Tasty Stuffed Squash With Sausage

Featured in: Family-Friendly Recipes for Everyone

This Stuffed Spaghetti Squash turns ordinary squash into an amazing low-carb feast. The dish pairs soft baked spaghetti squash with a flavorful mix of Italian sausage in a velvety tomato sauce. The beauty of this meal is how it feels like eating pasta without all the carbs - only 9g net carbs per serving. The blend of Italian sausage, seasonings, and dual cheese varieties delivers a truly filling dinner that fits keto, gluten-free, and grain-free eating plans. It's the perfect answer for anyone cutting carbs who still craves that pasta satisfaction.
Lily chef cooking Cookingwithmee blog.
Updated on Fri, 11 Apr 2025 19:15:37 GMT
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Turn boring spaghetti squash into a mouthwatering low-carb dinner that gives you all the pasta feels without any guilt afterward. This keto option mixes soft squash strands with flavorful Italian sausage and gooey cheese, making a meal that works for your health goals while still hitting those comfort food spots.

I've tried cooking spaghetti squash dozens of ways, and I now know that getting the roasting just right makes it truly feel like actual pasta.

Key Ingredients

  • Spaghetti Squash: Pick one around 2-3 pounds for enough to serve
  • Italian Sausage: Go with 85/15 for the tastiest results
  • Fresh Mozzarella: Grab the low moisture type
  • Parmesan: Grate it yourself for best taste
  • Yellow Onion: Cut into tiny pieces
  • Fresh Garlic: Chop it right before you cook

Step-By-Step Cooking Guide

1. Getting The Squash Ready:
Grab a good knife and split a 2-3 pound spaghetti squash down the middle. Dig out the seeds and stringy bits first. Drizzle some olive oil on the cut parts, then sprinkle salt and pepper. Put them face down on a baking sheet with parchment paper. Cook at 400°F for about 35-40 minutes until you can easily poke it with a fork.
2. Cooking The Meat:
While the squash cooks, grab a big pan and brown 1 pound of Italian sausage over medium-high heat, breaking it into little bits as it cooks. Once it's done, move it to a plate lined with paper towels. Keep the fat in the pan and toss in diced onion, cooking until they're soft and getting golden around the edges (about 5-7 minutes). Throw in minced garlic and stir for just 30 seconds until you can smell it.
3. Making The Sauce:
Put the sausage back in with the onions and garlic. Pour in marinara sauce and Italian spices. Let it bubble gently for 10-15 minutes until it's thick enough to stick to the back of a spoon. Taste it and add more spices if needed.
4. Handling The Squash:
When squash is ready, let it cool a bit. Use a fork to scratch the inside into spaghetti-looking strands, but leave about ½-inch around the edge so the shell stays strong. Add some salt and pepper to the strands.
5. Putting It All Together:
Mix the squash strands with half the meat sauce. Put this mixture back into the squash shells, then top with the rest of the sauce. Layer torn mozzarella and grated Parmesan on top. Broil for 3-5 minutes until the cheese melts and gets some brown spots.
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Keeping And Serving Tips

Wait 5 minutes after taking it out before you dig in - this helps everything set up nicely. If you want to make it ahead, you can roast the squash and cook the filling up to 2 days early. Just keep them separate in sealed containers in your fridge. When you're ready to eat, put everything together and warm it in a 350°F oven for about 20 minutes.

Foods That Go Well With It

  • Some garlic bread for folks who aren't watching carbs
  • A simple Caesar salad with homemade dressing
  • Green beans cooked with garlic
  • Broccoli roasted with parmesan sprinkled on top
  • A basic green salad
  • A chunk of Italian bread
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Getting The Heat Just Right

Keep an eye on things during that final broiling step - cheese can burn in seconds. If the top gets too brown while the middle's still cold, just move the rack down and switch from broil to bake. When warming up leftovers, cover with foil until the last few minutes so your cheese doesn't burn.

This dish shows you can eat healthy without giving up amazing flavors. It works great for family dinners or meal prep for busy weeks, giving you Italian taste without all the carbs. Just remember, taking your time with each step makes all the difference in how the final dish turns out.

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Closing Thoughts

Every time you make this, you'll get better at putting your own spin on it. Success comes down to preparing the squash right and assembling everything carefully. After making this countless times, I've learned that not rushing through the steps really pays off in the end.

Frequently Asked Questions

→ How do I pick a good spaghetti squash?
Look for one that's solid, bright yellow, and seems heavy when you lift it.
→ Can I make this ahead?
Sure, cook the parts separately and put them together right before the final baking step.
→ How do I store leftovers?
Pop them in a sealed container in the fridge for up to 3 days. Warm them up in the oven.
→ Can I use different sausage?
Absolutely, any type of ground Italian sausage works - spicy or mild depending on what you like.
→ Is this recipe freezer-friendly?
Definitely, you can freeze the prepared but not yet baked squash boats for up to 2 months.

Stuffed Squash With Sausage

A keto-friendly hearty dish featuring baked spaghetti squash topped with Italian sausage in a velvety tomato mixture.

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


Difficulty: Intermediate

Cuisine: Italian

Yield: 6 Servings

Dietary: Low-Carb, Gluten-Free

Ingredients

→ For the spaghetti squash

01 1 tiny spaghetti squash around 1.5-2 pounds
02 1 puff of coconut oil spray
03 pinch of sea salt

→ For the filling

04 1 tablespoon butter
05 2 tablespoons diced yellow onion, finely chopped
06 1 pound loose mild Italian sausage (bulk form)
07 2 cloves minced garlic
08 1 cup tomato sauce
09 1/2 cup heavy cream
10 1/2 teaspoon dried basil
11 1/4 teaspoon dried oregano
12 1/8 teaspoon chili flakes (if you want)
13 1/4 teaspoon ground black pepper (adjust to liking)
14 1/4 teaspoon sea salt (adjust to liking)

→ For assembling

15 2 tablespoons finely shredded parmesan
16 1/4 cup shredded mozzarella

Instructions

Step 01

Heat your oven to 350º F. Slice the squash down the middle lengthwise and scoop out all the seeds.

Step 02

Lightly mist the squash with coconut oil and add a bit of sea salt. Put them face down on a baking tray. Cook for 35-40 minutes until soft. In my experience, 35 minutes gives you firmer noodles, while 40 makes them softer. Check if it's done by sticking in a fork. It should go in smoothly when ready. Take it out when done.

Step 03

While the squash cooks, get your filling going. Warm up a big pan over medium-high heat. Drop in the butter. Once it stops bubbling, toss in your onion.

Step 04

Stir the onion now and then until it gets slightly brown and see-through. Add your sausage meat. Keep cooking and stirring until the meat browns completely. Pour off any extra fat.

Step 05

Mix in garlic and cook for 60 seconds. Pour in tomato sauce, heavy cream, basil, oregano, chili flakes, black pepper, and sea salt. Keep stirring until the sauce gets thick. Try it and add more seasonings if needed. Put aside.

Step 06

When your squash feels soft enough, pull it from the oven. Turn the heat up to 400º F. Flip the squash halves over using tongs or oven gloves so they're sitting cut-side up on the baking sheet.

Step 07

Stuff the sausage mix into the squash halves, then sprinkle each with 1 tablespoon parmesan and 2 tablespoons mozzarella on top. Bake at 400º for about 5 minutes until the cheese melts. Serve by either cutting each half into three pieces or just scooping everything out of the shell.

Notes

  1. Perfect for folks on low-carb, keto, gluten-free, grain-free, diabetic or Banting eating plans
  2. Cook for 35 minutes for firmer texture, 40 minutes for softer squash
  3. Enjoy by slicing the halves or digging out the tasty insides

Tools You'll Need

  • Baking tray
  • Big frying pan
  • Cooking tongs or heat-proof gloves

Allergy Information

Please check ingredients for potential allergens and consult a health professional if in doubt.
  • Has milk 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