This paleo recipe is so good even your non-paleo friends will love it! My picky husband and young children enjoyed this 'spaghetti pie' and even came back for seconds. Plus, there are no pricey, exotic ingredients. I had nearly everything on hand.

Recipe Summary

prep:
15 mins
cook:
1 hr 30 mins
total:
1 hr 45 mins
Servings:
6
Yield:
6 servings
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Ingredients

6
Original recipe yields 6 servings
The ingredient list now reflects the servings specified
Ingredient Checklist

Directions

Instructions Checklist
  • Preheat oven to 400 degrees F (200 degrees C). Place spaghetti squash, cut-side down, on a baking sheet.

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  • Bake squash in the preheated oven until cooked through, about 25 minutes. When cool enough to handle, scoop out the strands of squash with a spoon and place in an 8-inch square baking dish.

  • Reduce oven temperature to 350 degrees F (175 degrees C).

  • Cook and stir turkey sausage and onion in a large skillet over medium-high heat until turkey is browned, 4 to 6 minutes. Remove from heat and stir pizza sauce, spinach, red bell pepper, applesauce, basil, garlic powder, oregano, and black pepper into turkey mixture. Spread mixture over squash in baking dish.

  • Pour eggs over turkey mixture and toss egg, turkey mixture, and squash together until egg is just combined.

  • Bake in the preheated oven until mixture is bubbling and eggs are set, about 1 hour.

Nutrition Facts

295 calories; protein 19.2g; carbohydrates 29.8g; fat 13g; cholesterol 152.5mg; sodium 774.6mg. Full Nutrition
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Reviews (103)

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Most helpful positive review

Rating: 5 stars
09/06/2014
This recipe is great. We are actually on GAPS (very similar to Paleo; we use lots of Paleo recipes and make small changes when needed). The medical practitioner we see wants both my daughter and me eating beef every single day. So I'm constantly on the lookout for new, and (relatively) easy things to do with beef, especially since my 8 year old daughter can be picky with ground beef, as it is one of her least favorite meats. This recipe was a hit. I used ground beef instead of turkey sausage, had to look up a recipe to make pizza sauce (found a good Paleo pizza sauce recipe that worked). I also doubled everything in the recipe. My husband eats organic but is not on GAPS (or PALEO, but will eat whatever I make, and ground beef IS his favorite). Doubling the recipe filled a 13x15 baking dish to the top. We wound up eating 1/2 the dish for lunch! My husband just could not stop eating this, my daughter ate a hefty slice, and as for me I ate a "reasonable portion" and then just kept slicing a thin line down the baking dish taking "a little" bit more, and before we knew it, 1/2 the dish was gone. The other modification I made was adding 16 oz of mushrooms (and could have added more). We all thought it was very similar tasting to lasagna. For those people who do (or can) eat dairy, some cheese would have been amazing on this as well. Would definitely make this to serve to others as well. Just add a tossed salad and you've got a complete meal. It's delicious. Read More
(31)

Most helpful critical review

Rating: 1 stars
08/15/2018
I made it exactly to recipe and it came out a congealed bland mess. I like all of the ingredients separately but somehow put together not so much. I should add that although we eat healthy food routinely we don't usually eat paleo and I was trying something new. Maybe you have to get used to this type of food to appreciate it? I've had vegan stuff that the vegan people raved about that was absolutely revolting so maybe this is the same sort of situation. I don't know. Overall I would say this may not be a good choice for experimentation if you don't eat paleo. I tried a few other paleo recipes this week and they were much better. Read More
129 Ratings
  • 5 star values: 96
  • 4 star values: 25
  • 3 star values: 5
  • 2 star values: 2
  • 1 star values: 1
Rating: 5 stars
09/06/2014
This recipe is great. We are actually on GAPS (very similar to Paleo; we use lots of Paleo recipes and make small changes when needed). The medical practitioner we see wants both my daughter and me eating beef every single day. So I'm constantly on the lookout for new, and (relatively) easy things to do with beef, especially since my 8 year old daughter can be picky with ground beef, as it is one of her least favorite meats. This recipe was a hit. I used ground beef instead of turkey sausage, had to look up a recipe to make pizza sauce (found a good Paleo pizza sauce recipe that worked). I also doubled everything in the recipe. My husband eats organic but is not on GAPS (or PALEO, but will eat whatever I make, and ground beef IS his favorite). Doubling the recipe filled a 13x15 baking dish to the top. We wound up eating 1/2 the dish for lunch! My husband just could not stop eating this, my daughter ate a hefty slice, and as for me I ate a "reasonable portion" and then just kept slicing a thin line down the baking dish taking "a little" bit more, and before we knew it, 1/2 the dish was gone. The other modification I made was adding 16 oz of mushrooms (and could have added more). We all thought it was very similar tasting to lasagna. For those people who do (or can) eat dairy, some cheese would have been amazing on this as well. Would definitely make this to serve to others as well. Just add a tossed salad and you've got a complete meal. It's delicious. Read More
(31)
Rating: 5 stars
08/09/2014
I had gone paleo about 10 years ago when there were very few recipes beyond mixing vegetables together as a side dish to your meats. So when I returned to the diet again with my boyfriend we saw this recipe and were so excited to try it. We enjoyed it VERY much! We used minced garlic and sauteed them with the onions (instead of garlic powder). We used a larger medium sized squash and I think it was more than the dish called for because after adding the eggs they seemed to be absorbed which meant it wasn't as bubbly and moist as I imagined it should be. I'd like it if there was a measurement suggestion for the amount of cooked squash but in no way was it ruined. We even had leftovers which I found helps keep me on track for when you're looking for a quick lunch or dinner the next day. The flavor of the whole dish reminded me of sweet italian sausage yum! I agree with AO's comment about draining the turkey slightly. It wasn't noted so my boyfriend (who was in charge of cooking the turkey) forgot to do so and realized it when it was too late. My only other adjustment was to spoon pizza sauce over the finished slices. Definately looking forward to making it again real soon! Read More
(15)
Rating: 5 stars
08/24/2014
This is a really flavorful alternative to your standard spaghetti. If you're not actually following a paleo diet 4 oz or so of fresh Parmesan cheese sprinkled on top before baking really adds a nice flavor to it. I use fresh basil and about 2 cups of baby spinach. We also usually only have regular ground turkey on hand so I just add oregano and some crushed red pepper to it instead of buying sausage. The only other change I make is to cook the red pepper with the turkey and onion while it's in the skillet rather than adding it later. Read More
(12)
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Rating: 5 stars
04/13/2014
My daughter went Paleo before I did and I could not believe how yummy this is. She uses ground beef that is grass fed instead of the turkey. More expensive...but very lean. This will not have any leftovers. Read More
(11)
Rating: 5 stars
05/23/2014
Great recipe. I actually had a large enough spaghetti squash to make two large dishes of it. I also added garlic when sautéing the onions and turkey and put extra sauce over the entire dish before baking. Also (and I know it isn't "Paleo") I added a small bit of parmesean and shredded Monterey Jack before baking the dish. It turned out PERFECT! Read More
(9)
Rating: 4 stars
10/20/2014
Paleo Spaghetti Pie: "LOVE spaghetti squash. Enjoyed eating it this way. But too watery." My daughter saw the video for making this on Roku's AR channel and insisted we make it probably b/c it was called "pie." Whenever I make spaghetti squash it's usually just baked then topped w/ whatever spaghetti sauce/meatballs I have around so this was a fun different way to do it; just didn't like that it was so watery at the bottom when it was time to serve and didn't quite come out in nice "slices" but appearances aside it tasted awesome! Read More
(8)
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Rating: 5 stars
08/18/2014
This is a GREAT recipe!!! I added a jalepeno and instead of turkey sausage, I used elk sausage. My husband, who is a meat and potato guy even liked it! Read More
(6)
Rating: 5 stars
07/13/2014
Was great! Used "hot" turkey sausage and it was great. Next time would drain the sausage a little better wasn't noted to so only drained slightly just in case moisture needed but wasn't. Read More
(4)
Rating: 5 stars
02/19/2015
I needed to use up a spaghetti squash and came across this recipe. Looked easy and I happened to have most things on hand so I gave it a whirl. I only had about 3 servings of the pre-cooked turkey sausage crumbles to use which turned out perfect- cut down the time and calories a bit. I had to use spaghetti sauce instead of pizza sauce as that is what I had. My squash was fairly small- just 19 oz of actual 'noodles' after cooked. This was so easy and quick and delicious! I will definitely be making this again. I added up all calories/fat/protein etc with the changes that I made. Using this as a recipe for 4 servings it ended up being just 229 calories/serving with 16 grams of protein! That's a winner!! Read More
(4)
Rating: 1 stars
08/15/2018
I made it exactly to recipe and it came out a congealed bland mess. I like all of the ingredients separately but somehow put together not so much. I should add that although we eat healthy food routinely we don't usually eat paleo and I was trying something new. Maybe you have to get used to this type of food to appreciate it? I've had vegan stuff that the vegan people raved about that was absolutely revolting so maybe this is the same sort of situation. I don't know. Overall I would say this may not be a good choice for experimentation if you don't eat paleo. I tried a few other paleo recipes this week and they were much better. Read More
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