Stuffed Spaghetti Squash with Sausage and Spinach
If you’re looking for a cozy, flavor-packed dinner that feels indulgent but is secretly wholesome, then this Stuffed Spaghetti Squash with Sausage and Spinach is calling your name. The natural sweetness of roasted squash pairs perfectly with savory Italian sausage and the earthy goodness of spinach, creating a dish that hits all the right notes. It’s cheesy, it’s comforting, and it gives your weeknight dinner routine a serious upgrade.
This recipe is also an easy way to enjoy a low-carb meal without missing out on the flavors you crave. The strands of spaghetti squash mimic pasta beautifully, soaking up all the herby tomato sauce and melted cheese. It’s a perfect choice for meal prep, family dinners, or when you’re just in the mood for something hearty yet nourishing.
Why You’ll Love This Stuffed Spaghetti Squash with Sausage and Spinach
This meal is the ultimate one-stop comfort food. You get the satisfaction of pasta without the heaviness, and the combination of sausage and spinach keeps every bite interesting and delicious. It’s naturally gluten-free, and with a few tweaks, can be made dairy-free or vegetarian.
Roasting the spaghetti squash adds caramelized flavor, while the sausage gives the dish a bold kick. It’s a fantastic way to sneak in extra greens, and everything bakes together in the squash shell for easy cleanup and a beautiful presentation.
What Kind of Sausage Works Best for Stuffed Spaghetti Squash?
This dish is super versatile, so you can use your favorite sausage here. Sweet Italian sausage is a classic choice and adds lovely herbs and subtle heat. If you prefer a spicier kick, opt for hot Italian sausage. You can also use chicken or turkey sausage to lighten things up, or go plant-based with a vegan sausage option.
Ingredients for the Stuffed Spaghetti Squash with Sausage and Spinach
This stuffed spaghetti squash recipe brings together a handful of simple, flavorful ingredients that transform into something far greater than the sum of its parts. Each component plays a key role in making this dish as satisfying as it is nourishing.
- Spaghetti Squash
- Italian Sausage
- Fresh Spinach
- Garlic
- Olive Oil
- Salt and Pepper
- Crushed Red Pepper Flakes
- Tomato Sauce
- Mozzarella Cheese
- Parmesan Cheese


How To Make the Stuffed Spaghetti Squash with Sausage and Spinach
Step 1: Roast the Spaghetti Squash
Preheat your oven to 400°F. Slice the squash in half lengthwise, scoop out the seeds, and drizzle with olive oil. Sprinkle with salt and pepper, then place cut-side down on a baking sheet. Roast for 35 to 40 minutes, until tender and easily shredded with a fork.
Step 2: Cook the Sausage and Spinach
While the squash roasts, heat olive oil in a skillet over medium heat. Add the sausage, breaking it up with a spoon, and cook until browned. Stir in minced garlic, then add spinach and sauté until wilted. Season with salt, pepper, and red pepper flakes for a little heat.
Step 3: Assemble the Filling
Add tomato sauce to the sausage-spinach mixture and let it simmer for a few minutes to meld the flavors. Taste and adjust the seasoning if needed.
Step 4: Stuff and Bake
Once the squash is roasted, use a fork to gently shred the flesh into strands while still in the shell. Spoon the sausage mixture over the squash, then top generously with shredded mozzarella and a sprinkle of parmesan. Return to the oven and bake for 10 to 15 minutes, until the cheese is melted and bubbly.
Step 5: Serve and Enjoy
Let the squash cool slightly before serving. Use a fork to twirl the squash strands and scoop up all that melty, saucy goodness in every bite.
How to Serve and Store This Stuffed Spaghetti Squash with Sausage and Spinach
This dish serves two people generously when using one large spaghetti squash split in half. If you’re cooking for more, simply double the ingredients and roast multiple squash halves at once.
Serve it straight from the shell for a fun, rustic presentation that makes cleanup a breeze. The roasted squash holds everything together, and digging in with a fork to pull up those strands with cheesy sausage sauce is half the joy.
To store leftovers, scoop the filling into an airtight container and refrigerate for up to four days. Reheat in the microwave or oven until warmed through. You can also freeze the filling separately for up to a month.
What to Serve With Stuffed Spaghetti Squash?
Garlic Bread or Cheesy Breadsticks
A warm side of crusty garlic bread or melty cheese breadsticks is always welcome to scoop up that extra sauce.
Mixed Green Salad
A refreshing green salad with a zesty vinaigrette adds balance and crunch to the meal.
Roasted Broccoli
Simple oven-roasted broccoli complements the squash with an extra dose of greens and crisp edges.
Balsamic Glazed Brussels Sprouts
The sweet and tangy glaze on Brussels sprouts adds a bold flavor punch alongside the savory squash.
Creamy Tomato Soup
If you’re in a cozy mood, pair it with a bowl of creamy tomato soup to double down on comfort.
Parmesan Roasted Cauliflower
Golden, crispy cauliflower tossed in parmesan is an excellent low-carb companion.
Lemon-Herb Quinoa
Light, fluffy quinoa with lemon and herbs offers a bright, protein-packed side.
Caprese Skewers
Fresh mozzarella, cherry tomatoes, and basil on skewers drizzled with balsamic are a lovely, refreshing bite to start your meal.
Want More Savory Dinner Ideas?
If this Stuffed Spaghetti Squash with Sausage and Spinach got you hooked on hearty and healthy dinners, you’re in for a treat with these other recipes from the blog:
- Try the Creamy Garlic Parmesan Tortellini with Sausage and Broccoli for another savory, cheesy favorite.
- The Cheesy Beef Enchilada Tortellini brings bold Tex-Mex flavor in an easy one-pot dinner.
- Dive into comfort with Cajun Potato Soup when you’re craving something creamy with a spicy twist.
- Or keep it fresh with Creamy Chicken and Broccoli that’s just as satisfying.
Save This Recipe For Later
📌 Save this recipe to your Pinterest dinner board so it’s ready when you need it next!
And let me know in the comments how it turned out for you. Did you go spicy with your sausage? Add mushrooms or other veggies? I’d love to hear your twist on it.
Explore beautifully curated health-boosting dinners and wholesome meals on Zoe Recipes on Pinterest and discover your next favorite weeknight dinner.
Conclusion
Stuffed Spaghetti Squash with Sausage and Spinach is the kind of meal that checks all the boxes — flavorful, filling, and surprisingly easy to make. Whether you’re cooking for two or prepping for the week, it’s a recipe that brings a lot to the table. With melty cheese, tender squash, and savory sausage, every bite is comforting and satisfying. Make it your own, and don’t forget to grab a fork and dig in!


Stuffed Spaghetti Squash with Sausage and Spinach
- Total Time: 60 minutes
- Yield: 2 servings
Description
This Stuffed Spaghetti Squash with Sausage and Spinach is a low-carb, high-flavor dinner recipe made with roasted spaghetti squash, savory Italian sausage, fresh spinach, and melty cheeses. Perfect for healthy weeknight meals or comforting make-ahead dinners, this gluten-free recipe delivers comfort food without the guilt.
Ingredients
1 large spaghetti squash
8 oz Italian sausage
2 cups fresh spinach
2 cloves garlic, minced
1 tbsp olive oil
1 tsp salt
1/2 tsp black pepper
1/4 tsp crushed red pepper flakes
1 cup tomato sauce
1 cup shredded mozzarella cheese
1/4 cup grated parmesan cheese
Instructions
1. Preheat oven to 400°F. Slice spaghetti squash in half lengthwise and scoop out seeds. Drizzle with olive oil, season with salt and pepper, and roast cut-side down for 35–40 minutes.
2. Heat olive oil in a skillet. Cook Italian sausage until browned. Add garlic and stir until fragrant. Add spinach and sauté until wilted. Season with salt, pepper, and red pepper flakes.
3. Stir in tomato sauce to the sausage-spinach mixture and let simmer for 5 minutes.
4. When squash is tender, use a fork to shred the flesh into spaghetti-like strands.
5. Top each squash half with the sausage mixture. Sprinkle with mozzarella and parmesan cheese.
6. Bake for another 10–15 minutes until the cheese is bubbly and melted.
7. Let cool slightly before serving. Scoop and enjoy directly from the shell.
Notes
Use sweet or hot Italian sausage depending on your spice preference.
Add mushrooms or chopped bell peppers for more veggies.
You can use turkey or vegan sausage as alternatives.
- Prep Time: 10 minutes
- Cook Time: 50 minutes
- Category: Dinner
- Method: Baking
- Cuisine: American
Nutrition
- Serving Size: 1 stuffed squash half
- Calories: 480
- Sugar: 7g
- Sodium: 920mg
- Fat: 32g
- Saturated Fat: 12g
- Unsaturated Fat: 17g
- Trans Fat: 0g
- Carbohydrates: 24g
- Fiber: 5g
- Protein: 27g
- Cholesterol: 65mg
