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.

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.
- Cut squash in half lengthwise. Remove the seeds.
- Rub insides of it with 2 tablespoons olive oil and season with salt and pepper.
- Next, place halves, cut sides down, in a baking dish.
- Bake in an 375 F oven for about 30 minutes until fork tender.
Spaghetti squash stuffing
- 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.
- Add tomatoes at the very end of cooking sausage as they will soften very quickly.
- 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.

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
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Sausage Stuffed Parmesan Spaghetti Squash
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
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
Notes





Greta says
Amazing recipe! Both of my kids love the combination. I made them with ground chicken as directions said I also added Mozzarella.
Olya says
A good way for them to have veggies!
Hannah Flack says
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.
Alisha Ross says
Super Easy! My boyfriend loved it! Will definitely make again and again! Thank you!
Justina says
Easy and my husband loves it!
Sherry says
I made it for my husband and I. Very nice and light dinner.