Tuscan Spaghetti Squash Casserole
This Whole30 recipe is a Tuscan Spaghetti Squash Casserole the entire family will love! Roasted squash, kale, and tender ground sausage are smothered in a creamy, dairy-free garlic sauce and oven-baked to delicious perfection. This easy recipe is dairy-free, gluten-free, healthy comfort food at its finest!
This post was updated with new photos and copy on October 2nd, 2021.
TABLE OF CONTENTS
What Makes This Recipe Great
This Whole30 Tuscan Spaghetti Squash Casserole Recipe might be one of my new favorite recipes! I used a combination of garlic, cashews, and coconut milk to create a creamy, Alfredo-like sauce without any dairy!
Spaghetti squash is a superhero vegetable. It is versatile, healthy, and really absorbs the flavors you’re cooking with because it is so mild. It’s the perfect substitute for pasta and potatoes because it has the same hearty textures, but with a fraction of the carbs.
If you’ve avoided using this squash in your recipes because it seems difficult, this recipe is for you! You’ll find out how to cut spaghetti squash, how to cook spaghetti squash, and how to use this low-carb veggie in a delicious casserole.
If you love spaghetti squash recipes, try my Whole30 Spaghetti Squash Carbonara, Whole30 Sloppy Joe Bowls, or Eggplant Parm(less) Spaghetti Squash Casserole!
Ingredient Notes
For a full list of ingredients, please see the recipe card below.
Spaghetti Squash Casserole
- Sausage: You can either make your own using ground pork (I love to get my heritage breed pork delivered to my doorstep from Butcher Box!) or use store-bought Italian sausage (Butcher Box also has sugar-free Whole30 compliant Italian sausage!). If making your own sausage, you’ll need fennel seed, ground sage, thyme, white pepper, cayenne pepper, garlic powder, and allspice.
- Kale: If you aren’t a fan of kale, you can sub in spinach or your favorite greens!
- Spaghetti Squash: I like to cut my spaghetti squash in half horizontally. This is the opposite of how most people do it! It creates longer “spaghetti-like” strands this way. Scoop out the seeds and that’s it!
Creamy Garlic Sauce
- Cashews: If you have a high-speed blender, there is no need to soak the cashews. If you don’t have a high-powered blender, soak the cashews for at least one hour. This will help them get really smooth.
- Garlic: Use fresh garlic cloves or a jar of minced garlic.
- Coconut Milk: I use a can of full-fat, unsweetened coconut milk. It often separates in the can, so be sure to whisk it before using it.
- Lemon Juice: Freshly squeezed lemon juice is always preferred, but a jar of lemon juice will work in a pinch.
- Red Pepper Flakes: Use more or less depending on preference for spice.
- Salt and Pepper: Use to taste.
Recipe Step by Step
- First, preheat your oven to 400.
- I like to cut my spaghetti squash in half horizontally. This is the opposite of how most people do it! It creates longer “spaghetti-like” strands this way! Scoop out the seeds and lay both squash halves cut-side down on a parchment-lined baking sheet. Bake the squash for 35-40 minutes (depending on the size of the squash you may need more time – you’ll know it’s done when you can easily pierce it with a fork!).
- Meanwhile, make the sausage. Heat a large sauté pan or skillet over medium heat and add all sausage ingredients. Stir/cook for 5-7 minutes until browned and cooked through. Drain the fat. Add the kale and cook for an additional 1-2 minutes until it begins to wilt. Set the pan aside.
- Make the creamy dairy-free garlic sauce: Combine all of the sauce ingredients in a high-speed blender and blend on high for 30 seconds or until it is very creamy. The cashews do not need to be soaked beforehand unless you do not have a high-speed blender.
- Once the squash is cooked, remove it from the oven and use a fork to remove the strands. Add the squash and the garlic sauce to the pan with the sausage and kale. Mix it well. Transfer to a baking dish and bake at 400 for 15 minutes, or until the sides and bubbling and it’s warmed through.
- Serve and enjoy!
Mary’s Tips & Tricks
- Protein: You can use ground chicken or ground turkey instead of pork.
- More Spice: For extra heat, simply use an extra few dashes of red pepper flakes! On the flip side, to make this less spicy, omit the crushed red pepper or add slightly less.
- Nut-Free: Unfortunately the cashews help to make this creamy garlic sauce super creamy without the dairy. I haven’t tested it with any nut-free substitutions.
Storage Tips
- Make Ahead: Prepare the spaghetti squash according to the instructions in steps 1 and 2. Then, store it in an airtight container in the refrigerator for up to 3 days. When you are ready to make the casserole, start at step 3.
- Leftovers: Store leftovers in an airtight container in the refrigerator for up to 5 days. Reheat in the microwave or in a skillet on the stovetop.
Serving Tips
- This is a dairy-free recipe, but if you want, you can top it with cheese like parmesan cheese or mozzarella cheese. Use dairy-free cheese if preferred.
Recipe FAQs
Spaghetti squash is an excellent, low-carb substitute for pasta. A whole spaghetti squash has about 10 total grams of carbs. If you are wondering if spaghetti squash is keto, the answer is yes! Because it has about 2 grams of fiber, the net carbs for a whole spaghetti squash are 8 grams!
This recipe is not vegan due to the sausage, however, simply remove the animal protein from this recipe and it is vegan!
Try These Easy Whole30 Casseroles…
Instant Pot Buffalo Chicken Casserole
Tuscan Spaghetti Squash Casserole
Ingredients
Sausage (If making your own)
- 1 lb ground pork
- 1 tsp fennel seed
- 1 tsp salt
- 2 tsp ground sage
- 1 tsp thyme
- 1 tsp white pepper, black is fine if you don’t have it
- ¼ tsp cayenne pepper
- ½ tsp garlic powder
- ¼ tsp all spice
Creamy Garlic Sauce
- 2 cloves garlic
- 1 cup raw cashews
- ¾ cup water
- ½ cup full-fat coconut milk, Coconut milk separates in the can, so make sure to whisk it well before measuring!
- ½ lemon, juiced
- 1 tsp salt
- ½ tsp red pepper flakes
- ¼ tsp pepper
Remaining ingredients
- 1 large spaghetti squash
- 4 cups kale, stems removed, coarsely chopped
Instructions
- Preheat oven to 400. Cut your squash in half (I like to cut it in half horizontally which is different than how most people do it, but it creates longer “spaghetti” strands this way!) Scoop out the seeds and lay both halves cut-side down on a parchment-lined baking sheet. Bake the squash for 35-40 minutes (depending on the size of the squash).
- Meanwhile, make the sausage: Heat a large saute pan over medium high heat and add all sausage ingredients. Stir/cook for 5-7 minutes until browned and cooked through. Drain fat. Add the kale and cook for an additional 1-2 minutes until it begins to wilt. Set the pan aside.
- Make the creamy garlic sauce: Combine all sauce ingredients in a blender and blend on high for 30 seconds or until very creamy. The cashews do not need to be soaked beforehand.
- Once the squash is cooked, remove it from the oven and use a fork to remove the strands. Add the squash and the garlic sauce to the pan with the sausage and kale. Mix well. Transfer to a casserole dish and bake at 400 for 15 minutes or until sides are bubbling and it’s warmed through. Serve and enjoy!
Notes
Mary’s Tips & Tricks
- Protein: You can use ground chicken or ground turkey instead of pork.
- More Spice: For extra heat, simply use an extra few dashes of red pepper flakes! On the flip side, to make this less spicy, omit the crushed red pepper or add slightly less.
- Nut-Free: Unfortunately the cashews help to make this creamy garlic sauce super creamy without the dairy. I haven’t tested it with any nut-free substitutions.
Storage Tips
- Make Ahead: Prepare the spaghetti squash according to the instructions in steps 1 and 2. Then, store it in an airtight container in the refrigerator for up to 3 days. When you are ready to make the casserole, start at step 3.
- Leftovers: Store leftovers in an airtight container in the refrigerator for up to 5 days. Reheat in the microwave or in a skillet on the stovetop.
Serving Tips
- This is a dairy-free recipe, but if you want, you can top it with cheese like parmesan cheese or mozzarella cheese. Use dairy-free cheese if preferred.
158 Comments on “Tuscan Spaghetti Squash Casserole”
Absolutely delicious!!!
Thank you Rebecca!!
This was delicious! I would love this even off of whole 30 cycle.
Thanks Kim! These recipes are definitely meant to be enjoyed whether you’re doing Whole30 or not, so that’s great!
We made this dish tonight & on a scale of 1-10 we give it a 10! We added some bacon along with the sausage and it sent it over the top for us! My husband had 2 servings! Will absolutely make this again!
Thank you Beverly! I am so glad you enjoyed it!
Loved this! And it was loved even more by my boyfriend. We used chicken instead of pork and it turned out great. Also used spinach instead of kale – just what we normally have on hand. This is a staple in our meal rotation! At the beginning of COVID-19 it was hard to find spaghetti squash and all we wanted was this recipe. So glad we are able to find the squash now!!
Thank you Teresa, so glad you both enjoyed it!
Delicious & easy.. I didn’t have ground pork so I used sweet Italian turkey sausage .. we will make it again!
Awesome, thanks so much! Glad you enjoyed it!
Absolutely love this dish, even the kale! Any updates on nutritional info? Thanks!
Not yet! My new site will be up in August, hoping to have the info available then! Glad you loved this dish 🙂
this is amazing and one of our new favorites!!! The only thing I add is a little Nooch for a bit of umami/cheese flavor.
Great idea! Glad you liked it!
I made this for my lunches for the entire week and it did not disappoint! Usually after eating the same lunch for a whole week I am sick of it but I could have eaten this for another week…it’s that good! It’s easy to make, full of flavor and you can’t beat the ingredients. This is definitely going to be a recipe that I make again and again!
Woo hoo! Thanks Kelsey!
This was fabulous. Made with chicken sausage, as that’s what I had on hand. Will definitely make again, with even more veggies. The sauce was thick and creamy. So good!
So glad to hear that, Sue! Thank you!
This has become one of my Top 5 Whole30 meals (on and off round). I love it… I am not a fan of kale, however, so subbed in broccoli instead- and we inhale it. Thank you so very much for sharing the recipe.
That sounds like an amazing sub! Glad you enjoyed it Sarah!
Do you have any nutritional information on this delicious recipe? We really enjoyed it!
I’m so glad you enjoyed it! Unfortunately I do not have nutritional info on my site (yet) but hope to change that soon!
I’m so glad I was able to find this recipe. Planned on making Tuscan soup but had leftover spaghetti squash I needed to use. Those asking about a nut free sauce, I didn’t have cashews but had leftover “alfredo” sauce from a dish I made several days ago (bonus I was able to use additional leftovers!). I did add 1/2 c nutpods (no coconut milk), and omitted the water because I didn’t have enough alfredo” sauce but the recipe below should be enough…
This may change the flavor from the original recipe but it was really good!
2 TBS ghee/oil
1 TBS arrowroot flour
1 1/2 c coconut milk
salt/pepper for flavor
Melt ghee/oil, whisk in arrowroot flour until combined. Add in milk and whisk until mixture thickens and is smooth. Recipe by realfoodwithjessica.
Thank you so much for sharing a nut free option!
This is absolutely delicious! About to make it for the second time.
Thank you Katie!
This dish was super easy to make and delicious! My husband and kids all loved it. Definitely will put it into our dinner rotation. Just wondering … for those with nut allergies, is there anything to use in place of the cashews?
I haven’t tested it without the cashews but there has to be a way! I will work on that. Thanks so much, Danielle!
Can you make it without the coconut cream and just use homemade cashew cream?
I am afraid the coconut cream will over power the flavor and all you taste is coconut?
Please let me know Because I would love to make this tonight
Thank you
Hi Patricia- So sorry I missed your comment yesterday – it doesn’t taste like coconut, but if you prefer to just use cashews you certainly can.
This was delicious!! My best friend is allergic to nuts, any suggestions for a substitution for cashews?
I am working on testing out some alternatives – stay tuned 🙂
I didnt have any cashews on hand so I put a small can of diced chilies in 🤷♀️ it’s not the creamiest but it’s still delicious. I’m thinking some sliced or diced white potatoes would thicken it up a bit as well. Make it practically the casserole version of the zuppa tuscona soup at olive garden!
Yum! Glad it still worked out!
This looks fantastic! Thanks for the great idea!!
You’re so welcome!
This recipe is sooo easy and sooo good!! We’re on Round 4 of Whole 30 and took to a church dinner we have once a week. Almost all of it was gone by the end of the night! I also doubled the recipe! So many compliments!
My husband and I really enjoyed this dish! We’ll be making it again. We used ground turkey instead of pork, which tasted great and eliminated the need to drain the meat after browning. Next time, I’ll double the kale too — it cooks down so much they you don’t have to worry about overdoing it. Thanks for this recipe!
You’re so welcome! Glad you enjoyed it!
How would you substitute chicken for the sausage? We don’t eat pork
I would do ground chicken or pre-cooked/Rotisserie chicken instead!