Sausage Peppers Spaghetti Squash

The finished Sausage and Peppers Spaghetti Squash Casserole topped with melted mozzarella and fresh basil.  Save to everydaypinmeals
The finished Sausage and Peppers Spaghetti Squash Casserole topped with melted mozzarella and fresh basil. | everydaypinmeals.com

This dish blends tender roasted spaghetti squash strands with browned Italian sausage, sautéed bell peppers, onions, and garlic, all melded in a rich tomato sauce. Tossed with mozzarella and Parmesan, then baked until golden and bubbly, it offers a hearty yet low-carb meal perfect for an easy weeknight dinner. Optional fresh basil adds aromatic freshness, while spices like oregano and basil enhance its Italian-American character.

The first time I made this casserole, my husband actually asked if there was pasta in it. That spaghetti squash is remarkably convincing when it's all tangled up with savory sausage and peppers. I'd been skeptical about squash pretending to be noodles until that bubbling dish came out of the oven. Now it's become our cozy weeknight comfort food that somehow feels indulgent while being light enough for second helpings.

I remember serving this at a dinner party where two guests were doing low carb and everyone else wasn't. By the end of the meal, the people who could eat pasta were asking for the squash recipe instead. That's when I knew this wasn't just diet food—it was genuinely delicious dinner that happened to be good for you. The bubbling cheese on top doesn't hurt either.

Ingredients

  • Spaghetti Squash: Pick one that feels heavy for its size with a hard, unblemished skin. The roasting process transforms the flesh into those incredible noodles.
  • Italian Sausage: Remove those casings yourself for better control over the crumble. Hot sausage adds a nice kick but mild lets the other flavors shine.
  • Bell Peppers: The combination of red and yellow brings sweetness and beautiful color. Don't skip them they're essential to that classic sausage and peppers vibe.
  • Marinara Sauce: Use your favorite jarred sauce or make a quick batch. Just ensure it's gluten-free if that matters for your diet.
  • Mozzarella and Parmesan: The mozzarella creates that irresistible cheese pull while Parmesan adds the salty finish that makes everything taste complete.

Instructions

Roast the Squash:
Cut that squash in half lengthwise—it takes some muscle so use your sharpest knife and steady hands. Scoop out the seeds like you're carving a pumpkin then brush with olive oil and season generously. Roast cut side down at 400°F until a fork slides through the flesh easily about 35 to 40 minutes.
Cook the Sausage:
While the squash roasts heat some olive oil in a big skillet over medium heat. Add the sausage breaking it up with your spoon as it cooks. Let it get nice and browned about 6 or 7 minutes so you get those little crispy bits that add so much flavor.
Add the Vegetables:
Toss in your sliced onions and bell peppers. Let them soften and pick up some color from the sausage about 5 minutes. Stir in the garlic oregano basil and red pepper flakes and cook just one minute more until fragrant. Pour in the marinara and let everything simmer together for 5 minutes.
Assemble and Bake:
Scrape that roasted squash into strands with a fork—it's oddly satisfying. Mix it with the sausage mixture and half the cheeses in a large bowl then spread it into a 9x13 baking dish. Top with the remaining cheese and bake at 375°F until bubbly and golden about 15 to 20 minutes. Let it rest 5 minutes before serving so it sets up nicely.
Golden, bubbly Sausage and Peppers Spaghetti Squash Casserole served in a white ceramic dish.  Save to everydaypinmeals
Golden, bubbly Sausage and Peppers Spaghetti Squash Casserole served in a white ceramic dish. | everydaypinmeals.com

This recipe saved me during that month I decided to cut back on carbs but refused to give up comfort food. I make a double batch now and keep individual portions in the freezer for those nights when the thought of cooking feels overwhelming but I still want something that feels like a hug.

Making Ahead

I've learned this casserole is actually better when made ahead. Assemble everything through step 10 then cover and refrigerate for up to 24 hours. Add 5 to 10 minutes to the baking time since it's starting cold. The flavors have time to mingle and develop into something even more delicious.

Cheese Choices

Sometimes I mix in some sharp provolone with the mozzarella for a more complex flavor profile. A little fontina works beautifully too if you want something extra melty. Just keep the total cheese amount the same so it doesn't become too heavy.

Serving Ideas

A crisp green salad with a bright vinaigrette cuts through the richness perfectly. I also love serving this with roasted broccoli or garlic green beans on the side for a complete meal.

  • Crushed red pepper flakes on the table for heat lovers
  • Extra fresh basil makes it look gorgeous
  • Garlic bread for the non low carb eaters at the table
A slice of Sausage and Peppers Spaghetti Squash Casserole reveals savory Italian sausage and peppers. Save to everydaypinmeals
A slice of Sausage and Peppers Spaghetti Squash Casserole reveals savory Italian sausage and peppers. | everydaypinmeals.com

There's something so satisfying about a casserole dish that feeds people well and makes the house smell incredible. This one's become part of our regular rotation and I hope it finds a permanent spot in yours too.

Recipe FAQs

Yes, substitute the sausage with plant-based sausage or sautéed mushrooms for a flavorful vegetarian version.

Roast the squash halves cut-side down until tender, then scrape the flesh into strands using a fork.

When using gluten-free marinara sauce and gluten-free sausage, the dish remains gluten-free.

Absolutely, using spicy Italian sausage adds extra kick to the dish.

A sharp chef's knife, baking sheet, large skillet, mixing bowl, and a 9x13-inch baking dish will make preparation easy.

Bake uncovered at 375°F (190°C) for 15–20 minutes until bubbly and golden on top.

Sausage Peppers Spaghetti Squash

Low-carb Italian dish with roasted spaghetti squash, sausage, bell peppers, and melted cheeses baked to bubbly finish.

Prep 25m
Cook 50m
Total 75m
Servings 4
Difficulty Easy

Ingredients

Vegetables

  • 1 large spaghetti squash (about 3 lbs)
  • 1 red bell pepper, sliced
  • 1 yellow bell pepper, sliced
  • 1 small yellow onion, thinly sliced
  • 2 cloves garlic, minced

Meats

  • 12 oz Italian sausage (mild or hot), casings removed

Sauces & Dairy

  • 1 1/2 cups marinara sauce (gluten-free if needed)
  • 1 cup shredded mozzarella cheese
  • 1/4 cup grated Parmesan cheese

Pantry & Seasonings

  • 2 tbsp olive oil
  • 1/2 tsp dried oregano
  • 1/2 tsp dried basil
  • 1/4 tsp crushed red pepper flakes (optional)
  • Salt and freshly ground black pepper, to taste
  • Fresh basil, for garnish (optional)

Instructions

1
Roast the Spaghetti Squash: Preheat oven to 400°F. Cut squash lengthwise, scoop seeds, brush cut sides with 1 tbsp olive oil and season. Place cut-side down on parchment-lined baking sheet. Roast 35-40 minutes until tender.
2
Brown the Sausage: While squash roasts, heat remaining oil in large skillet over medium heat. Cook sausage, breaking up with spoon, until browned, about 6-7 minutes.
3
Sauté Vegetables: Add onions and bell peppers to sausage. Sauté 5 minutes until softened. Stir in garlic, oregano, basil, and red pepper flakes; cook 1 minute more.
4
Add Sauce and Simmer: Pour marinara sauce into skillet. Simmer 5 minutes then remove from heat.
5
Prepare Squash Strands: When squash is cool enough to handle, use fork to scrape flesh into spaghetti-like strands. Discard skins. Reduce oven temperature to 375°F.
6
Combine Filling: In large mixing bowl, combine squash strands, sausage mixture, half the mozzarella, and half the Parmesan. Mix well and season to taste.
7
Assemble and Bake: Transfer mixture to greased 9x13-inch baking dish. Top with remaining cheeses. Bake uncovered 15-20 minutes until bubbly and golden. Rest 5 minutes before serving with fresh basil.
Additional Information

Equipment Needed

  • Sharp chef's knife
  • Baking sheet
  • Large skillet
  • Mixing bowl
  • 9x13-inch baking dish
  • Wooden spoon or spatula

Nutrition (Per Serving)

Calories 390
Protein 25g
Carbs 22g
Fat 23g

Allergy Information

  • Contains dairy (mozzarella, Parmesan). Contains pork unless using chicken/turkey/vegetarian sausage. Gluten-free if using gluten-free marinara and sausage. Always check ingredient labels for hidden allergens.
Kayla Morton

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