Spaghetti-Pizza Casserole

pizza casserole1I am LOVING me some spaghetti squash! It is a great base for a wide range of dishes, from breakfast, brunch and dinner. If you haven’t already tried my Breakfast Casserole using spaghetti squash, you must! It is so EASY and delicious and reminds me of a hash brown casserole with sausage! I love that I can cook a spaghetti squash in my slow cooker on the weekend and use as a part of a 15 minute recipe (like this one) on a busy weeknight! (Just store the cooked spaghetti squash in the fridge, either in the skin or go ahead and take out the spaghetti to have ready to use.)

My next recipe with spaghetti squash will probably be something Mexican! 

What is your favorite way to eat spaghetti squash??

Grain-Free Start Kits


Like all my recipes, use this Pizza-Spaghetti Casserole as a basic template. Add your favorite veggies, ground meat and cheese or whatever you have on hand! Really, the sky is the limit! This casserole would be delicious with my Better Than Red Lobster Biscuits! :) 

Spaghetti Pizza Casserole1

Spaghetti-Pizza Casserole
Serves 6
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  1. Casserole

    • 1/2 a cooked spaghetti squash (approximately 2-1/2 cups of "spaghetti")
    • 1 lb. ground turkey (pork, beef or Italian sausage)**
    • 1 cup diced onion (I used frozen)
    • 1/2 cup diced bell pepper (frozen)
    • 2 tsp. Italian seasonings**
    • 1 tsp. salt**
    • 1 tsp. garlic powder
    • 12 oz. mozzarella cheese, shredded (approximately 3 cups)
    • Optional ingredients: 2 oz. pepperoni, chopped mushrooms, or favorite pizza toppings

    **If using of Italian sausage, omit the Italian seasoning and lessen the salt to 1/2 tsp.

    Pizza Sauce (or use your favorite marinara sauce)

    • 1 cup crushed tomatoes
    • 1 tsp. Italian seasoning
    • 1 tsp. dried basil
    • 1/8 tsp. red pepper flakes
    • Pinch of sweetness and salt to taste (this will depend on sweetness of tomatoes)
  1. Turn broiler to low in oven.

    In a large frying pan over medium heat, brown turkey (or other meat) along with onions and bell pepper. (Also add mushrooms at this time.)

    NOTE: If your meat is fatty, you may want to brown the meat first so that you can pour off the fat before adding the onions and bell pepper.

    While meat is browning, add all of the ingredients for pizza sauce to a small sauce pan. Bring to simmer and reduce to low. Taste for seasonings and adjust if needed. Keep on warm.

    After meat has been cooked and drained (if needed), add cooked "spaghetti" along with salt and spices. Cook over medium heat until "spaghetti" is heated through. Add half of the cheese and stir.  (Also add pepperoni.) Taste for salt and spice and adjust if needed.

    Frying pan: Top "spaghetti" and meat mixture with the remaining cheese. Place under broiler and allow the cheese to brown, this should take around 5-8 minutes but keep an eye on the casserole to prevent it from burning. 

    Casserole Dish: Transfer "spaghetti" and meat mixture to small casserole dish. Top with cheese and place under broiler until cheese has melted and browned.

    Serve with Pizza sauce and extra shredded mozzarella or grated Parmesan cheese. 

  1. Nutrition

    350 Calories, 19 gram Fat, 10.5 grams Total Carbs, 2 grams Fiber, 8.5 grams Total Carbs, 38 grams Protein 

Satisfying Eats

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Happy Cookin’!




  1. Bonnie says

    I was wondering, do you serve the pizza sauce separately from the meat/squash mixture, or do you add the two together at some point?

    • satisfyingeats says

      Bonnie, at the very end of the recipe I state to serve with the sauce. You could pour it over the entire casserole before serving or add it separately on your plate. I hope you enjoy.

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