Italian Sausage and Pepper Stuffed Spaghetti Squash - Slender Kitchen

Italian Sausage and Pepper Stuffed Spaghetti Squash

By Kristen Mccaffrey
adapted from:
Weight Watchers® SmartPoints™
(9 PointsPlus®)

Recipes Content


My grandmother made the most delicious Italian sausages and spaghetti sauce growing up. She simmered the sauce all day on the stove and the recipe was a little different every time she made it depending on what she needed to use up in the kitchen. Nothing ever went to waste and sauce was one of her favorite vehicles for using up whatever she had leftover. It was a magical thing.

This week I was thinking about that dish but was in need of something quicker and a little lighter. When I saw this recipe from Nutmeg Nanny I couldn't wait to try it. Spaghetti squash, ground sausage, peppers, onions, tomatoes, and just the right amount of cheese to make it taste indulgent. Yum.

Prep Time

Italian Sausage and Pepper Stuffed Spaghetti Squash

Prep Time: 
Cook Time: 
Total Time: 


  • 2 U spaghetti squash (small-medium)
  • 1 lb. lean ground turkey sausage
  • 1 U green pepper, sliced
  • 1 U red pepper, sliced
  • 1/2 U sweet onion, sliced thin
  • 4 U cloves garlic, minced
  • 2 tsp. Italian seasoning
  • 20 oz. canned crushed tomatoes
  • 1 cup part skim shredded mozzarella cheese

Nutritional Facts

Serving Size: 
1/2 squash
Amount Per Serving
Calories 403
Calories from Fat 140
% Daily Value *
Total Fat 16g
Saturated Fat 5g
Monounsaturated Fat 1g
Polyunsaturated Fat 0g
Cholesterol 99mg
Sodium 1 057mg
Total Carbohydrate 39g
Dietary Fiber 9g
Sugars 18g
Protein 31g


  1. Preheat the oven to 400 degrees. Cut the spaghetti squash in half and remove seeds. Spray with cooking spray and sprinkle with salt and pepper. Place cut side down on a baking sheet and bake for 35-40 minutes until tender. To microwave, pierce whole squash with knife or fork. Microwave for 12-14 minutes or until tender. Carefully cut open to remove the seeds. Scrape the squash out with a fork.
  2. Meanwhile, heat a nonstick skillet over medium high heat. Brown the sausage. Add the peppers and onions. Cook for 3-4 minutes until they begin to soften. Add the garlic and Italian seasoning. Cook for 1 minute.
  3. Add the crushed tomatoes and bring to a simmer. Simmer for 8-10 minutes until the sauce thickens. Taste and season with salt and pepper as needed.
  4. When the spaghetti squash is ready, scrape it with a fork to loosen. Add the sausage, pepper, and tomato mixture and stir. Top with cheese. Place under the broiler for 5-7 minutes until cheese melts.
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† SmartPoints™ and PointsPlus® calculated by Slender Kitchen; Not endorsed by Weight Watchers International, Inc.
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