Sausage Peppers Spaghetti Squash

Golden, bubbly mozzarella and Parmesan top the baked Sausage and Peppers Spaghetti Squash Casserole, with colorful roasted peppers peeking through. Save to Pinterest
Golden, bubbly mozzarella and Parmesan top the baked Sausage and Peppers Spaghetti Squash Casserole, with colorful roasted peppers peeking through. | whiskandwok.com

This comforting dish features tender roasted spaghetti squash strands combined with browned Italian sausage and sautéed bell peppers. Simmered in a rich marinara sauce and topped with a blend of mozzarella and Parmesan cheese, it’s baked until bubbly and golden. The natural sweetness of roasted peppers balances the savory meat, while herbs like oregano and basil lend aromatic depth. Ideal for a satisfying low-carb meal, it offers a flavorful Italian-American experience with a wholesome twist.

The first time I made this casserole, my kitchen smelled like an Italian grandmother had moved in. I was skeptical about spaghetti squash actually satisfying my pasta cravings, but watching those golden strands emerge from the oven felt like kitchen magic.

My sister rolled her eyes when I said we were having squash for dinner. After one bite, she asked if there was any left for lunch the next day. That silent second helping was louder than any compliment.

Ingredients

  • 1 large spaghetti squash: The star that creates those incredible pasta-like strands, roasting it first brings out natural sweetness
  • Red and yellow bell peppers: They add sweetness and color, plus they soften beautifully in the sausage renderings
  • Italian sausage: This carries all the savory depth, and browning it properly creates little flavor pockets throughout
  • Marinara sauce: Use a good quality one you would eat on its own since it binds everything together
  • Mozzarella and Parmesan: The mozzarella creates those irresistible cheese pulls while Parmesan adds salty umami depth
  • Dried oregano and basil: These herbs bloom in the hot fat and make the whole house smell authentic

Instructions

Get your squash roasting:
Cut that squash in half lengthwise, scoop out the seeds, brush with olive oil, and season generously. Roast cut side down at 400°F until tender, about 35 to 40 minutes.
Brown your sausage to perfection:
While the squash roasts, cook your sausage in a large skillet over medium heat, breaking it up with your spoon. Let it get nicely browned, about 6 or 7 minutes.
Build the flavor base:
Add your sliced peppers and onions to the sausage, sautéing until softened. Stir in garlic, oregano, basil, and red pepper flakes, cooking just one minute more until fragrant.
Simmer the sauce:
Pour in your marinara and let it bubble gently for 5 minutes. This step lets all the flavors meld into something greater than the sum of parts.
Transform squash into strands:
When the squash is cool enough, use a fork to scrape the flesh into strands. It falls apart into these amazing noodles that look just like spaghetti.
Combine and cheese it up:
Mix the squash strands with your sausage mixture, half the mozzarella, and half the Parmesan. Season to taste, because this is your last chance before baking.
Bake until bubbly:
Transfer everything to a 9x13 baking dish, top with remaining cheese, and bake at 375°F for 15 to 20 minutes. Let it rest 5 minutes before serving.
In a white ceramic dish, the low-carb Sausage and Peppers Spaghetti Squash Casserole features shredded squash strands and savory sausage. Save to Pinterest
In a white ceramic dish, the low-carb Sausage and Peppers Spaghetti Squash Casserole features shredded squash strands and savory sausage. | whiskandwok.com

This recipe has become my go to for meal prep Sundays. The leftovers reheat beautifully, and somehow the flavors seem even better the next day after mingling overnight.

Getting The Squash Right

I have learned that cutting spaghetti squash is the hardest part. Microwave it for 3 minutes first to soften, then use your sharpest knife and steady pressure. Cutting through the stem end first has saved me more times than I can count.

Make It Your Own

Sometimes I add mushrooms when I sauté the peppers. They shrink down and add this earthy quality that plays so well with the Italian sausage. Other times I throw in fresh spinach at the very end, letting it wilt in the hot mixture.

Serving Suggestions

A crisp green salad with vinaigrette cuts through the richness. Garlic bread on the side feels almost wrong but tastes so right.

  • Pair with a medium bodied red wine like Chianti
  • Extra red pepper flakes on the table for heat lovers
  • Leftovers make an incredible lunch the next day
A close-up shows the Sausage and Peppers Spaghetti Squash Casserole garnished with fresh basil and a fork ready to serve. Save to Pinterest
A close-up shows the Sausage and Peppers Spaghetti Squash Casserole garnished with fresh basil and a fork ready to serve. | whiskandwok.com

This casserole is proof that eating low carb does not mean sacrificing comfort. Sometimes the best recipes come from questioning what we think we know.

Recipe FAQs

Cut the squash in half, scoop out seeds, brush with olive oil, season, and roast cut-side down at 400°F for 35–40 minutes until tender.

Mild or hot Italian sausage, with casings removed, adds savory richness and pairs well with the tomato sauce and peppers.

Yes, assemble the mixture before baking and refrigerate. Bake just before serving for best results.

Substitute sausage with plant-based sausage or sautéed mushrooms for a similar texture and flavor profile.

Oregano and basil enhance the savory sauce with aromatic, earthy notes complementing the meat and vegetables.

Sausage Peppers Spaghetti Squash

Roasted spaghetti squash mixed with Italian sausage, bell peppers, and tomato sauce baked to golden 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
Preheat Oven and Prepare Baking Sheet: Preheat the oven to 400°F. Line a baking sheet with parchment paper.
2
Prepare the Spaghetti 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
Brown 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
Scrape Squash into Strands: Once the squash is cool enough to handle, use a fork to scrape the flesh into spaghetti-like strands. Discard the skins.
8
Reduce 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.
Monica Zhou

Passionate home cook sharing easy, wholesome recipes and practical tips for everyday cooking.