Effortless Sausage Squash Meal

Featured in Easy Family Meals.

This Sausage Stuffed Spaghetti Squash elevates ordinary squash to extraordinary low-carb heights. Roasted spaghetti squash gets cozy with Italian sausage in rich tomato cream. It stands out by mirroring pasta's comfort, keeping carbs ultra-low at 9g net. Sausage, herbs, plus two cheeses, form a meal tailored for gluten-free, keto, and grain-free eating. If you’re on a low-carb plan and yearn for pasta, this will hit the spot.
Fatima
Updated on Sun, 09 Feb 2025 10:07:30 GMT
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Create a delicious low-carb pasta alternative using perfectly roasted spaghetti squash filled with savory Italian sausage and melted cheese. This hearty dish delivers classic Italian comfort food flavors while keeping carbohydrates low, making it ideal for keto and low-carb eating plans.

Years of testing have shown that proper roasting technique is crucial for achieving the ideal pasta-like consistency in spaghetti squash.

Key Components

  • Spaghetti Squash: Choose 2-3 pound size
  • Ground Italian Sausage: 85% lean preferred
  • Fresh Mozzarella: Select low moisture type
  • Parmesan Cheese: Grate just before using
  • Yellow Onion: Small, uniform dice
  • Garlic Cloves: Fresh minced

Preparation Method

1. Prepare the Squash:
Split squash lengthwise with sharp knife. Remove seeds, drizzle with olive oil, season with salt and pepper. Place cut-side down on lined baking sheet. Roast at 400°F for 35-40 minutes until tender.
2. Cook the Sausage:
Brown sausage in large skillet over medium-high heat. Remove with slotted spoon. Cook diced onion in remaining fat until golden, 5-7 minutes. Add garlic, cook briefly until aromatic.
3. Make the Sauce:
Combine sausage with onion mixture. Add marinara and seasonings. Simmer until thickened, 10-15 minutes. Adjust seasoning to taste.
4. Prepare Squash Strands:
Let squash cool slightly. Scrape flesh into strands with fork, leaving thin shell. Season strands.
5. Final Assembly:
Mix squash with half the sausage mixture. Fill shells, top with remaining sauce. Add mozzarella and parmesan. Broil until cheese browns, 3-5 minutes.
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Storage Instructions

Allow dish to rest 5 minutes before serving. For advance prep, cook squash and prepare filling up to 2 days ahead, storing components separately in refrigerator. Reheat assembled dish at 350°F for approximately 20 minutes.

Serving Suggestions

  • Classic garlic bread
  • Fresh Caesar salad
  • Garlicky green beans
  • Parmesan roasted broccoli
  • Garden salad
  • Italian bread
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Temperature Tips

Watch carefully during broiling step to prevent cheese from burning. If top browns too quickly, lower oven rack and switch to bake setting. Cover with foil when reheating leftovers until final few minutes.

This recipe proves healthy dishes can deliver satisfying Italian flavor. Perfect for family dinners or weekly meal prep while maintaining nutritious eating goals. Careful preparation ensures the best possible texture and taste.

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Recipe Notes

Practice helps perfect both technique and timing with this dish. Focus on proper squash preparation and thoughtful assembly. Experience shows that attention to detail during each step produces consistently excellent results.

Frequently Asked Questions

→ What makes a great spaghetti squash?
Seek firm, heavy, golden-yellow squash.
→ How should leftovers be stored?
In a sealed container, refrigerate for a max of 3 days. Warm it up in the oven when ready to eat.
→ Can I prep in advance?
Sure, just keep each part separate until right before you bake it.
→ Can I freeze this creation?
You can certainly freeze assembled, unbaked squash for approximately 2 months.
→ Another sausage choice perhaps?
For sure, mild or hot Italian sausage, whatever your preference is, will work.

Sausage Squash Recipe

A comforting, keto-friendly dish; think spaghetti squash filled with creamy tomato sauce and Italian sausage.

Prep Time
15 Minutes
Cook Time
40 Minutes
Total Time
55 Minutes
By: Fati

Category: Family Dinners

Difficulty: Intermediate

Cuisine: Italian

Yield: 6 Servings

Dietary: Low-Carb, Gluten-Free

Ingredients

→ For the squash base

01 1 small spaghetti squash around 1.5 to 2 pounds
02 A quick spritz of coconut oil
03 A pinch of sea salt

→ For the meat sauce

04 1 tablespoon unsalted butter
05 2 tablespoons diced yellow onion
06 1 pound loose sweet Italian sausage meat
07 2 cloves minced fresh garlic
08 1 cup basic tomato sauce
09 1/2 cup heavy cream
10 1/2 teaspoon dried basil leaves
11 1/4 teaspoon dried oregano leaves
12 1/8 teaspoon chili flakes if you want some heat
13 1/4 teaspoon fresh ground black pepper or as needed
14 1/4 teaspoon sea salt or as needed

→ For topping

15 2 tablespoons fresh grated parmesan
16 1/4 cup shredded mozzarella

Instructions

Step 01

Get your oven going at 350º F. Split the squash down the middle lengthwise and scoop out the seeds.

Step 02

Give the squash a light coating of coconut oil and sprinkle some sea salt on it. Put it face down on your baking sheet. Cook for about 35 to 40 minutes until it's soft enough. In my oven 35 gives you firmer noodles while 40 makes them really soft. You can check by poking it with a fork. When the fork goes in easily it's done. Take it out when ready.

Step 03

While that's cooking let's make the filling. Get a big pan nice and hot over medium high heat. Drop in the butter and wait for it to stop bubbling.

Step 04

Toss in the onion and cook it until it starts getting brown and see through. Add your sausage meat. Keep cooking and stirring now and then until the meat is fully cooked and brown. Pour off any extra fat.

Step 05

Put in the garlic and let it cook for a minute. Now add your tomato sauce heavy cream basil oregano chili flakes black pepper and salt. Keep stirring until it thickens up nicely. Give it a taste and add more seasoning if needed. Set it aside for now.

Step 06

Once your squash is cooked how you like it take it out. Turn the oven up to 400º F. Flip the squash halves over so they're face up on the baking sheet. Use tongs or oven mitts for this part.

Step 07

Fill up each squash half with your meat sauce. Sprinkle 1 tablespoon parmesan and 2 tablespoons mozzarella on top. Pop it back in the 400º oven for about 5 minutes until the cheese melts. You can either cut each half into three pieces or just scoop everything out to serve.

Notes

  1. Perfect for keto low carb gluten free grain free diabetic and Banting meal plans
  2. Cook for 35 minutes for firmer texture 40 minutes for softer squash
  3. Serve it sliced or spooned right out of the shell

Tools You'll Need

  • A good baking sheet
  • Big frying pan
  • Tongs or heat proof mitts

Allergy Information

Please check ingredients for potential allergens and consult a health professional if in doubt.
  • Watch out this has dairy products

Nutrition Facts (Per Serving)

It is important to consider this information as approximate and not to use it as definitive health advice.
  • Calories: 396
  • Total Fat: 31 g
  • Total Carbohydrate: 10 g
  • Protein: 19 g