancreatitis, or a history of urinary crystals/stones should only be switched to a new diet under direct veterinary supervision. Many therapeutic diets are specifically formulated to manage these conditions, and a general fresh food may not be appropriate.

What to Tell Your Vet

When you call, have this information ready:

• The exact name and formula of the new food
• How much you're feeding and how often
• The duration of the transition
• Specific symptoms with timing and frequency
• Any changes in water intake or urination
• Your cat's age, weight, and any existing medical conditions

What Your Vet Will Do

If you bring your cat in for a diet-related concern, here's what a typical veterinary workup looks like.

The Physical Examination

Your vet will perform a thorough head-to-tail exam, paying special attention to:

• Body Condition Score (BCS): A 9-point scale used to assess body fat. Ideal is 4-5/9.
• Muscle Condition Score (MCS): Assessment of muscle wasting, especially along the spine, skull, and shoulders.
• Hydration Status: Checking skin turgor, mucous membrane moisture, and capillary refill time.
• Oral Health: Examining teeth and gums for dental disease, which can affect eating.
• Abdominal Palpation: Feeling the stomach, intestines, kidneys, and bladder for abnormalities.

Diagnostic Tests (If Indicated)

Depending on the symptoms, your vet may recommend:

Dietary Consultation

Your vet may refer you to a veterinary nutritionist (a veterinarian with board certification in nutrition) for complex cases. They can:

• Perform a detailed dietary history and analysis
• Calculate exact caloric needs based on your cat's ideal weight and activity level
• Recommend specific commercial or homemade diets
• Rule out food allergies through an elimination diet trial

Expected Costs

A basic consultation for a diet-related issue typically runs $60-$150 for the exam alone. With diagnostics, you could be looking at $200-$600. If a veterinary nutritionist is involved, expect $150-$300 for the initial consultation. Pet insurance can help offset these costs, but pre-existing conditions are typically excluded.

Common Causes, A Deeper Look

Let's dive into the clinical differentials, the possible medical reasons behind your cat's reaction to food or their current health status.

Food Allergy vs. Food Intolerance

This is a crucial distinction. A true food allergy involves an immune system response, typically to a protein source (chicken, beef, fish, dairy are common culprits). Symptoms include itching, hair loss, miliary dermatitis (small crusty bumps), and recurrent ear infections. A food intolerance is a non-immune reaction, often due to difficulty digesting certain ingredients (like lactose or high-fiber components). Symptoms are primarily gastrointestinal: vomiting, diarrhea, gas, and bloating.

The Moisture Factor

Cats evolved from desert-dwelling ancestors and have a naturally low thirst drive. They are designed to get most of their water from their prey (which is about 70-75% water). Dry kibble contains only 6-10% moisture. This chronic, low-grade dehydration is a major risk factor for:

• Chronic Kidney Disease (CKD): The kidneys need adequate hydration to filter waste products. Chronic dehydration accelerates kidney damage.
• Feline Lower Urinary Tract Disease (FLUTD): Concentrated urine promotes the formation of crystals and stones (struvite, calcium oxalate) and can lead to painful, life-threatening urethral obstructions, especially in male cats.
• Constipation: Insufficient water intake leads to dry, hard stools that are difficult to pass.

Fresh foods, with their 70-80% moisture content, directly address this issue. A 2025 systematic review of fresh pet food claims noted that while many marketing claims lack robust scientific backing, the increased moisture content is a clear physiological benefit (S2 #2).

Protein Quality and Digestibility

Not all protein is created equal. The 2023 digestibility study (S2 #3) showed that a premium dry food with named protein sources and higher-quality ingredients led to better nutrient absorption and healthier gut bacteria compared to a basic grocery brand. Fresh foods typically use whole muscle meats and organs, which are highly digestible. This means your cat gets more usable nutrition from less food, and there's less waste to pass through the digestive tract.

Carbohydrate Content

Cats are obligate carnivores. They have no nutritional requirement for carbohydrates. Their bodies are designed to use protein and fat for energy. However, dry kibble requires carbohydrates (starches) to hold its shape during the extrusion process. Many dry foods contain 30-50% carbohydrates on a dry matter basis. Fresh foods, by contrast, are often very low in carbs (typically under 10% dry matter). This can be beneficial for weight management and blood sugar regulation, particularly in cats with or at risk for diabetes.

The Dental Health Myth

You've probably heard that dry food helps clean teeth. The evidence for this is weak at best. Kibble is brittle and shatters on impact, doing little to scrape plaque off teeth. In fact, the carbohydrates in kibble can stick to teeth and actually promote plaque formation. A study in Pathology of the Hard Dental Tissues (Schuurs, 2012) discusses how dietary carbohydrates contribute to dental caries and periodontal disease in mammals. The best way to maintain dental health is through regular brushing, dental treats with the Veterinary Oral Health Council (VOHC) seal, and professional cleanings under anesthesia.

What Is Smalls Cat Food Made Of?

Let's get into the specifics of what you're actually feeding your cat if you choose Smalls.

Ingredient Philosophy

Smalls positions itself as a "human-grade" fresh food. This means the ingredients are sourced from facilities that meet USDA standards for human consumption. The primary protein sources are whole meats like chicken, turkey, beef, and fish (sustainably sourced). Organ meats (liver, heart, kidney) are included to provide natural sources of taurine, vitamins, and minerals.

Typical Ingredient Profile

A representative Smalls recipe (e.g., Chicken & Rice) might look like this:

• Protein: Chicken (including breast, thigh, heart, liver)
• Carbohydrates: White rice, sweet potatoes, or lentils (in small amounts)
• Fats: Chicken fat, fish oil (for omega-3 fatty acids)
• Vitamins & Minerals: A premix added to ensure AAFCO compliance, including taurine, vitamin E, vitamin B complex, zinc, copper, and selenium
• Moisture: Approximately 72-78%

What's NOT in It

• Artificial preservatives: No BHA, BHT, or ethoxyquin. The food is preserved through freezing and natural antioxidants like vitamin E (mixed tocopherols).
• Artificial colors or flavors: No Red 40, Yellow 5, or artificial meat flavors.
• Meals or by-products: No chicken meal, meat meal, or unspecified animal by-products.
• Grains (in some recipes): Smalls offers both grain-inclusive and grain-free options. The grain-inclusive recipes use white rice, which is highly digestible.

Nutritional Analysis (Typical Values)

How It's Made

The food is gently cooked at low temperatures (below 200°F) to preserve nutrients while ensuring food safety. It's then flash-frozen and shipped to your door in insulated boxes. This is a "fresh-frozen" model, similar to many human meal delivery services. You store it in the freezer and thaw portions as needed.

Is Fresh Cat Food Healthier Than Kibble?

This is the million-dollar question, and the answer is nuanced. Let's break down the evidence.

The Case for Fresh Food

1. Superior Hydration As discussed, the 70-80% moisture content of fresh food is arguably its biggest advantage. A cat eating fresh food gets most of their water intake from their meals, which closely mimics their natural prey diet. This is particularly important for:

• Senior cats: Kidney function declines with age, making adequate hydration critical.
• Male cats: They are at higher risk for urethral obstructions, and dilute urine is protective.
• Cats with a history of urinary issues: A moisture-rich diet is the cornerstone of FLUTD management.

2. Higher Quality Protein Fresh foods typically use whole muscle meats and organs, which are more bioavailable than the rendered meals used in many kibbles. The 2023 digestibility study (S2 #3) demonstrated that ingredient quality directly impacts how well cats absorb nutrients. Better digestibility means less work for the digestive system and more efficient use of dietary protein.

3. Lower Carbohydrate Load The low carb content of fresh food aligns much better with a cat's evolutionary biology. While healthy cats can handle some carbohydrates, a diet that mimics their natural prey (which is essentially zero carbs) may help prevent obesity and diabetes. A 2020 study comparing food composition databases (S2 #6) highlighted how difficult it can be to accurately assess carbohydrate content in commercial diets, but fresh foods are consistently lower.

4. Fewer Additives and Preservatives Fresh foods avoid the long list of artificial preservatives, colors, and flavors that are common in many kibbles. While these additives are generally recognized as safe (GRAS) by the FDA, some pet owners prefer to minimize their pet's exposure to synthetic chemicals.

The Case for Kibble

1. Convenience and Cost Kibble is undeniably easier. You can leave it out for free-feeding, it doesn't require refrigeration, and it's significantly cheaper. A typical fresh food diet can cost $2-$5 per day for an average 10-pound cat, while a premium kibble might cost $0.50-$1.00 per day.

2. Dental Health (Debated) While the evidence is weak, some veterinary dentists argue that the mechanical action of chewing kibble can help reduce plaque buildup compared to soft food. However, this is not a substitute for regular brushing or professional cleanings.

3. Caloric Density Kibble is calorie-dense, which can be an advantage for underweight cats or those with high energy needs. A small volume of kibble provides a lot of calories. For weight loss, however, this is a disadvantage.

4. Shelf Stability Kibble can be stored at room temperature for months. Fresh food requires freezer space and careful thawing. This can be a barrier for people with limited freezer space or those who travel frequently.

The Scientific Verdict

The 2025 systematic review of fresh pet food claims (S2 #2) is illuminating. The authors found that while many marketing claims (e.g., "improves immunity," "reduces inflammation," "promotes a healthy coat") lack robust, peer-reviewed scientific evidence, the fundamental nutritional advantages of fresh food, higher moisture, higher quality protein, lower carbohydrates, are well-supported by basic nutritional science.

The bottom line: Fresh food is likely healthier than kibble for most cats, particularly for hydration and urinary/kidney health. However, a high-quality kibble (one with named protein sources, moderate carbohydrates, and AAFCO approval) is still a perfectly adequate diet for a healthy cat. The best diet is the one your cat will eat consistently, that fits your budget and lifestyle, and that meets their individual health needs.

How Does Smalls Cat Food Compare to Other Brands?

To give you a practical comparison, let's look at Smalls alongside other popular fresh food brands and a premium kibble.

Comparison Table: Smalls vs. Other Fresh Food Brands

Key Differentiators

1. Ingredient Sourcing Smalls emphasizes "human-grade" ingredients. This means their suppliers meet USDA standards for human consumption. While this is a marketing point, it does imply a higher level of quality control and traceability. Other brands may use "feed-grade" ingredients, which are still safe but may come from different supply chains.

2. Processing Method Smalls uses gentle cooking (low heat), which preserves more natural nutrients compared to the high-heat extrusion used for kibble. Some competitors use High-Pressure Processing (HPP), which uses extreme pressure (not heat) to kill pathogens. HPP can preserve more heat-sensitive nutrients but may affect texture. Both methods are safe and effective.

3. Recipe Variety Smalls offers a rotating menu of recipes, which can help prevent food boredom. However, some cats are sensitive to frequent changes. Other brands offer a more limited, consistent menu.

4. Nutritional Philosophy Smalls is lower in carbohydrates than many competitors, which aligns with a more species-appropriate diet. Some other fresh brands include more fruits, vegetables, and grains, which can increase the carb content.

Cost-Benefit Analysis

The bottom line: Smalls is a premium product with a premium price. It offers clear advantages in moisture content, protein quality, and carbohydrate control. If your budget allows and you're committed to the logistics, it's a strong choice. However, a high-quality kibble is still a valid option for many households.

Prevention: Long-Term Strategies

Whether you choose fresh food or stick with kibble, here are the long-term strategies to keep your cat healthy.

1. Prioritize Hydration

• Multiple water stations: Place bowls in different rooms, away from food and litter boxes.
• Fountains: Many cats prefer moving water. A ceramic or stainless steel fountain is ideal.
• Wet food: Even if you feed kibble, add a can of high-quality wet food daily to boost moisture intake.
• Flavor the water: A splash of tuna juice (packed in water, no salt) or low-sodium chicken broth can encourage drinking.

2. Maintain a Healthy Weight

• Measure portions: Use a kitchen scale for accuracy. "One cup" can vary widely.
• Follow feeding guidelines: Use the manufacturer's recommendations as a starting point, but adjust based on your cat's body condition.
• Limit treats: Treats should make up no more than 10% of daily calories.
• Regular weigh-ins: Weigh your cat monthly at home or at the vet.

3. Support Dental Health

• Brush daily: Use a pet-safe enzymatic toothpaste and a soft-bristled brush.
• Dental treats and diets: Look for the VOHC seal of approval.
• Professional cleanings: Schedule annual dental cleanings under anesthesia as recommended by your vet.

4. Provide Environmental Enrichment

• Puzzle feeders: Make your cat work for their food. This slows down eating and provides mental stimulation.
• Vertical space: Cat trees, shelves, and window perches encourage exercise.
• Interactive play: Aim for 15-20 minutes of active play twice daily.

5. Schedule Regular Veterinary Care

• Annual wellness exams: Include bloodwork and urinalysis for cats over 7 years old.
• Vaccinations: Keep core vaccines (feline panleukopenia, herpesvirus, calicivirus, rabies) up to date.
• Parasite prevention: Use a monthly preventive for fleas, ticks, heartworms, and intestinal parasites.

Frequently Asked Questions

1. Is Smalls cat food AAFCO approved?

Yes, Smalls cat food is formulated to meet the nutritional levels established by the AAFCO Cat Food Nutrient Profiles for adult maintenance. This means it is a complete and balanced diet for adult cats. However, it is not formulated for growth (kittens) or reproduction (pregnant/nursing queens).

2. Can I mix Smalls with my cat's current kibble?

Yes, but do it gradually. Mixing fresh food with kibble can be a good way to transition or to provide variety. However, be aware that mixing changes the overall nutritional profile. If you're mixing, ensure the combined diet still meets AAFCO standards. Also, fresh food spoils faster, so don't leave mixed food out for more than 30-60 minutes.

3. How long does Smalls cat food last in the fridge?

Once thawed, Smalls cat food should be used within 5-7 days if kept refrigerated at 40°F or below. Always check for signs of spoilage (off smell, mold, discoloration) before serving. Unopened, it can be stored in the freezer for up to 6 months.

4. Is fresh cat food better for cats with kidney disease?

It can be, but only under veterinary supervision. The high moisture content is beneficial for kidney function. However, cats with kidney disease often need specific levels of phosphorus, protein, and sodium that may not match a general fresh food recipe. A veterinary therapeutic diet is usually recommended for managing CKD.

5. My cat is a picky eater. Will they like Smalls?

Many picky eaters do well with fresh food because of its texture and aroma. However, there are no guarantees. Smalls offers a variety of recipes, and you can order a trial box to see if your cat likes it. If your cat refuses it, you can usually get a refund or credit.

6. Is Smalls cat food grain-free?

Smalls offers both grain-inclusive and grain-free recipes. Their grain-inclusive recipes use white rice, which is highly digestible. Their grain-free recipes use lentils, sweet potatoes, or chickpeas as carbohydrate sources. There is no evidence that grain-free diets are inherently better for cats, unless they have a confirmed grain allergy (which is rare).

7. How much does Smalls cat food cost per month?

For an average 10-pound cat, expect to pay between $75 and $120 per month, depending on the recipes chosen and your cat's specific caloric needs. This is significantly more expensive than kibble but comparable to other fresh food delivery services.

8. Can I use Smalls cat food for my kitten?

No. Smalls is formulated for adult maintenance only. Kittens have different nutritional requirements, including higher protein, fat, calcium, and phosphorus levels for growth. Always feed a diet specifically labeled for growth or all life stages to kittens.

References

1. Marín-García, J. (2014). Post-Genomic Cardiology (2nd ed.). Elsevier. DOI: None. [Discusses general principles of nutrition and cellular health in mammals.]

2. Schuurs, A. (2012). Pathology of the Hard Dental Tissues. Wiley-Blackwell. DOI: 10.1002/9781118702659. [Provides background on the role of carbohydrates in dental disease.]

3. S2 #1: An investigation of feeding instructions on cat food labels in Belgium and comparison with European industry energy intake recommendations. (2026). Veterinary Record. DOI: 10.1002/vetr.70802. [Highlights the concern that commercial feeding guidelines may overestimate energy needs, contributing to obesity.]

4. S2 #2: Systematic Review and Meta-Analysis of Quality Claims Associated with Fresh Pet Food: Evaluating Scientific Evidence for Additives, Ingredient Quality, and Effects of Processing in Pet Nutrition. (2025). Animals, 16(1), 41. DOI: 10.3390/ani16010041. [Provides a critical evaluation of marketing claims vs. scientific evidence for fresh pet foods.]

5. S2 #3: PSVIII-20 A Premium Dry Cat Food Enhances Digestibility and Gut Health in Cats Compared with a Grocery Dry Cat Food. (2023). Journal of Animal Science, 101(Suppl 3), 552. DOI: 10.1093/jas/skad281.552. [Demonstrates that ingredient quality in dry food impacts digestibility and gut health.]

6. S2 #6: Comparison of Food Composition Databases from Two Popular Commercial Nutrition Apps with a Research Food and Nutrient Database. (2020). Current Developments in Nutrition, 4(Suppl 2), 060_007. DOI: 10.1093/cdn/nzaa060_007. [Highlights challenges in accurately assessing nutrient content in commercial foods.]

7. S2 #8: Assessment of commercial insect-based pet food products: nutrients' concentration, labelling adequacy and determination of animal deoxyribonucleic acid (DNA). (2025). Journal of Insects as Food and Feed. DOI: 10.1163/23524588-00001455. [Provides context on alternative protein sources and labeling regulations.]

8. Association of American Feed Control Officials (AAFCO). (2024). 2024 Official Publication. Champaign, IL: AAFCO.

9. Fédération Européenne de l'Industrie des Aliments pour Animaux Familiers (FEDIAF). (2021). Nutritional Guidelines for Complete and Complementary Pet Food for Cats and Dogs.

10. American Veterinary Medical Association (AVMA). (2023). Pet Food Safety. Retrieved from avma.org.

11. World Small Animal Veterinary Association (WSAVA). (2021). Global Nutrition Committee Guidelines on Selecting Pet Foods.

12. Merck Veterinary Manual. (2023). Nutritional Requirements of Cats. Retrieved from merckvetmanual.com.