Sausage Peppers Squash Bake

Golden bubbly mozzarella melts over a hearty Sausage and Peppers Spaghetti Squash Casserole fresh from the oven, with colorful roasted peppers peeking through. Save to Pinterest
Golden bubbly mozzarella melts over a hearty Sausage and Peppers Spaghetti Squash Casserole fresh from the oven, with colorful roasted peppers peeking through. | recipesbyroxanne.com

This flavorful casserole combines tender roasted spaghetti squash strands with browned Italian sausage and sautéed bell peppers, simmered in a rich marinara sauce. Mixed with mozzarella and Parmesan cheeses, it’s baked until bubbly and golden. The dish balances hearty protein and fresh vegetables, finished with a hint of fresh basil for an aromatic touch. Ideal for a low-carb, gluten-free main dish that’s easy to prepare and packed with Italian-American flavors.

The smell of roasting spaghetti squash always reminds me of the first time I tried to recreate my Italian grandmother's Sunday casserole without the pasta. I remember standing in my tiny apartment kitchen, skeptical that this vegetable could possibly satisfy that craving for something hearty and cheesy. But when I pulled that bubbling dish from the oven, the way the squash strands tangled around the sausage and peppers just like spaghetti I knew I'd stumbled onto something special.

I made this for a potluck last fall when everyone else was bringing lasagna and heavy comfort food. My friend Sarah, who claims to hate all squash substitutes, went back for seconds and then actually asked for the recipe right there at the table. There is something magical about how the flavors meld together the next day too, if you are lucky enough to have leftovers.

Ingredients

  • Spaghetti Squash: Pick one that feels heavy for its size with a hard, unblemished shell. Roasting it whole for a few minutes before cutting makes slicing so much easier.
  • Italian Sausage: The fennel and herbs in the sausage are the backbone of flavor here. I have used both mild and hot, and honestly, using a mix of both gives you this perfect balance.
  • Bell Peppers: Red and yellow peppers add natural sweetness and those gorgeous ribbons of color. One time I only had green peppers on hand and it still worked but missed that sweet note.
  • Marinara Sauce: Use a brand you actually like drinking straight from the jar. My trick is adding a splash of red wine to the sauce while it simmers.
  • Mozzarella and Parmesan: The mozzarella creates those incredible cheese pulls, while Parmesan adds that salty, nutty depth that keeps it from being too one-dimensional.
  • Dried Herbs: Oregano and basil are non-negotiable, but do not be shy with the red pepper flakes if you like some heat behind the flavor.

Instructions

Roast the Squash:
Cut that squash in half lengthwise and scoop out the seeds like you are carving a pumpkin. Brush it with olive oil, season generously, and roast it cut-side down at 400°F until a fork slides right through the flesh.
Cook the Sausage:
While the squash roasts, brown your sausage in a big skillet, breaking it up with your spoon. Get those nice crispy bits forming, that is where the flavor lives.
Sauté the Vegetables:
Add your sliced peppers and onions to the sausage. Let them soften and get a little charred in spots before stirring in the garlic and herbs for just a minute.
Build the Sauce:
Pour in the marinara and let everything simmer together. This step lets the sausage flavor really infuse the sauce.
Scrape the Squash:
Once that squash is cool enough to handle, run your fork through it to create those spaghetti strands. It is so satisfying watching it all separate into perfect noodles.
Assemble and Bake:
Mix everything together with half the cheese, then pile it into your baking dish. Top with the rest of the cheese and bake at 375°F until it is bubbling and golden on top.
Tender spaghetti squash strands mingle with savory Italian sausage and marinara in this comforting low-carb Sausage and Peppers Spaghetti Squash Casserole. Save to Pinterest
Tender spaghetti squash strands mingle with savory Italian sausage and marinara in this comforting low-carb Sausage and Peppers Spaghetti Squash Casserole. | recipesbyroxanne.com

This recipe has become my go-to for bringing dinner to friends who need a meal but are watching their carbs. I love how it feels indulgent and comforting while secretly being full of vegetables. Last winter my neighbor was recovering from surgery and she told me this was the only thing that actually tasted good during her recovery.

Make It Ahead

You can absolutely assemble this entire casserole the day before and keep it in the refrigerator. Just add an extra 10 minutes to the baking time if you are putting it in cold. I have also frozen it before baking, wrapped tight in foil and it thawed beautifully.

Cheese Choices

While mozzarella and Parmesan are classic, do not be afraid to mix in some provolone or even fontina for extra creaminess. Once I was out of mozzarella and used entirely fontina, which created this incredible molten cheese layer on top.

Serving Ideas

This casserole is a complete meal on its own, but a simple green salad with balsamic vinaigrette cuts through the richness perfectly. Garlic bread would be overkill here, but some roasted broccoli or asparagus on the side works beautifully.

  • Let the casserole rest at least 5 minutes before serving so it sets up nicely
  • Save a little fresh basil for the very top for that pop of green
  • The flavors actually get better overnight, so do not stress about eating it all immediately
A freshly baked Sausage and Peppers Spaghetti Squash Casserole garnished with bright basil, served in a white dish on a rustic wooden table. Save to Pinterest
A freshly baked Sausage and Peppers Spaghetti Squash Casserole garnished with bright basil, served in a white dish on a rustic wooden table. | recipesbyroxanne.com

There is something deeply satisfying about serving a dish that feels so indulgent while being packed with vegetables. Hope this becomes a staple in your home like it has in mine.

Recipe Questions & Answers

Yes, substitute the Italian sausage with plant-based sausage alternatives or sautéed mushrooms to keep it hearty and flavorful.

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

Absolutely, as long as you use gluten-free marinara sauce and gluten-free sausage, the casserole remains gluten-free.

Yes, use hot Italian sausage or add crushed red pepper flakes during cooking to increase heat and flavor complexity.

Assemble the casserole up to the baking step, cover it, and refrigerate. Bake when ready to serve for a fresh, hot meal.

Sausage Peppers Squash Bake

Savory blend of sausage, roasted squash, bell peppers, and cheese baked to golden perfection.

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 Spaghetti 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 to the skillet. Sauté for 5 minutes until softened. Stir in garlic, oregano, basil, and red pepper flakes (if using); cook 1 minute more.
6
Add Marinara Sauce: 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 Ingredients: 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 the 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
Roxanne Phillips

Passionate home cook sharing easy, comforting recipes and simple cooking tips for busy families.