Sausage Peppers Spaghetti Squash

Golden roasted spaghetti squash strands mix with savory Italian sausage, sweet bell peppers, and marinara sauce topped with melted mozzarella in this casserole. Pin it
Golden roasted spaghetti squash strands mix with savory Italian sausage, sweet bell peppers, and marinara sauce topped with melted mozzarella in this casserole. | whiskmehome.com

This hearty dish combines roasted spaghetti squash strands with browned Italian sausage and sautéed bell peppers, garlic, and herbs. Mixed with rich tomato sauce and layered with mozzarella and Parmesan cheese, it’s baked until bubbly and golden. The casserole is naturally gluten-free and low-carb, making it a comforting, wholesome meal. Garnish with fresh basil for added aroma and flavor. Perfect for easy weeknight dinners or when craving Italian-American flavors with a twist.

The first time I made this casserole, my husband looked skeptical about the spaghetti squash swap. But after one bite of that bubbling, cheese-topped goodness, he actually went back for seconds. Now it's become our go-to comfort food when we want something hearty without the carb coma.

I discovered this combo during a month-long experiment with low-carb eating, and honestly, it saved me from giving up entirely. My sister came over for dinner that first week, looked at the squash with suspicion, then asked for the recipe before she even finished her plate.

Ingredients

  • 1 large spaghetti squash: The vegetable magic trick that transforms into pasta-like strands when roasted
  • 1 red and 1 yellow bell pepper: Sweetness that balances the rich sausage and adds gorgeous color
  • 1 small yellow onion: Thinly sliced so it melts into the sauce while still providing subtle bites
  • 2 cloves garlic: Minced fresh because nothing compares to that aromatic punch
  • 12 oz Italian sausage: The flavor foundation, mild or hot depending on your spice tolerance
  • 1 1/2 cups marinara sauce: Your favorite brand works beautifully here
  • 1 cup shredded mozzarella: That irresistible blanket of melted goodness on top
  • 1/4 cup grated Parmesan: Salty, nutty depth that makes everything taste better
  • 2 tbsp olive oil: For roasting the squash and sautéing the vegetables
  • Dried oregano and basil: Classic Italian herbs that tie everything together
  • 1/4 tsp crushed red pepper flakes: Optional but recommended for that background warmth

Instructions

Roast the squash:
Preheat your oven to 400°F and cut that spaghetti squash in half lengthwise. Scoop out the seeds, brush the cut sides with olive oil, sprinkle with salt and pepper, then place cut-side down on a parchment-lined baking sheet. Let it roast for 35 to 40 minutes until it's tender enough to easily shred with a fork.
Build the flavor base:
While the squash works its magic in the oven, heat the remaining olive oil in a large skillet over medium heat. Cook the sausage, breaking it up with your spoon, until it's beautifully browned and cooked through, about 6 or 7 minutes. Add those sliced peppers and onions, letting them soften for 5 minutes. Stir in the garlic, oregano, basil, and red pepper flakes, cooking for just one more minute until fragrant.
Bring it together with sauce:
Pour in the marinara sauce and let everything simmer gently for 5 minutes. Remove from heat while you work on the squash.
Shred and combine:
Once the squash is cool enough to handle, use a fork to scrape all that flesh into spaghetti-like strands into a large mixing bowl. Add the sausage mixture, half the mozzarella, and half the Parmesan. Give it all a good toss and taste for seasoning.
Bake to perfection:
Turn your oven down to 375°F, transfer the mixture to a greased 9x13-inch baking dish, and top with the remaining cheeses. Bake uncovered for 15 to 20 minutes until everything's bubbling and golden on top. Let it rest for 5 minutes before garnishing with fresh basil and serving.
Fork-tender spaghetti squash serves as the base for a hearty low-carb sausage and peppers casserole baked to bubbly perfection. Pin it
Fork-tender spaghetti squash serves as the base for a hearty low-carb sausage and peppers casserole baked to bubbly perfection. | whiskmehome.com

This recipe has seen me through countless weeknight dinners and even impressed my in-laws, who are suspicious of anything 'healthy'. There's something deeply satisfying about watching people enjoy food that's both nourishing and incredibly comforting.

Make It Your Own

I've found that swapping in spicy Italian sausage kicks up the whole dish beautifully. My friend uses turkey sausage and says it's just as satisfying, though I haven't tried that variation myself yet.

Timing Is Everything

The beauty of this recipe is how the hands-on work happens while the squash roasts. I usually use that 40-minute window to clean up my kitchen or set the table, making it feel much less stressful than most casseroles.

Serving Suggestions

A crisp green salad with vinaigrette cuts through the richness perfectly. I've also served this alongside roasted broccoli when I want extra vegetables on the plate.

  • Leftovers reheat beautifully for lunch the next day
  • The flavors actually develop more after sitting in the refrigerator overnight
  • This freezes well for those weeks when meal prep feels impossible
A baked Italian-American casserole featuring spaghetti squash, crumbled sausage, colorful peppers, and a rich tomato sauce under a golden cheese crust. Pin it
A baked Italian-American casserole featuring spaghetti squash, crumbled sausage, colorful peppers, and a rich tomato sauce under a golden cheese crust. | whiskmehome.com

This casserole has become one of those recipes I make without even thinking, the kind that feels like an old friend in my kitchen rotation.

Recipe FAQs

Yes, you can substitute Italian sausage with chicken, turkey, or plant-based sausage for different flavors or dietary preferences.

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.

Yes, when using gluten-free marinara and sausage, the dish remains gluten-free without compromising taste.

You can assemble the mixture in advance and bake it just before serving to save time on busy days.

You may substitute bell peppers with sautéed mushrooms or zucchini for a different vegetable profile.

Sausage Peppers Spaghetti Squash

A savory dish with roasted spaghetti squash, Italian sausage, bell peppers, and cheese baked until golden.

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: Preheat the oven to 400°F. Line a baking sheet with parchment paper.
2
Prepare 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 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 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: Pour in the marinara sauce. Simmer for 5 minutes, then remove from heat.
7
Scrape Squash: 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: 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
Emily Bradford

Easy, flavor-packed recipes and family-friendly meal ideas from Emily’s cozy kitchen.