Sausage Peppers Squash Casserole

Golden-browned Sausage and Peppers Spaghetti Squash Casserole bubbling in a baking dish with fresh basil garnish. Save to Pinterest
Golden-browned Sausage and Peppers Spaghetti Squash Casserole bubbling in a baking dish with fresh basil garnish. | cookedstories.com

This dish combines tender roasted spaghetti squash strands with browned Italian sausage and sautéed bell peppers, all enveloped in a flavorful tomato sauce. Baked together with mozzarella and Parmesan cheese, it creates a bubbly, golden finish. Easy to prepare and gluten-free, it’s a hearty option for those seeking a vibrant, savory meal.

The method includes roasting squash to achieve tender strands, cooking savory sausage with aromatic vegetables, then mixing all with cheeses before baking. Garnishing with fresh basil adds brightness. Variations include plant-based sausage or mushrooms for vegetarian choices. Prep time is 25 minutes with an hour of cooking to deliver this satisfying main dish.

The first time I made this spaghetti squash casserole, my husband actually asked if I'd secretly made pasta. The strands of squash tangled with that sweet Italian sausage and peppers fooled him completely. Now it's become our cozy Tuesday night ritual, bubbling away in the oven while the house fills with those incredible aromas.

Last winter my sister came over during a particularly bleak week, and I made this casserole without really following a recipe. She took three servings and asked for the details before she even left my driveway. Something about the sweetness of those roasted peppers against the savory sausage just hits different on cold days.

Ingredients

  • Spaghetti Squash: This vegetable transforms into noodle-like strands when roasted, creating the perfect low-carb base that absorbs all the flavors
  • Italian Sausage: The fennel and herbs in the sausage build an incredible flavor foundation that permeates the entire dish
  • Bell Peppers: Red and yellow peppers add natural sweetness and beautiful color contrast throughout the casserole
  • Marinara Sauce: A good quality sauce ties everything together, so choose one you would happily eat on its own
  • Mozzarella and Parmesan: The combination creates that irresistible bubbly, golden top that everyone reaches for first

Instructions

Roast the Squash:
Cut the spaghetti squash in half lengthwise, scoop out the seeds, brush with olive oil, and season generously. Roast cut-side down at 400°F for 35 to 40 minutes until tender.
Cook the Sausage:
While the squash roasts, brown the Italian sausage in a large skillet over medium heat, breaking it up with a spoon until cooked through.
Sauté the Vegetables:
Add sliced onions and bell peppers to the sausage, cooking until softened. Stir in garlic and herbs for one minute to bloom their flavors.
Build the Sauce:
Pour in the marinara sauce and let everything simmer together for about five minutes, allowing the flavors to meld beautifully.
Prepare the Squash:
Let the roasted squash cool slightly, then use a fork to scrape the flesh into strands. Discard the skins and set the strands aside.
Combine Everything:
Mix the squash strands with the sausage mixture and half of both cheeses in a large bowl. Taste and adjust seasoning as needed.
Bake to Perfection:
Transfer to a greased baking dish, top with remaining cheese, and bake at 375°F for 15 to 20 minutes until bubbly and golden.
Close-up of Sausage and Peppers Spaghetti Squash Casserole showing melted mozzarella and colorful peppers on a rustic table. Save to Pinterest
Close-up of Sausage and Peppers Spaghetti Squash Casserole showing melted mozzarella and colorful peppers on a rustic table. | cookedstories.com

This recipe saved me during my first month of trying to reduce carbs. I missed those hearty baked pasta dishes so much until I discovered spaghetti squash could deliver that same satisfying fork-twirling experience. Now I actually prefer the lighter texture and how it doesn't leave me needing a nap afterward.

Make Ahead Magic

You can assemble this entire casserole up to a day in advance and keep it covered in the refrigerator. The flavors actually develop more depth as they sit together, making it an excellent choice for dinner parties or busy weeknights. Just add a few extra minutes to the baking time if it's coming straight from the fridge.

Cheese Selection

While mozzarella creates that classic cheese pull, mixing in some provolone adds a wonderful sharpness that cuts through the sweetness of the peppers. For extra flavor, grate your Parmesan fresh instead of using pre-grated cheese, which has better melting properties.

Serving Suggestions

A simple green salad with balsamic vinaigrette balances the richness of the casserole perfectly. Crusty bread on the side is always welcome, even if you are watching carbs, because soaking up those extra tomato juices is too good to pass up.

  • This pairs beautifully with a medium-bodied red wine like Chianti or Sangiovese
  • Fresh basil adds a bright pop that cuts through the cheesy richness
  • Leftovers pack well for lunch and reheat in just a few minutes
Serving suggestion for Sausage and Peppers Spaghetti Squash Casserole on a white plate with a side salad. Save to Pinterest
Serving suggestion for Sausage and Peppers Spaghetti Squash Casserole on a white plate with a side salad. | cookedstories.com

There is something deeply satisfying about serving a bubbling casserole that looks indulgent but is actually packed with vegetables. This dish has become my go-to for bringing comfort to the table without the heavy feeling that follows most pasta bakes.

Recipe Questions & Answers

Cut the squash in half lengthwise, remove seeds, brush with olive oil, season, and roast cut-side down until tender. Then scrape out the flesh into strands.

Mild or hot Italian sausage works well. For a vegetarian option, use plant-based sausage or sautéed mushrooms.

Yes, you can assemble the casserole before baking and refrigerate. Bake shortly before serving to maintain freshness.

Yes, when using gluten-free marinara and sausage, this dish is gluten-free friendly.

Top the mixture with mozzarella and Parmesan cheese before baking at 375°F for 15-20 minutes until golden and bubbly.

Sausage Peppers Squash Casserole

A comforting low-carb dish blending roasted squash, Italian sausage, and sweet bell peppers in a rich 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 and Prepare Baking Sheet: Preheat the oven to 400°F. Line a baking sheet with parchment paper.
2
Prepare the 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 the 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 the 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 and Simmer: Pour in the marinara sauce. Simmer for 5 minutes, then remove from heat.
7
Shred the 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 Until Golden: 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
Veronica Mills

Home cook sharing easy, wholesome recipes and helpful kitchen tips for every food lover.