Sausage and Peppers Spaghetti Squash

Golden-brown Sausage and Peppers Spaghetti Squash Casserole with bubbling cheese and fresh basil garnish. Save to Pinterest
Golden-brown Sausage and Peppers Spaghetti Squash Casserole with bubbling cheese and fresh basil garnish. | dishyden.com

This hearty dish combines tender roasted spaghetti squash strands with savory Italian sausage and sweet bell peppers, all simmered in a rich tomato sauce. The mixture is topped with mozzarella and Parmesan cheeses, then baked until bubbly and golden. Seasoned with oregano, basil, and a pinch of red pepper flakes, it offers a comforting low-carb option full of Italian-American flavors. Perfect for a family meal, it incorporates simple steps like roasting squash and sautéing vegetables to develop deep flavors and satisfying textures.

The first time I made this casserole, my kitchen smelled like an Italian grandmother had moved in for the afternoon. I had somehow accumulated three spaghetti squash from my CSA box and needed something comforting that wasn't yet another pasta dish.

My husband walked in mid-roast, nose twitching like a detective, and immediately asked when we'd ordered Italian takeout. The look on his face when I pulled that bubbling, golden dish out of the oven was pure magic.

Ingredients

  • 1 large spaghetti squash: About 3 pounds will give you the perfect amount of noodles, and look for one with firm unblemished skin
  • 1 red bell pepper and 1 yellow bell pepper: The duo creates both sweetness and visual appeal that makes the dish feel special
  • 1 small yellow onion: Thinly sliced so it melts into the sausage mixture rather than staying chunky
  • 2 cloves garlic: Minced fresh because garlic powder just can't compete with the real thing here
  • 12 oz Italian sausage: I prefer mild, but hot will give you this lovely background warmth that builds
  • 1 1/2 cups marinara sauce: Your favorite jarred brand works perfectly, or homemade if you're feeling ambitious
  • 1 cup shredded mozzarella and 1/4 cup grated Parmesan: Split these in half so some melts into the filling and some creates that irresistible golden crust
  • 2 tbsp olive oil: One for roasting the squash, one for sautéing the sausage and vegetables
  • 1/2 tsp dried oregano and 1/2 tsp dried basil: These classic Italian herbs reinforce the sausage seasoning beautifully
  • 1/4 tsp crushed red pepper flakes: Optional, but I always add them for that subtle hum of heat
  • Salt and pepper: Season generously at each step, tasting as you go
  • Fresh basil: For garnish, because that pop of green against the golden cheese makes everyone grab their phones

Instructions

Roast the Squash:
Preheat your oven to 400°F, then cut that spaghetti squash in half lengthwise and scoop out the seeds. Brush the cut sides with olive oil, season with salt and pepper, and place them cut-side down on a parchment-lined baking sheet. Roast for 35 to 40 minutes until tender enough that the strands pull away easily with a fork.
Cook the Sausage:
While the squash roasts, heat the remaining olive oil in a large skillet over medium heat. Add the sausage, breaking it up with a spoon as it browns, about 6 to 7 minutes until cooked through.
Add the Vegetables:
Toss in the onions and bell peppers, sautéing for 5 minutes until softened. Stir in the garlic, oregano, basil, and red pepper flakes, cooking for just 1 minute more until fragrant.
Simmer the Sauce:
Pour in the marinara sauce and let everything simmer together for 5 minutes. Remove from heat while you finish the squash.
Prepare the Squash:
Once the squash is cool enough to handle, use a fork to scrape the flesh into those amazing spaghetti-like strands. Discard the skins.
Assemble and Bake:
Reduce the oven temperature to 375°F. In a large bowl, combine the squash strands, sausage mixture, half the mozzarella, and half the Parmesan. Mix well, transfer to a greased 9x13-inch baking dish, and top with the remaining cheeses. Bake for 15 to 20 minutes until bubbly and golden.
A steaming scoop of Sausage and Peppers Spaghetti Squash Casserole reveals savory Italian sausage and tender peppers. Save to Pinterest
A steaming scoop of Sausage and Peppers Spaghetti Squash Casserole reveals savory Italian sausage and tender peppers. | dishyden.com

This became my go-to comfort food during a particularly stressful month at work. There was something therapeutic about scraping those squash strands and watching everything come together in one dish.

Make It Your Own

I've made this with spicy sausage when I wanted more kick, and swapped in ground turkey with extra Italian seasoning for a lighter version. The vegetable ratios are completely flexible too.

Time Saving Tricks

You can roast the squash up to two days ahead and keep the strands in the refrigerator. The sausage and vegetable mixture also reheats beautifully, so batch cooking makes weeknight dinners practically effortless.

Serving Suggestions

A simple green salad with balsamic vinaigrette cuts through the richness perfectly. Garlic bread would be traditional, but roasted broccoli or sautéed kale keeps it lighter while still feeling complete.

  • Leftovers reheat surprisingly well for lunch the next day
  • The casserole freezes beautifully for up to three months
  • Top with extra fresh basil right before serving for maximum aroma
Sausage and Peppers Spaghetti Squash Casserole served in a white dish beside a green salad for dinner. Save to Pinterest
Sausage and Peppers Spaghetti Squash Casserole served in a white dish beside a green salad for dinner. | dishyden.com

This dish has that rare ability to feel both comforting and virtuous, exactly the kind of food I want to feed people I love.

Recipe FAQs

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

Italian sausage, either mild or spicy, works best. Removing the casings before cooking ensures even browning and mixing with the vegetables.

Yes, by using gluten-free marinara sauce and sausage, this dish is naturally gluten-free while maintaining rich flavors.

After roasting and cooling the squash, use a fork to scrape the flesh, which naturally separates into spaghetti-like strands perfect for baking.

Plant-based sausage or sautéed mushrooms can replace the meat for vegetarian variations without sacrificing texture or flavor.

Fresh and dried herbs like oregano and basil, garlic, and optional crushed red pepper flakes add aromatic layers and a mild kick.

Sausage and Peppers Spaghetti Squash

Roasted spaghetti squash with Italian sausage, bell peppers, and tomato sauce baked into a flavorful dish.

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
Shred 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: 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
Brooke Alden

Wholesome, simple recipes and cooking tips you'll actually use—made for real life and hungry families.