In a large mixing bowl, combine all the ingredients.
1 pound Ground Chicken, 1 Egg, ¼ cup Diced Onion, ⅓ cup Italian Breadcrumbs, 1 teaspoon Italian Seasoning, ¼ cup Parmesan Cheese, 3 Tablespoon Pesto, 1 clove Minced Garlic, ¼ teaspoon Crushed Red Pepper Flakes, ½ teaspoon Salt, ¼ teaspoon Black Pepper