Keto Spaghetti with Sausage

Enjoy a guilt-free twist on a classic Italian favorite with Keto Spaghetti with Sausage, a low-carb masterpiece perfect for weeknight dinners or meal prep! This delicious recipe swaps traditional pasta for roasted spaghetti squash, bringing a tender, noodle-like texture that pairs beautifully with a rich, creamy tomato sauce. Made with savory Italian sausage, fragrant garlic, and a touch of Parmesan cheese, this dish is brimming with comforting, hearty flavors while keeping it keto-friendly. A dash of Italian seasoning ties everything together, and an optional fresh basil garnish adds a burst of brightness. Ready in under an hour and packed with flavor, this easy-to-make keto spaghetti satisfies your pasta cravings without the carbs—perfect for anyone embracing a low-carb lifestyle.

Nutriscore Rating: 65/100

Prep Time:15 mins

Cook Time:40 mins

Total Time:55 mins

Servings: 4

Ingredients

• 1 medium Spaghetti squash
• 2 tablespoons Olive oil
• 1 pound Italian sausage (ground or sausage links, casings removed)
• 3 pieces Garlic cloves
• 1 cup Crushed tomatoes
• 0.25 cup Heavy cream
• 0.5 cup Grated Parmesan cheese
• 1 teaspoon Italian seasoning
• 0.5 teaspoon Salt
• 0.25 teaspoon Black pepper
• 5 leaves Fresh basil leaves (optional, for garnish)

Directions

Step 1

Preheat your oven to 400°F (200°C).

Step 2

Slice the spaghetti squash in half lengthwise and scoop out the seeds.

Step 3

Drizzle 1 tablespoon of olive oil over the cut sides of the squash and season with a pinch of salt and pepper.

Step 4

Place the squash halves cut-side down on a baking sheet lined with parchment paper and roast in the oven for 30-35 minutes, or until the strands easily separate with a fork.

Step 5

While the squash is roasting, heat the remaining tablespoon of olive oil in a large skillet over medium heat.

Step 6

Add the Italian sausage to the skillet, breaking it up into small pieces as it cooks. Cook until browned and fully cooked through, about 6-8 minutes.

Step 7

Mince the garlic cloves and add them to the skillet with the sausage. Cook for 1 minute, stirring constantly to avoid burning.

Step 8

Reduce the heat to low and stir in the crushed tomatoes, heavy cream, Parmesan cheese, Italian seasoning, salt, and black pepper. Simmer for 5-7 minutes, stirring occasionally, until the sauce thickens slightly.

Step 9

Once the spaghetti squash is done roasting, use a fork to scrape out the strands into a large bowl or directly onto serving plates.

Step 10

Spoon the sausage and sauce mixture over the spaghetti squash strands.

Step 11

Garnish with fresh basil leaves, if desired, and additional grated Parmesan cheese if preferred.

Step 12

Serve hot and enjoy your keto-friendly spaghetti with sausage!

Nutrition Facts

Serving size	(1837.6g)

Amount per serving	% Daily Value*
Calories	2517.1

Total Fat 203.8g	0%
Saturated Fat 72.9g	0%
Polyunsaturated Fat 11.4g
Cholesterol 437.5mg	0%
Sodium 6979.3mg	0%
Total Carbohydrate 86.2g	0%
Dietary Fiber 17.9g	0%
Total Sugars 33.8g
Protein 89.8g	0%

Vitamin D 0IU	0%
Calcium 817.0mg	0%
Iron 11.6mg	0%
Potassium 2615.1mg	0%

*The % Daily Value tells you how much a nutrient in a serving of food contributes to a daily diet. 2,000 calories a day is used for general nutrition advice.

Source of Calories

Fat: 72.3%

Protein: 14.2%

Carbs: 13.6%