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Spaghetti Squash Alfredo with Sausage and Walnuts

Rated as 4 out of 5 Stars

"Low-carb friendly. Creamy, crunchy, and savory. A nice combination that is also filling. Served garnished with Parmesan cheese and sage or parsley."
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39 m servings 796
Original recipe yields 6 servings


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  1. Place spaghetti squash cut-side down in a microwave-safe dish. Pour in 1/4 cup water. Microwave on high until easily pierced with a fork, about 7 minutes.
  2. Scrape insides of squash into spaghetti strands with a fork. Transfer to a bowl; add butter, salt, and pepper.
  3. Heat olive oil in a large skillet over medium heat. Add garlic; cook and stir until fragrant, about 1 minute. Add to bowl with spaghetti squash. Add walnuts and a pinch of salt to the skillet; cook and stir until toasted, about 1 minute. Transfer to a small bowl.
  4. Place sausage in the skillet; cook and stir until browned, about 5 minutes. Pour in Alfredo sauce and stir until heated through, about 5 minutes. Spoon sausage mixture over squash and top with walnuts.


  • Cook's Notes:
  • Substitute coconut oil for the olive oil if preferred.
  • Use store-bought or homemade Alfredo sauce.

Nutrition Facts

Per Serving: 796 calories; 68.7 32.4 21.5 70 1494 Full nutrition

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I made this using hot Italian Sausage. Goes well with spaghetti squash which is usually sweet. Good for Keto diet.