Spaghetti Squash Casserole

Did you know…
Spaghetti Squash, when cooked, shreds like ribbons or strands, like spaghetti.
Spaghetti Squash contains many nutrients including folic acid, vitamin A and beta carotene.
Spaghetti Squash averages 42 calories per cup.
Spaghetti Squash seeds can be roasted just like pumpkin seeds.  A great low-carb, nutricious snack.

Spaghetti Squash Casserole

Cooking spray
1-5 pound spaghetti squash
1 tablespoon olive oil
2 links Italian Chicken Sausage (about 3 ounces each), diced
1 clove garlic, minced
8 ounces sliced mushrooms
2 tablespoons flour
2 cups skim milk
½ cup reduced fat shredded mozzarella cheese, divided
1 teaspoon salt (optional)
¼ teaspoon ground black pepper
¼ cup chopped fresh basil
¼ cup grated parmesan cheese


  1. Preheat oven to 375 degrees F. Coat a baking pan with cooking spray.
  2. Fill baking pan with 1 inch of water. Cut squash in half lengthwise. Lay squash cut side down in the pan and roast for 1 hour.
  3. Remove the roasted squash from the skin. Discard skin and any seeds and place into a large bowl. Set aside.
  4. Coat another baking pan (9×9) with cooking spray. Set aside.
  5. While squash is roasting, add olive oil to a medium sauce pan over medium high heat. Sauté chicken sausage until beginning to brown.
  6. Add garlic and mushrooms and sauté until mushrooms are softened and all liquid is evaporated.
  7. Sprinkle flour over the mushroom and sausage mixture and cook for 2-3 minutes, stirring constantly.
  8. Add milk and whisk vigorously, scraping the bits off the bottom of the pan. Bring to a boil.
  9. Reduce to a simmer and let simmer for 3-4 minutes. Add ¼ cup of mozzarella cheese and stir to melt. Stir in salt, pepper and basil.
  10. Pour sauce over the cooked spaghetti squash and mix to incorporate.
  11. Pour into prepared baking dish, top with remaining mozzarella cheese and parmesan cheese. Bake for 45 minutes or until cheese is golden brown and casserole is bubbly and brown around the edges.
  12. Cut into 9 even squares.

This recipe and many more can be found here.

American Diabetes Association- Oregon/SW Washington

The American Diabetes Association’s mission is to prevent and cure diabetes and to improve the lives of all people affected by diabetes.

Scroll to top