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    Home » All Recipes » Main course

    Published: Oct 2, 2023 · Modified: Dec 29, 2023 by Priscilla Lawrence. Leave a Comment

    Spaghetti Squash Pizza Casserole

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    The comfort of a cheesy pepperoni pizza, but on top of delicious and nutritious roasted spaghetti squash, sautéed mushrooms, onions, ground chicken mixed with pizza sauce! This spaghetti squash pizza casserole is such a fun and surprising dish the whole family will love! Let me guide you on how to make it.

    This is a picture of a baking dish with cooked spaghetti squash pizza casseole.

    This post contains affiliate links from Amazon and other retailers. When you click on these links, I may earn a small commission from qualifying purchases at no extra cost to you. It helps me maintain this website and create new recipes. Thank you for your support! Please read my privacy policy for more details.

    Why This Recipe Works

    • This recipe is so delicious, low carb and significantly lower in calories that a traditional pizza but with all its flavors! Pepperoni, pizza sauce, melted cheese is added to a roasted spaghetti squash mixed with ground chicken, mushrooms, onion and spices. And it's gluten free!
    • It's customizable to your taste! While I chose mushrooms and chicken, because I love this combo like in this Dijon chicken and ground chicken stir fry, you can absolutely use ground beef, ground Italian sausage, vegetarian meat substitute or no meat at all. You could also use bell peppers, spinach, artichokes or any veggies you love on pizza. Same with the pepperoni, use any kind you prefer.
    • This pizza casserole is comforting, nutritious, kid-friendly and great for meal-prep. It's also a fun dish to bring to potluck or make for a gathering.
    This is a close up picture of the spaghetti squash pizza casserole.

    Key Ingredients

    • Spaghetti Squash: this nutritious squash is low carb, low calorie, a good source of fiber and filled with vitamins and minerals as you can read more about it here. The texture has a little bite to it and it's pretty mild tasting.
    • Ground meat: I used ground chicken for added lean protein, but you can use any ground meat you love the most.
    • Pizza sauce: I prefer pizza sauce for this recipe over marinara sauce because its seasoning is different and taste more like a pizza than just tomato sauce to me, but you can absolutely use marinara sauce if it's what you have on hand.
    • Pepperoni: use your favorite ones. These are the ones I used.
    • Shredded cheese: I used a pre-shredded pack of Italian four cheese mix, but shredded mozzarella works great too. Even better, shredding your own cheese from a block will melt really well, and make the spaghetti squash pizza casserole super cheesy.
    This is a picture of all the ingredients to make the spaghetti squash pizza casserole.

    How To Cut and Roast A Spaghetti Squash

    This is a picture of the squash with the ends cut off.

    First cut the ends of the squash.

    This is a picture of the squash cut in half.

    Then carefully slice the squash in half lengthwise with a sharp knife.

    This is a picture of the seeds being removed from the inside of the squash.

    Scrape the seeds and gut out with a sturdy spoon, and discard (or you can roast them like pumpkin seeds).

    This is a picture of the two halves of the squash with oil, salt and pepper.

    Place the halves onto a parchment lined baking sheet, spray them with some cooking oil and season with salt and pepper.

    This is a picture of the two halves of the squash flesh down on the baking sheet.

    Turn the halves around and poke a few holes with a fork. Roast in preheated oven at 400°F for 35 to 45 minutes. It's ready once the squash feels tender when poked with a fork or knife.

    This is a picture of the squash being scrapped with a fork to make the spaghetti strings.

    Carefully turn around (it'll be very hot), let it sit for a bit until it's comfortable enough to handle, then shred the inside by scraping with a fork. Discard of the skin.

    How To Make This Recipe

    • Roast the spaghetti squash first then cook the remaining ingredients.
    This is a picture of a skillet with onion cooking.

    Heat oil, then cook the onion for 5 minutes.

    This is a picture of a skillet with onion and mushrooms cooking.

    Then add the mushrooms and cook 3-4 more minutes.

    This is a picture of the skillet with the added chicken.

    Add the chicken, Italian seasoning, salt and pepper and cook for about 5 minutes.

    This is a picture of the skillet with the added garlic.

    Remove the excess liquid, add the garlic and cook for 1 minute.

    This is a picture of the skillet with the added pizza sauce.

    Add the pizza sauce, bring to a low boil.

    This is a picture of the skillet with the added squash.

    Mix in the shredded spaghetti squash.

    This is a picture of the baking dish with the chicken and squash mixture.

    Add the mixture to a baking dish on a single layer.

    This is a picture of the baking dish with the chicken and squash mixture topped with cheese.

    Sprinkle with cheese.

    This is a picture of the baking dish with the chicken and squash mixture, cheese and pepperoni on top.

    Add the pepperoni. Then add to preheated oven at 375°F. Bake for 20 to 25 minutes.

    This is a picture of the baking dish with the spaghetti squash pizza casserole out of the oven.

    Remove from the oven, let cool for 5 to 10 minutes and serve. Enjoy!

    This is a picture of the dish in the baking dish ready to eat.

    More Delicious Squash Recipes To Try

    • Air Fryer Butternut Squash
    • Chicken Zucchini Boats
    • Air Fryer Delicata Squash
    • Cheesy Zucchini Casserole
    • Butternut Squash Leek Soup

    Frequently Asked Questions

    My spaghetti squash casserole is a little soupy, how can I fix it?

    • Spaghetti squash is a little watery and will make this casserole juicy. While it's not mandatory, you can add an extra quick step by adding the cooked shredded squash in a colander, and gently pressing on it with a wooden spoon to discard of extra liquid.

    What can I serve this dish with?

    • This recipe is great served with a crunchy side salad, a little sourdough if you want extra carbs.

    Tips

    • Don't overcook the spaghetti squash. The smaller the squash the fastest it'll cook and vise-versa. 35-40 minutes is usually the sweet spot but it might need a few extra minutes depending on your oven too.
    • Make sure to let the casserole rest for 5 to 10 minutes before serving.
    • You can definitely make this dish spicier by adding some red pepper flakes, use spicy sausage meat or extra spicy pepperoni.
    • Leftovers can be stored refrigerated in an airtight container for up to 4 days.
    This is a close up picture of the casserole.
    • If you make and love this recipe, I would so appreciate it if you left a star rating & review! It helps my business tremendously by telling readers this recipe is recommended!
    • Never miss a new recipe by following me on Instagram, Facebook, Pinterest and Subscribing to my weekly newsletter!
    Square picture of the spaghetti squash pizza casserole.

    Spaghetti Squash Pizza Casserole

    Priscilla Lawrence
    The comfort of a cheesy pepperoni pizza, but on top of delicious and nutritious roasted spaghetti squash, sautéed mushrooms, onions, ground chicken mixed with pizza sauce! This spaghetti squash pizza casserole is such a fun and surprising dish the whole family will love! Let me guide you on how to make it.
    5 from 3 votes
    Print Recipe Pin Recipe Rate Recipe
    Prep Time 15 minutes mins
    Cook Time 1 hour hr 15 minutes mins
    Total Time 1 hour hr 30 minutes mins
    Course Main Course
    Cuisine American
    Servings 6 servings
    Calories 276.9 kcal

    Equipment

    • cutting board
    • sharp knife
    • spoon & fork
    • Baking sheet
    • parchment paper
    • large bowl
    • large skillet
    • wooden spoon
    • baking dish 10.5x7.5 or 13x9

    Ingredients
      

    • 1 spaghetti squash
    • spray cooking oil
    • salt to taste
    • black pepper to taste
    • 1 tablespoon olive oil or avocado oil
    • ½ yellow onion diced
    • 3 cloves garlic minced
    • 8-10 sliced mushrooms about 1 ½ cup
    • 1 pound ground chicken
    • 1 teaspoon Italian seasoning
    • 1 ¼ cup pizza sauce or marinara sauce
    • 1 cup shredded Italian four cheese medley or shredded mozzarella
    • 8-10 pepperoni slices
    • basil chopped or slice in chiffonade

    Instructions
     

    Prepare and Roast the Spaghetti Squash

    • Preheat oven to 400° Fahrenheit. Line a small to medium baking sheet with parchment paper to cook the squash.
    • Carefully cut each ends of the spaghetti squash with a sharp knife.
      This is a picture of the squash with the ends cut off.
    • Then cut the spaghetti squash in half lengthwise. Some spaghetti squash are firm and this step might require a little muscle. Be careful. *see notes
      This is a picture of the squash cut in half.
    • With a study spoon, scrape out all the seeds from the middle.
      This is a picture of the seeds being removed from the inside of the squash.
    • Place the two halves of the squash on the prepared baking sheet flesh side up, spray each half with a little spray cooking oil, then sprinkle salt and black pepper.
      This is a picture of the two halves of the squash with oil, salt and pepper.
    • Turn each halves of the squash around, putting the flesh down, and carefully poke a few holes all around with a fork. Add to preheated oven, and cook for 35 to 45 minutes or until the squash is tender when poked with a fork or knife. (*the smaller the squash the quicker it'll cook and vise-versa).
      This is a picture of the two halves of the squash flesh down on the baking sheet.
    • While the squash is cooking, finely dice the onion, mince the garlic and slice the mushrooms.
    • Once the squash is cooked, remove it from the oven, very carefully turn it around (it'll be really hot), then let it sit for a few minutes until it's cooled down enough to handle. Using a fork, shred the spaghetti squash into strands by simply scrapping the flesh. Set aside and discard of the outer part of the squash.
      This is a picture of the squash being scrapped with a fork to make the spaghetti strings.

    Make the Casserole

    • Reduce the oven to 375° Fahrenheit.
    • Heat up the oil in a large skillet over high heat, then swirl the skillet around to coat with oil, then reduce heat to medium high and add the onion. Cook until translucent, stirring often about 5 minutes.
      This is a picture of a skillet with onion cooking.
    • Add the slice mushrooms and cook them down for about 3 to 4 minutes, stirring often.
      This is a picture of a skillet with onion and mushrooms cooking.
    • Then push the onion and mushrooms to one side of the skillet, add a tad more oil on the empty side, and add the ground chicken. Add the Italian seasoning, salt and black pepper to it, mix it in and brown the chicken for 2 minutes alone. Then mix it with the onion and mushrooms, and cook for 3-5 minutes.
      This is a picture of the skillet with the added chicken.
    • Drain any extra liquid from the skillet using a large spoon to scoop it out, or by tilting the skillet over a bowl to discard the liquid. Then make a little space in the middle and add garlic. Cook until fragrant, about 1 minute.
      This is a picture of the skillet with the added garlic.
    • Add the pizza sauce to the skillet, stir it in and bring to low boil and simmer for about 3-4 minutes.
      This is a picture of the skillet with the added pizza sauce.
    • Then add the cooked shredded spaghetti squash to the skillet.
      This is a picture of the skillet with the added squash.
    • Lightly spray the baking sheet with spray cooking oil, then add the chicken and squash mixture onto one layer.
      This is a picture of the baking dish with the chicken and squash mixture.
    • Then sprinkle the shredded cheese all over.
      This is a picture of the baking dish with the chicken and squash mixture topped with cheese.
    • Add the pepperoni slices and bake for 20 to 25 minutes or until the top is golden brown and bubbly. (*optional: broil at the very end for 2 to 3 minutes)
      This is a picture of the baking dish with the chicken and squash mixture, cheese and pepperoni on top.
    • Remove from oven, let sit for 5 to 10 minutes, sprinkle with some fresh basil, then serve warm by itself or a side salad. Enjoy!
      This is a picture of the baking dish out of the oven.

    Notes

    • Pepperoni: I used large pepperoni slices but if you use smaller ones, use as many as you wish. 
    • Cutting spaghetti squash in half: if your squash is very firm and hard to cut, poke a few holes on the outside all around with a fork, and add the squash to the microwave for 2-4 minutes to soften it and make it easier to cut. 
     
    *The nutritional values shown in this recipe are approximate for one suggested serving size using the ingredients listed but not including any optional items and may vary per actual preferred portion sizes.

    Nutrition

    Serving: 1serving | Calories: 276.9kcal | Carbohydrates: 17g | Protein: 21.1g | Fat: 13.6g | Saturated Fat: 2.5g | Polyunsaturated Fat: 2g | Monounsaturated Fat: 4.1g | Trans Fat: 0.1g | Cholesterol: 71.3mg | Sodium: 394.3mg | Potassium: 835.8mg | Fiber: 4g | Sugar: 5.2g | Vitamin A: 420.1IU | Vitamin C: 8.7mg | Calcium: 97.5mg | Iron: 2mg
    Have you made this recipe?Leave a review below or tag @Sprinkledwithbalance on Instagram!
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    Picture of Priscilla Lawrence owner of Sprinkled with Balance.

    About Priscilla Lawrence

    Hi there, I'm Priscilla Lawrence! Welcome to Sprinkled With Balance where I share elevated and approachable nutrient-rich recipes that aren't overly restrictive, complicated or boring! Based in California but born and raised in France, I'm a mom of two, former certified nutritionist, recipe developer, and food photographer.

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    Hi, I'm Priscilla!

    Picture of Priscilla Lawrence owner of Sprinkled with Balance.

    Based in California but born and raised in France, I welcome you to Sprinkled With Balance where I share elevated nutrient-rich recipes that aren't overly restrictive, complicated, or boring! I'm a mom of two, ...

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