Savor the bold, cozy flavors of this Stuffed Spaghetti Squash with Sausage and Spinach – a wholesome, hearty dinner that doesn’t skimp on comfort or nutrition. Roasted squash becomes the perfect “boat” to cradle a delicious medley of savory Italian sausage, wilted spinach, juicy cherry tomatoes, mushrooms, and gooey cheese. It’s a melt-in-your-mouth experience with just the right balance of freshness and indulgence.


Not only is it incredibly satisfying, but it’s also a clever way to enjoy a low-carb, gluten-free dinner that feels anything but restrictive. Whether you’re feeding a family or meal prepping for the week, this one checks all the boxes: tasty, nourishing, and easy to reheat.
What Kind of Sausage Should I Use?
Italian sausage is the go-to here, but both sweet and hot versions work beautifully depending on your spice preference. Pork is classic, but turkey sausage is a leaner option if you’re aiming for a lighter dish without sacrificing flavor.
Ingredients for the Stuffed Spaghetti Squash with Sausage and Spinach
- Spaghetti Squash: This golden gourd transforms into tender, pasta-like strands that hold the stuffing like a champ.
- Italian Sausage: Provides savory depth and richness, and turns this into a truly satisfying main course.
- Fresh Spinach: Balances the richness of the sausage with fresh, earthy greens.
- Mushrooms: Add umami and texture that perfectly complement the squash and sausage.
- Cherry Tomatoes: Juicy bursts of acidity to brighten up the whole dish.
- Shredded Mozzarella Cheese: Melts over the top for that irresistibly gooey, golden finish.
- Olive Oil, Garlic, and Herbs: These aromatics tie everything together and elevate every bite.
How To Make the Stuffed Spaghetti Squash with Sausage and Spinach
Step 1: Roast the Squash
Cut the spaghetti squash in half lengthwise and scoop out the seeds. Brush with olive oil and season with salt and pepper. Roast cut-side down at 400°F for about 35-40 minutes, or until fork-tender.
Step 2: Cook the Sausage Filling
In a large skillet, cook Italian sausage over medium heat until browned and cooked through. Drain excess fat if needed. Add chopped garlic, mushrooms, and cook until softened. Toss in fresh spinach and cook until wilted.
Step 3: Add Tomatoes and Seasoning
Stir in halved cherry tomatoes and sprinkle in your favorite Italian herbs (think thyme, oregano, basil). Let it simmer for a couple of minutes so the flavors blend.
Step 4: Assemble the Boats
Use a fork to fluff the squash strands in their shells. Top with the sausage-spinach mixture, and sprinkle generously with shredded mozzarella.
Step 5: Bake and Melt
Place the stuffed squash halves back in the oven at 375°F for 10-15 minutes, or until the cheese is melted and bubbly with golden edges.

How to Serve and Store This Stuffed Squash
Serve the squash hot, straight from the oven, garnished with fresh herbs like thyme or parsley. Leftovers store well in the refrigerator for up to 4 days. To reheat, pop it in the microwave or warm in the oven at 350°F until heated through.
Freezing? You bet. Wrap tightly in foil and store in an airtight container. Reheat from frozen at 375°F for 20-25 minutes.
What to Serve With Stuffed Spaghetti Squash?
Garlic Bread
Crispy on the outside, soft on the inside, it’s perfect for soaking up those juicy bits.
Simple Arugula Salad
Peppery arugula tossed in lemon vinaigrette brings balance and freshness.
Roasted Brussels Sprouts
A hearty veggie side that roasts beautifully alongside your squash.
Creamy Tomato Soup
A warm, silky soup pairs surprisingly well and rounds out a fall-inspired meal.
Parmesan Zucchini Chips
Crunchy and cheesy, a great low-carb alternative to fries.
Balsamic Glazed Carrots
Sweet, tangy carrots that echo the comfort vibe of the squash.
Crusty Artisan Bread
Serve it with a pat of garlic herb butter for an ultra-satisfying bite.
Want More Squash & Sausage Dinner Ideas?
If you loved this hearty stuffed squash, don’t miss out on these equally satisfying meals from ChefAlchemy:
- Creamy Beef and Shells Recipe for a rich and cozy pasta night.
- Cheesy Spinach Stuffed Shells that bring the same creamy-spinach goodness to your plate.
- Spaghetti Squash Casserole – the baked version of this dish for meal-prep lovers.
- Stovetop Creamy Ground Beef Pasta when you’re short on time but big on cravings.
- Italian Sausage Soup for chilly nights when only soup will do.
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And if you made it your own with a different protein or veggie combo, I’d love to hear about it! Did you add extra heat with red pepper flakes? Or maybe used kale instead of spinach? Share in the comments below.
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Stuffed Spaghetti Squash with Sausage and Spinach
- Total Time: 1 hour 5 minutes
- Yield: 2 servings
Description
Looking for a low-carb dinner that hits all the right notes of comfort, flavor, and nutrition? This Stuffed Spaghetti Squash with Sausage and Spinach is the perfect answer. With golden roasted squash acting as your bowl, you’ll dive into layers of Italian sausage, garlic-sautéed spinach, mushrooms, and juicy tomatoes topped with melty mozzarella. It’s everything you crave in a cozy meal without the carb crash. Perfect for quick dinners, healthy lunch ideas, or easy food prep. Add it to your list of go-to dinner ideas, healthy recipes, or easy dinner favorites—this one’s a keeper.
Ingredients
1 medium spaghetti squash
1 tablespoon olive oil
½ teaspoon salt
¼ teaspoon black pepper
8 ounces Italian sausage
2 cloves garlic, minced
1 cup sliced mushrooms
3 cups fresh spinach
1 cup cherry tomatoes, halved
1 teaspoon Italian seasoning
1 cup shredded mozzarella cheese
Instructions
1. Preheat oven to 400°F. Cut spaghetti squash in half lengthwise and remove seeds. Brush inside with olive oil and season with salt and pepper. Place cut-side down on a baking sheet and roast for 35–40 minutes or until tender.
2. In a skillet over medium heat, cook Italian sausage until browned. Add garlic and mushrooms, cooking until softened.
3. Stir in spinach and cook until wilted. Add cherry tomatoes and Italian seasoning. Simmer for 2–3 minutes.
4. Fluff roasted squash with a fork. Top each half with sausage mixture. Sprinkle with shredded mozzarella.
5. Return stuffed squash to oven at 375°F for 10–15 minutes until cheese is melted and golden. Serve hot.
Notes
For a spicier version, use hot Italian sausage and a pinch of red pepper flakes.
You can swap spinach for kale or add extra veggies like zucchini or bell pepper.
- Prep Time: 15 minutes
- Cook Time: 50 minutes
- Category: Dinner
- Method: Baked
- Cuisine: American
Nutrition
- Serving Size: 1 stuffed squash half
- Calories: 520
- Sugar: 7g
- Sodium: 940mg
- Fat: 33g
- Saturated Fat: 12g
- Unsaturated Fat: 18g
- Trans Fat: 0g
- Carbohydrates: 23g
- Fiber: 5g
- Protein: 31g
- Cholesterol: 75mg