in such systems is attainable only when strict constraints on phase matching of the signal, idler and pump waves are satisfied — this is rendered particularly challenging in the presence of nonlinear effects, such as self- and cross-phase modulation, which scale with the intensity of propagating signals. In this work, we present a simple J-TWPA design based on `left-handed‘ (negative-index) nonlinear Josephson metamaterial, which realizes autonomous phase matching \emph{without} the need for any complicated circuit or dispersion engineering. The resultant efficiency of four-wave mixing process can implement gains in excess of 20 dB over few GHz bandwidths with much shorter lines than previous implementations. Furthermore, the autonomous nature of phase matching considerably simplifies the J-TWPA design than previous implementations based on `right-handed‘ (positive index) Josephson metamaterials, making the proposed architecture particularly appealing from a fabrication perspective. The left-handed JTL introduced here constitutes a new modality in distributed Josephson circuits, and forms a crucial piece of the unified framework that can be used to inform the optimal design and operation of broadband microwave amplifiers.