Sausage Peppers Spaghetti Squash

A close-up of the finished Sausage and Peppers Spaghetti Squash Casserole, showing melted mozzarella and bubbly tomato sauce on top. Pin it
A close-up of the finished Sausage and Peppers Spaghetti Squash Casserole, showing melted mozzarella and bubbly tomato sauce on top. | sweetpintable.com

This low-carb casserole brings together roasted spaghetti squash strands with browned Italian sausage, sweet bell peppers, and a rich tomato base. The mixture is combined with mozzarella and Parmesan, then baked until bubbly and golden. Simple techniques like roasting the squash to tender strands and sautéing sausage with onions and peppers create deep layers of flavor. Finished with fresh basil, it makes a hearty, gluten-free main dish perfect for any occasion.

The first time I made this casserole, my apartment smelled so incredible that my neighbor knocked on my door thinking I was running an Italian restaurant. I had just discovered spaghetti squash as a pasta alternative and decided to throw it together with some sausage and peppers I had on hand. Now its the one dinner my husband requests at least twice a month, and I never say no because it makes the whole house feel cozy and warm.

Last winter, my sister came over feeling completely defeated by a rough week at work. I pulled this bubbling dish out of the oven, set it on the table between us, and watched her shoulders actually drop as she took that first bite. She told me later that dinner was the first time she felt like herself again all week.

Ingredients

  • 1 large spaghetti squash: Pick one that feels heavy for its size with a firm, unblemished skin, about 3 pounds perfect
  • 1 red bell pepper and 1 yellow bell pepper: The mix of colors makes it beautiful, but the sweet flavor they develop when roasted is the real prize here
  • 1 small yellow onion: Thinly sliced so it melts into the sausage and peppers while they cook together
  • 2 cloves garlic: Minced fresh because jarred garlic just does not have the same punch in a simple dish like this
  • 12 oz Italian sausage: Mild or hot depending on your mood, just make sure to remove those casings first
  • 1 and 1/2 cups marinara sauce: A good quality sauce here makes such a difference, look for one with real depth of flavor
  • 1 cup shredded mozzarella: Freshly shredded cheese melts so much better than the pre-shredded stuff with anti-caking agents
  • 1/4 cup grated Parmesan cheese: The salty, nutty finish that ties everything together perfectly
  • 2 tbsp olive oil: One tablespoon for roasting the squash, another for cooking your sausage and vegetables
  • 1/2 tsp dried oregano and 1/2 tsp dried basil: Classic Italian herbs that work beautifully with the tomato sauce base
  • 1/4 tsp crushed red pepper flakes: Optional but honestly recommended, even just a pinch adds nice background warmth
  • Salt and black pepper: Season generously as you go, spaghetti squash really benefits from proper seasoning

Instructions

Roast the squash first:
Preheat your oven to 400°F and line a baking sheet with parchment. Cut that spaghetti squash in half lengthwise, scoop out the seeds, brush the cut sides with olive oil, and season well. Place them cut-side down and roast for 35 to 40 minutes until tender.
Cook your sausage:
While the squash roasts, heat olive oil in a large skillet over medium heat. Add your sausage and break it up with a spoon as it browns, about 6 or 7 minutes until fully cooked through.
Add the vegetables:
Throw in those sliced onions and bell peppers, sautéing for 5 minutes until softened. Stir in garlic, oregano, basil, and red pepper flakes and cook just one minute more until fragrant.
Make the sauce:
Pour in the marinara and let everything simmer together for 5 minutes, then remove from heat.
Prepare the squash strands:
When the squash is cool enough to handle, use a fork to scrape the flesh into those signature spaghetti-like strands. Discard the skins and reduce your oven temperature to 375°F.
Assemble everything:
In a large bowl, combine squash strands, sausage mixture, half the mozzarella, and half the Parmesan. Mix it all together and transfer to a greased 9x13-inch baking dish.
Bake to perfection:
Top with the remaining cheeses and bake uncovered for 15 to 20 minutes until bubbly and golden. Let it rest 5 minutes before serving.
Golden Sausage and Peppers Spaghetti Squash Casserole in a white baking dish, garnished with fresh basil leaves for an Italian-American meal. Pin it
Golden Sausage and Peppers Spaghetti Squash Casserole in a white baking dish, garnished with fresh basil leaves for an Italian-American meal. | sweetpintable.com

This dish has become my go-to for new parents, friends recovering from surgery, or anyone who just needs a meal that says I care about you without requiring any explanation. Something about that bubbling cheese and hearty sausage feels like a hug in food form.

Make It Ahead

I have learned through many busy weeks that you can assemble the entire casserole up to 24 hours in advance, cover it tightly, and keep it in the refrigerator. Just add 5 to 10 minutes to the baking time if it is coming straight from the fridge. This has saved me on more weeknights than I can count.

Cheese Matters

After years of using pre-shredded cheese for convenience, I finally tasted the difference when I started shredding my own mozzarella. The melt is creamier and the flavor is so much more pronounced. It takes an extra two minutes but the payoff in every bubbly bite is absolutely worth it.

Serving Ideas

This casserole is satisfying enough to stand alone, but I sometimes serve it with a simple green salad dressed with balsamic vinaigrette to cut through the richness. A piece of crusty gluten-free bread never hurt either, if you are not strictly watching carbs.

  • Try spicy sausage for extra kick
  • Extra fresh basil on top makes it gorgeous
  • Let it rest before serving
Slice of cheesy Sausage and Peppers Spaghetti Squash Casserole on a plate, revealing strands of roasted squash, sausage, and peppers inside. Pin it
Slice of cheesy Sausage and Peppers Spaghetti Squash Casserole on a plate, revealing strands of roasted squash, sausage, and peppers inside. | sweetpintable.com

There is something deeply satisfying about serving a casserole that looks impressive but comes together with such simple ingredients. Hope this becomes a regular rotation in your kitchen too.

Recipe FAQs

Slice the squash in half lengthwise, remove seeds, brush with olive oil, and roast cut-side down at 400°F for 35-40 minutes until tender. Use a fork to scrape into strands once cool.

Yes, plant-based sausage or sautéed mushrooms can replace Italian sausage for a vegetarian option, maintaining the dish’s hearty texture.

Top the mixture with mozzarella and Parmesan cheeses before baking at 375°F for 15-20 minutes. This melts the cheese evenly, creating a golden crust.

Absolutely; use gluten-free marinara and gluten-free sausage to keep the casserole free from gluten.

Red and yellow bell peppers add sweetness and subtle crunch that balance the rich sausage and tangy tomato sauce.

Sausage Peppers Spaghetti Squash

Low-carb casserole featuring roasted spaghetti squash, savory sausage, and bell peppers in a flavorful 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 (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
Add 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
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
  • Always check ingredient labels for hidden allergens
Monica Reed

Passionate home cook sharing easy, family-friendly recipes and practical meal prep ideas.