Low Carb Spaghetti Squash with Meat Sauce

This spaghetti squash with meat sauce is all the things comfort food is about, without the carbs! With just a little ‘squash prep’ you can have a full on healthy, low carb spaghetti squash dinner on the table in less time than it takes to boil regular spaghetti pasta!


  • 1 medium spaghetti squash
  • 1 onion diced
  • 1 clove garlic minced
  • ½ pound ground sausage
  • ½ pound ground beef
  • 1 tablespoon Italian seasoning
  • 28 oz canned diced tomatoes undrained
  • 8 oz tomato sauce low carb/sugar free
  • 2 tablespoons tomato paste
  • 1 cup water
  • salt & pepper
  • 2 tablespoons fresh parsley


  1. Poke the spaghetti squash with a fork and microwave 5 minutes. Cut in half lengthwise and scoop out seeds and pulp.
  2. Place face down in a casserole dish with ⅓ cup water. Cover with plastic wrap and microwave on high 7-8 minutes or until soft when pierced with a fork.
  3. Brown garlic, onion, sausage and beef in a large skillet until no pink remains. Drain any fat.
  4. Add Italian seasoning, tomatoes, tomato sauce, tomato paste, water and salt & pepper to taste. Summer uncovered 10 minutes or until thickened.
  5. Serve over spaghetti squash.