Sausage Peppers Spaghetti Squash

Golden-brown Sausage and Peppers Spaghetti Squash Casserole fresh from the oven, topped with bubbly mozzarella and fresh basil. Save
Golden-brown Sausage and Peppers Spaghetti Squash Casserole fresh from the oven, topped with bubbly mozzarella and fresh basil. | pinbitekitchen.com

This hearty casserole blends tender roasted spaghetti squash strands with savory Italian sausage and colorful bell peppers. Cooked in a rich tomato sauce infused with garlic, oregano, and basil, then topped with mozzarella and Parmesan cheeses for a bubbly, golden finish. The dish is gluten-free and low-carb, perfect for an easy, flavorful meal. Variations include swapping sausage for plant-based options or mushrooms.

The first time I served this at a dinner party, my friend Sarah actually asked if there was pasta hidden somewhere in the casserole. When I told her it was all squash, she went back for seconds and made me write down the recipe right then and there. That's the magic of spaghetti squash it tricks your brain while delivering all those cozy Italian-American flavors we crave. Now it's my go-to when I want something hearty without the carb coma.

Last winter during a particularly brutal cold snap, my neighbor dropped off some fresh sausage from his family's butcher. I threw together this casserole on a Tuesday night with whatever vegetables I had in the crisper drawer. The smell of roasting squash and simmering tomato sauce filled the whole apartment. When my roommate came home from work, he said it smelled like an Italian grandmother had moved in for the night.

Ingredients

  • 1 large spaghetti squash: Look for one that feels heavy for its size with a hard, unblemished skin this ensures the flesh will separate into perfect strands when roasted
  • 12 oz Italian sausage: Removing the casings lets the meat crumble and distribute evenly throughout every bite, hot or mild depending on your spice tolerance
  • 1 red and 1 yellow bell pepper: The combination of two different peppers adds visual appeal and subtle flavor differences that make the dish feel more complex
  • 1 small yellow onion: Thinly slicing rather than chopping creates these sweet, tender ribbons that melt into the sauce
  • 1 1/2 cups marinara sauce: Choose a brand you would eat on its own since the squash absorbs all that tomato flavor during baking
  • 1 cup shredded mozzarella and 1/4 cup grated Parmesan: The mozzarella creates that irresistible pull while Parmesan adds a salty, nutty finish on top

Instructions

Roast the squash first:
Cut that stubborn squash in half lengthwise it might take some muscle then scoop out the seeds and brush the cut sides with olive oil. Place them cut side down on a parchment lined baking sheet at 400°F for 35 to 40 minutes until a fork easily pulls away the strands.
Cook the sausage and vegetables:
While the squash roasts, brown the sausage in a large skillet over medium heat, breaking it up with your spoon as it cooks. Add the sliced peppers and onions for five minutes until softened, then stir in the garlic and herbs for another minute of fragrant cooking.
Combine everything together:
Pour in the marinara sauce and let it simmer for five minutes while you reduce the oven to 375°F. Scrape the roasted squash into strands, discard the skins, then mix everything with half the cheeses in a large bowl.
Bake until bubbly:
Transfer the mixture to a greased 9x13 baking dish, top with the remaining cheese, and bake uncovered for 15 to 20 minutes. You want those golden brown spots and the sauce bubbling up around the edges.
A close-up of the Sausage and Peppers Spaghetti Squash Casserole served in a white dish with a fork ready to scoop. Save
A close-up of the Sausage and Peppers Spaghetti Squash Casserole served in a white dish with a fork ready to scoop. | pinbitekitchen.com

My mother in law who's usually suspicious of anything labeled low carb took one bite and immediately asked for the recipe. She said it reminded her of the baked ziti her grandmother used to make, except she didnt feel stuffed afterward. Now she makes it for her bridge club every month.

Making It Ahead

You can absolutely assemble this casserole the day before and keep it covered in the refrigerator. Just add about five minutes to the baking time since it will be cold going into the oven. The flavors actually develop overnight, so it might taste even better.

Cheese Selection

While part skim mozzarella works fine, I've found that using whole milk mozzarella shreds creates that authentic cheese pull we all want in a comfort food casserole. If you can find fresh mozzarella pearls, cube them up and scatter them throughout for little pockets of creamy goodness.

Serving Suggestions

A simple green salad with a sharp vinaigrette cuts through the richness and adds freshness to the meal. If you're not strictly low carb, some crusty garlic bread on the side never hurt anyone.

  • Let the casserole rest for those full five minutes before serving, it makes a huge difference in how well the portions hold together
  • Leftovers reheat beautifully in the microwave and actually taste better the next day as flavors meld
  • This freezes well for up to three months if you wrap it tightly before freezing
A hearty slice of Sausage and Peppers Spaghetti Squash Casserole on a plate, showcasing roasted veggies and savory Italian sausage. Save
A hearty slice of Sausage and Peppers Spaghetti Squash Casserole on a plate, showcasing roasted veggies and savory Italian sausage. | pinbitekitchen.com

This is the kind of dinner that makes people feel taken care of, the kind they ask about weeks later. Thats the highest compliment a home cook can receive.

Common Recipe Questions

Halve the squash lengthwise, scoop out seeds, brush with olive oil, season, and roast cut-side down at 400°F until tender and strands pull easily.

Yes, mild or hot Italian sausage works well. For vegetarian options, plant-based sausage or sautéed mushrooms can be used.

Mix roasted squash strands with cooked sausage and peppers, half the cheeses, then transfer to a baking dish. Top with remaining cheese and bake until bubbly.

Yes, as long as gluten-free marinara and sausage are used. Always check ingredient labels to be certain.

Dried oregano, basil, garlic, and optional crushed red pepper flakes provide aromatic and savory notes to the sauce.

Sausage Peppers Spaghetti Squash

A low-carb dish featuring roasted spaghetti squash, Italian sausage, sweet bell peppers, and melted cheese baked to perfection.

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
Prepare Oven and Baking Sheet: Preheat the oven to 400°F. Line a baking sheet with parchment paper.
2
Prepare the Squash: Cut the spaghetti squash in half lengthwise. Scoop out the seeds. Brush the cut sides with 1 tablespoon olive oil and season with salt and pepper.
3
Roast the Squash: Place squash halves cut-side down on the baking sheet. Roast for 35-40 minutes, until tender and strands easily pull away with a fork.
4
Cook the Sausage: While the squash roasts, heat the remaining olive oil in a large skillet over medium heat. Add sausage; cook, breaking it up with a spoon, until browned and cooked through, about 6-7 minutes.
5
Sauté Vegetables: Add onions and bell peppers. Sauté for 5 minutes until softened. Stir in garlic, oregano, basil, and red pepper flakes (if using); cook 1 minute more.
6
Add Sauce and Simmer: Pour in the marinara sauce. Simmer for 5 minutes, then remove from heat.
7
Shred the Squash: Once the squash is cool enough to handle, use a fork to scrape the flesh into spaghetti-like strands. Discard the skins.
8
Adjust Oven Temperature: Reduce oven temperature to 375°F.
9
Combine Filling: In a large mixing bowl, combine squash strands, sausage mixture, half the mozzarella, and half the Parmesan. Mix well and season to taste.
10
Assemble Casserole: Transfer mixture to a greased 9x13-inch baking dish. Top with remaining mozzarella and Parmesan.
11
Bake Until Golden: Bake uncovered for 15-20 minutes, until bubbly and golden.
12
Rest and Serve: Let rest 5 minutes before garnishing with fresh basil and serving.
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
Olivia Marsh

Sharing easy, wholesome recipes and kitchen tips for fellow food lovers.