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Home » Gluten Free

Sausage Stuffed Parmesan Spaghetti Squash

Updated: Sep 15, 2025 · Published: Dec 2, 2016 by Olya Shepard · 6 Comments

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Sausage Stuffed Parmesan Spaghetti Squash is a very simple, yet nutritious and deliciously healthy meal that can be MADE AHEAD for the work week! Just like Sausage Stuffed Acorn Squash. Use loose chicken or turkey sausage.

Stuffed squash recipe is one of those perfect autumn recipes. You will love futzing over the filling while the house gradually fills with savory aromas.

Spaghetti squash texture is something you will truly appreciate and enjoy once you are exposed to it! All you need to know how to do is shred the squash with a fork.

Why You'll Love It

  • It's the perfect fall dinner: The opportunities are endless: a mix of brown rice, sausage, mushrooms, onions, and mozzarella seasoned with herbs and more for the filling. Fall flavors for the win.
  • This recipe is low in saturated fat and carbs: 100g of spaghetti squash provides just 31 calories and contains no saturated fats or cholesterol. Lean chicken sausage has very low fat content as well and this recipe is a win win for those who watch carbs!
  • Promotes weight loss: This vegetable is one of the food items recommended by dieticians in the cholesterol controlling and weight reduction programs. Combined with quality lean protein, such as chicken or turkey sausage - it's a perfect weight loss meal!
  • You can customize your fillings: Spaghetti stuffed squash is a great way to use leftovers like cooked chicken, roasted vegetables, and rice.
Sausage Stuffed Spaghetti Squash

What you'll need

Spaghetti Squash: The sweet and creamy texture of the squash actually goes surprisingly well with bland chicken sausage.

Sausage: I use ground chicken sausage. But you can use pork or turkey. Any will work!

Parmesan Cheese: Parmesan is an essential part of the flavor. I used black freshly grated parmesan, but shredded Parmesan fromm the store would work just as well.

Fresh Veggies: All you need is tomatoes, green onions and garlic. After all, they a key flavor ingredients in stuffed spaghetti squash.

Topping: And, of course, don't forget to top your Stuffed Spaghetti Squash! I chose extra Parmesan and chopped parsley for my topping, but you could also try Mozzarella and cilantro.

How to roast spaghetti squash

Here's how you roast spaghetti squash like a pro.

  1. Cut squash in half lengthwise. Remove the seeds.
  2. Rub insides of it with 2 tablespoons olive oil and season with salt and pepper.
  3. Next, place halves, cut sides down, in a baking dish.
  4. Bake in an 375 F oven for about 30 minutes until fork tender.

Spaghetti squash stuffing

  1. While spaghetti squash is baking, cook sausage, garlic, spices in the skillet on the stove top with a little bit of olive oil for 10 minutes until sausage is fully cooked. I used ground sausage patties by breaking them apart with a spoon as they were cooking.
  2. Add tomatoes at the very end of cooking sausage as they will soften very quickly.
  3. Next, add chopped parsley and mix everything well.

How to shred spaghetti squash

Once squash is baked and cool enough to handle, shred spaghetti squash with a fork, leaving the strands in the shells.

Assemble and reheat

  • When the squash is finished and shredded, spoon the meat and veggie mixture into the center of each squash.
  • Top with melted Parmesan cheese.
  • Place in the oven for 10 minutes until the cheese is melted and the filling is warm.
Sausage Stuffed Spaghetti Squash

Make-Ahead and Storage Tips

  • Prep ahead: The squashes and the filling can be prepped in advance, refrigerated uncooked and assembled before serving.
  • Make ahead cooked: You can also make both the squash and the filling (cook it through), refrigerate it for up to 2 days and then warm just before serving.
  • Storage: Stuffed squash leftovers can be refrigerated in an airtight container for up to 4 days

How to reheat leftover squash

  • Refrigerate: If you end up with leftover squash, they can easily be stored in a sealed containers in your fridge (or even wrapped tightly in plastic wrap) for up to 6 days.
  • Reheat stuffed spaghetti squash by placing them, covered, in a 350 F oven for about 15 minutes. Removing the covering, top with a bit more cheese, then allow to melt for 5-7 more minutes.

More stuffed squash recipes to try

  • Cheesy Stuffed Acorn Squash
  • Cheddar Stuffed Spaghetti Squash
  • Spinach and Cranberry Stuffed Acorn Squash
  • Stuffed Butternut Squash with Sausage and Apples

More delicious sausage recipes

  • Mexican Chorizo and Potatoes
  • Italian Sausage Stuffed Mushrooms
  • Creamy Tortellini with Sausage
  • Easy Vodka Sauce and Sausage Pasta
  • Creamy Cajun Chicken and Smoked Sausage Pasta

What to serve with Stuffed Spaghetti Squash

A salad makes a perfect pairing. Try this Avocado Corn Salad to keep with the healthy theme!

If you'd prefer to stick with a bright veggie theme, try some Marry Me Butter Beans or even Blackberry and Avocado Salad

Follow me on PINTEREST and FACEBOOK to get more recipe ideas!

Sausage stuffed spaghetti squash

Sausage Stuffed Parmesan Spaghetti Squash

Spaghetti Squash stuffed with Sausage, Tomatoes, Parsley and Parmesan Cheese is a very nutritious meal that can be made ahead for the work week!
5 from 5 votes
Print Pin Rate
Course: Main Course
Cuisine: American
Keyword: sausage stuffed spaghetti squash, stuffed squash
Prep Time: 10 minutes minutes
Cook Time: 35 minutes minutes
Total Time: 45 minutes minutes
Servings: 4
Author: Olya Shepard

Ingredients

For squash preparation:

  • 2 spaghetti squash (halved lengthwise)
  • 2 tablespoon olive oil
  • ⅓ teaspoon salt
  • ¼ teaspoon pepper

For filling:

  • ½ pound ground sausage
  • 1 tablespoon olive oil for cooking sausage
  • 2 tomatoes cubed
  • 4 green onions chopped
  • 3 cloves garlic minced
  • ¼ cup parsley chopped
  • 1 teaspoon Italian seasoning (thyme, rosemary, oregano)
  • ⅓ cup parmesan cheese
US Customary - Metric

Instructions

How to bake spaghetti squash

  • Preheat oven to 375 degrees F. On a large baking sheet, rub insides of spaghetti squash with olive oil and season with salt and pepper Place halves, cut sides down, in a baking dish. Bake for 40 minutes.

How to make stuffing

  • Meanwhile, heat a large skillet, add olive oil, sausage, garlic, parsley and seasoning and cook for about 10 minutes until sausage is fully cooked. Add green onions, tomatoes, and continue cooking for 5 more minutes. When ready, set aside.

How to stuff spaghetti squash

  • Once squash is cooked and cool enough to handle, use a fork to carefully rake up pulp to separate it into strands, leaving the strands in the shells. Place squash halves on a baking sheet and spoon the filling into squash shells. Sprinkle with Parmesan cheese.
  • Bake for 20 minutes at 375 degrees F until filling is heated through and cheese is melted
Calories: 468kcal

Notes

To cut the squash:
Begin by scoring your squash with the knife all around so that you have a direction in which to cut.
Place your knife directly downward in the center of the squash and press it all the way through the squash. Holding the squash firmly at one end, pull your knife down through the opening  so the squash is half-cut.  Remove your knife and turn your squash around.
Repeat the downward cut with the knife in the same space. Then pull the knife downward through the rest of the squash hollow space on the uncut side. 
 
Nutrition Facts
Sausage Stuffed Parmesan Spaghetti Squash
Amount per Serving
Calories
468
% Daily Value*
Fat
 
30
g
46
%
Saturated Fat
 
8
g
50
%
Cholesterol
 
46
mg
15
%
Sodium
 
777
mg
34
%
Potassium
 
870
mg
25
%
Carbohydrates
 
38
g
13
%
Fiber
 
8
g
33
%
Sugar
 
15
g
17
%
Protein
 
15
g
30
%
Vitamin A
 
1635
IU
33
%
Vitamin C
 
26.9
mg
33
%
Calcium
 
246
mg
25
%
Iron
 
2.9
mg
16
%
* Percent Daily Values are based on a 2000 calorie diet.
Vitamin A
 
1635
IU
33
%
Vitamin C
 
26.9
mg
33
%
Calcium
 
246
mg
25
%
Iron
 
2.9
mg
16
%
Tried this recipe? I would love to see your creation!Let me know on Instagram @whatsinthepanblog

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Reader Interactions

Comments

  1. Greta says

    September 15, 2025 at 2:37 pm

    Amazing recipe! Both of my kids love the combination. I made them with ground chicken as directions said I also added Mozzarella.

    Reply
    • Olya says

      September 15, 2025 at 11:00 pm

      A good way for them to have veggies!

      Reply
  2. Hannah Flack says

    June 08, 2020 at 5:58 am

    I made this recipe tonight. I skipped the chili garlic sauce and added a teaspoon of chili powder instead (as we are spice wimps at my house). It was so good and different. My 3 & 5 year old both liked and ate it as well.

    Reply
  3. Alisha Ross says

    January 21, 2020 at 11:46 pm

    Super Easy! My boyfriend loved it! Will definitely make again and again! Thank you!

    Reply
  4. Justina says

    December 19, 2018 at 2:02 am

    Easy and my husband loves it!

    Reply
  5. Sherry says

    December 09, 2017 at 4:51 pm

    I made it for my husband and I. Very nice and light dinner.

    Reply
5 from 5 votes (1 rating without comment)

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