Chicken Sausage Spaghetti Squash Bake
Roasted spaghetti squash strands are folded into a creamy sauce of Italian style chicken sausage, mushrooms and fresh basil, then baked until bubbling under a golden cheese topping. It cuts neatly into nine squares for serving.
- Time
- 135 min
- Calories
- 180
- Carbs
- 24 g
- Fiber
- 3 g
- Sugars
- 9 g
Per serving, about 364 g. Total time is estimated.

Method
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A Squash Bake That Holds Its Shape
Spaghetti squash has a funny history for something so humble. It is a winter squash, grown for storage, and it earned its name because once it is cooked the flesh pulls apart into long, pale strands that look a lot like noodles. That trick is what makes this bake work. You get the satisfaction of a baked pasta dish, but the base is vegetable, and the strands stay a little firm so the whole thing doesn't turn to mush under the cheese.
The one step I would not rush is roasting the squash cut side down with water in the pan. Steam is doing the real work there. If you pull the halves out too early the strands stay stiff and watery, and that moisture ends up pooling in the dish. Give it the full hour, then let the halves cool enough to handle before you scrape. A fork pulls the flesh away from the skin in long, clean lines, and it is worth taking your time with it.
When you make the sauce, pay attention to the mushrooms. Cook them until the liquid they release has gone off completely, because wet mushrooms will thin the milk and the sauce will never thicken properly. Those browned bits left on the pan after the sausage are flavor, so scrape them up with the milk as it goes in. Once the sauce is loose and coats a spoon, it is ready to meet the squash.
Basil goes in at the end, off the heat or close to it, so it stays bright. If you have a little extra, scatter it over each square when you serve. Leftovers keep well covered in the fridge for a few days. They reheat best in a low oven rather than the microwave, which tends to make the cheese rubbery and the squash watery.
For a simple side, a crisp green salad with lemon juice and a bit of olive oil cuts through the richness nicely. A plate of Fresh Tomato Basil Mozzarella Salad also fits the theme, since it repeats the basil and cheese in a lighter, cooler form. If you want something warm and hearty alongside, Golden Baked Butternut Squash with Parmesan plays well with it, though you may want to keep the rest of the meal on the lighter side so the table doesn't feel too heavy.
Cutting into nine squares makes portions easy to see, and a square with a green salad is a satisfying lunch the next day, too.
Originally from Diabetes Food Hub (ADA)Method rewritten by Diabic.Updated 9 Nov 2026
General information, not medical advice. Your needs may differ, so check with your care team.
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