Low Carb Italian Sausage Recipe with Spaghetti Squash

What greens work best in this Sweet Italian Sausage Casserole?

I think kale is probably best but spinach works well also. Any green you want to add for color and interest is fine too. I hope you know you can freeze kale and spinach, and always have greens available for these kind of recipes.

Secret Ingredient also my favorite spice 

I love piment d’ espelette and is a go to for spicing up everything from vegetable dishes to seafood. 

What is piment d’espelette? 

Piment d’ espelette,  made from the Espelette pepper, also known as Piment d’Espelette, is a chili pepper cultivated in the French commune of Espelette, Pyrénées-Atlantiques. It is mildly hot, measuring up to 4,000 Scoville Heat Units. It’s sweet, spicy and smoky without overpowering a dish.  I like the way it gives heat to a dish, more nuanced than red chili flakes (which you could also use). 

You could cover this with pecorino cheese as I did or even use mozzarella. You could even dollop ricotta cheese in this casserole. 

I love my Le Creuset Braiser, because it goes from stove top to oven. A cast iron pan would do the same thing.

This is a flexible recipe. You could use turkey sausage if you choose. You could also choose a different meat, even leftover roast chicken, leftover carnitas. 

How to Sauté Mushrooms

I use either white button mushrooms or cremini mushrooms. I like to slice my own, saute in butter or oil, keeping them separate so they brown a little, instead of steam. That brings out a true mushroom flavor. Mushrooms are a great partner for sausage and for spinach and are a great addition to this recipe. If you hate mushrooms, skip them. It’s that simple. You might choose to add in some chopped sun-dried tomatoes instead. 

This is a an easy dish, very forgiving. Make sure you use enough salt and pepper and a little heat to bring it together. Don’t plan on leftovers. You probably won’t have any. 

More Recipes Using Italian Sausage from Spinach Tiger

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Italian Sausage Frittata with Ricotta

Baked Italian Sausage with Broccoli Rabe

Italian Sausage Crusted Pizza with Peppers

How to Cook Spaghetti Squash

Spaghetti Squash Lasagna

Print Recipe

3.60 from 10 votes

Low Carb Sweet Italian Sausage with Spaghetti Squash, Spinach, Mushrooms

Italian Sausage, Spaghetti Squash, Mushrooms, Spinach and Pecorino baked in Casserole for a low carb, keto friendly dinner.

Prep Time20 minutes mins

Cook Time40 minutes mins

Total Time1 hour hr

Course: Entree

Cuisine: Italian

Servings: 4

Author: Angela Roberts

Ingredients

Roast Spaghetti Squash

• 1 Cooked Spaghetti Squash Recipe Here
• salt and pepper
• 2 cups mushrooms sliced
• 1 pound Italian Sausage removed from casing
• 1/2 cup freshly grated parmesan or pecorino Romano Cheese.
• 2 cups spinach leaves or chopped kale
• 1 teaspoon piment d'esplette or 1/4 teaspoon red pepper flakes

Instructions

• In a frying pan that will also go into oven, break up sausage and cook over medium heat. Drain sausage on paper towels.
• Remove spaghetti squash and allow to cool.
• Use the fork to shred the squash.
• Add more oil to pan if necessary and sauté mushrooms in same pan.
• Add sausage back into pan.
• Mix together sausage, mushroom mixture.
• Shred spaghetti squash and mix with sausage and mushrooms in frying pan you will use for oven.
• Add spinach and mix. No need to cook. It will soften in oven.
• Season with salt, pepper and piment d'esplette.
• Sprinkle with parmesan or pecorino cheese and bake for 10 minutes at 400 degrees F. until melted. You could also add mozzarella if desired.

Assemble

Notes

Feel free to use turkey sausage. 

Play around by adding dollops of ricotta cheese and topping with mozzarella before baking. 

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