Sausage Peppers Spaghetti Squash

Golden-baked Sausage and Peppers Spaghetti Squash Casserole with bubbly mozzarella and fresh basil garnish. Pin it
Golden-baked Sausage and Peppers Spaghetti Squash Casserole with bubbly mozzarella and fresh basil garnish. | howtocookwithali.com

This comforting dish blends roasted spaghetti squash strands with browned Italian sausage and sautéed bell peppers, all simmered in a rich tomato sauce. Topped with mozzarella and Parmesan cheeses, baked until golden and bubbly, it offers a hearty, gluten-free, and flavorful meal with Italian-American roots. Ideal for an easy, nourishing dinner that balances savory meats, sweet peppers, and fresh herbs.

The first time I made spaghetti squash, I kept poking at it with a fork, half-convinced it was some kind of kitchen magic trick. Those strands just kept coming, and suddenly I understood why people get so excited about this vegetable. This casserole version came about during a particularly chaotic weeknight when I needed something that felt like comfort food but wouldn't leave me in a food coma afterward.

My sister was skeptical when I told her about swapping pasta for squash. She took one bite of this casserole, though, and immediately asked for the recipe. Now it's her go-to for potluck dinners because it looks impressive but secretly comes together with minimal fuss. The way the cheese bubbles and browns on top makes it impossible to resist.

Ingredients

  • Spaghetti Squash: Pick one that feels heavy for its size with a hard, unblemished skin. The roasting process transforms it into those incredible noodles.
  • Italian Sausage: I usually go with mild, but hot sausage adds a wonderful kick if you enjoy some heat. Removing the casings lets it crumble beautifully into the sauce.
  • Bell Peppers: The combination of red and yellow brings both color and varying levels of sweetness to the dish.
  • Marinara Sauce: Use your favorite brand or homemade, just check that its gluten-free if that matters for your dietary needs.
  • Mozzarella and Parmesan: This cheese duo creates that irresistible golden, bubbly topping that makes everyone reach for seconds.
  • Dried Herbs: Oregano and basil complement the Italian sausage flavors, while red pepper flakes add optional warmth.

Instructions

Get the Oven Going:
Preheat to 400°F and line a baking sheet with parchment paper for easy cleanup later.
Prep the Squash:
Cut it in half lengthwise, scoop out the seeds, then brush the cut sides with olive oil and season with salt and pepper.
Roast Until Tender:
Place the squash cut-side down on the baking sheet and roast for 35 to 40 minutes, until a fork easily pulls away the strands.
Cook the Sausage:
While the squash roasts, heat olive oil in a large skillet and brown the sausage, breaking it up with a spoon, about 6 to 7 minutes.
Add the Vegetables:
Throw in the onions and bell peppers, sautéing for 5 minutes until softened, then stir in garlic and herbs.
Simmer the Sauce:
Pour in the marinara and let everything bubble together for 5 minutes, then remove from heat.
Scrape the Squash:
When the squash is cool enough to handle, use a fork to pull those amazing strands into a large bowl, discarding the skins.
Mix It All Together:
Combine the squash strands, sausage mixture, and half of both cheeses, seasoning to taste.
Assemble and Bake:
Transfer to a greased 9x13-inch baking dish, top with remaining cheese, and bake at 375°F for 15 to 20 minutes until golden and bubbly.
Rest and Serve:
Let the casserole rest for 5 minutes before garnishing with fresh basil and digging in.
Sausage and Peppers Spaghetti Squash Casserole served from a white dish with marinara sauce and peppers. Pin it
Sausage and Peppers Spaghetti Squash Casserole served from a white dish with marinara sauce and peppers. | howtocookwithali.com

This recipe became a household favorite during a month-long experiment with low-carb eating. My husband actually requested it for his birthday dinner, which pretty much says it all. Now its in our regular rotation regardless of what dietary phase were in.

Make Ahead Magic

You can assemble the entire casserole up to 24 hours in advance. Just cover it tightly and refrigerate, then bake when ready. Add a few extra minutes to the baking time since it will be cold going into the oven.

Vegetarian Twist

Ive made this with crumbled plant-based sausage and it works beautifully. Sautéed mushrooms also add a meaty texture and umami flavor that makes you not miss the sausage at all.

Serving Suggestions

A crisp green salad with tangy vinaigrette cuts through the richness perfectly. Garlic bread on the side is optional but never unwelcome, especially if youre feeding carb-loving family members.

  • Let leftovers cool completely before storing in the refrigerator
  • This freezes well for up to three months if you want to batch cook
  • Reheat individual portions in the microwave with a splash of water
A close-up slice of Sausage and Peppers Spaghetti Squash Casserole showing Italian sausage and cheesy topping. Pin it
A close-up slice of Sausage and Peppers Spaghetti Squash Casserole showing Italian sausage and cheesy topping. | howtocookwithali.com

Theres something deeply satisfying about a casserole that feels indulgent while actually being good for you. This one hits that sweet spot every single time.

Recipe FAQs

Cut the squash in half lengthwise, remove seeds, brush with olive oil, season, and roast cut-side down for 35-40 minutes until tender.

Italian sausage, either mild or hot, works well; removing casings ensures it crumbles and cooks evenly.

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

Shredded mozzarella and grated Parmesan cheeses provide a creamy, melted topping when baked.

Use spicy Italian sausage or include crushed red pepper flakes in the sautéed vegetables for added spice.

Sausage Peppers Spaghetti Squash

Low-carb dish featuring roasted spaghetti squash, Italian sausage, bell peppers, and a flavorful tomato sauce.

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
  • 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
  • Salt and freshly ground black pepper, to taste
  • Fresh basil, for garnish

Instructions

1
Prepare the Oven: Preheat the oven to 400°F and line a baking sheet with parchment paper.
2
Season the Squash: Cut the spaghetti squash in half lengthwise and 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 and cook, breaking it up with a spoon, until browned and cooked through, about 6-7 minutes.
5
Sauté Vegetables: Add onions and bell peppers to the skillet. Sauté for 5 minutes until softened. Stir in garlic, oregano, basil, and red pepper flakes; cook 1 minute more.
6
Add Sauce: 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
Prepare for Baking: Reduce oven temperature to 375°F.
9
Combine Ingredients: 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 the Casserole: Transfer mixture to a greased 9x13-inch baking dish. Top with remaining mozzarella and Parmesan.
11
Bake: 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, or vegetarian sausage
  • Gluten-free if using gluten-free marinara and sausage
Ali Thompson

Home cook sharing easy, budget-friendly recipes and kitchen tips for real-life meals.