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20 Incredible Healthy Spaghetti Squash Recipes (Paleo & Dairy-Free)

Hannah Healy

By Hannah Healy

Updated March 17, 2023

This post may contain affiliate links. As an Amazon Associate I earn from qualifying purchases. Please read the disclosure policy.

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This collection of the best simple and tasty healthy spaghetti squash recipes will delight you and your family! Spaghetti squash can be used in creative ways like in soup, casseroles, pizza, fritters, chow mein and more.

Collage of healthy spaghetti squash recipes

If you’ve had spaghetti squash before you’ve probably roasted it or baked it and added some tomato sauce or pesto with some meatballs or chicken just like traditional spaghetti. But, did you know you can use spaghetti squash in lots of other ways too?

When the season for squash comes around I know that I take advantage of it. Sometimes you run out of ideas though, so that’s why I put together this awesome list of ways to use that spaghetti squash!

Healthy Spaghetti Squash Recipes (Paleo & Dairy Free):

Check out some of the amazing ideas below to get creative with your spaghetti squash! All recipes are paleo, gluten free, grain free and dairy free. Enjoy!

1. Tomato Mushroom Spaghetti Squash

White bowl filled with spaghetti squash with mushrooms tomato and basil

This delicious recipe is Whole30 friendly. Adding extra vegetables will help keep you fuller longer and also add more nutrients to your diet. It also gives your dish more versatile and interesting depth of flavor.

2. Low Carb Chicken Soup

Chicken soup with spaghetti squash and carrots in a large metal pot with metal ladel

Chicken soup is that special comfort food that we all come to, especially when it’s cold out or when you’re sick. Usually the noodles in chicken soup are made with high carb wheat noodles, but ditching all those extra carbs for spaghetti squash instead is better for you adds extra vitamins!

3. Vegan Spaghetti Squash Alfredo

Colorful striped bowl filled with loose yellow spaghetti squash topped with cream sauce and herbs

Who doesn’t love a creamy decadent alfredo with noodles? This alfredo sauce recipe is totally dairy free and vegan and made with cauliflower! The sundried tomato and basil add an extra savory touch! If you’re like me and you like some special zest, you will love this dish!

4. One-Pan Spaghetti Squash Chow Mein 

Cast iron skillet filled with yellow spaghetti squash meat and shrimp

I don’t know about you, but when I hear ‘one-pan dish’, I’m sold! This grain-free dish is the best combo for those who like their meal colorful and full of flavor. 20 minutes of preparation and you’re good to go!

5. Spicy Spaghetti Squash Beef Bowl

Halved cooked spaghetti squash filled with heaping beef and pepper and avocado

If you’re craving meat and veggies, then this recipe is for you! You won’t be able to resist these spicy beef and squash bowls. Thinking of ordering some Mexican food or making chili? Save yourself the pain and create this easy meal for the whole family to enjoy.

6. Spaghetti Squash Pizza Crust

Metal baking sheet with square-cut pizza crust made from spaghetti squash topped with tomato sauce, cheese and pepperoni

If you’re on a low-carb or ketogenic diet, you probably miss having pizza. This recipe creatively uses spaghetti squash for crust. It adds texture to the pizza and saves you the bloating and digestive upset of eating all that wheat!

7. Instant Pot Spaghetti Squash

Halved spaghetti squash cooked with loosened tendrils inside and a fork

If you haven’t gotten an instant pot yet, you’re missing out! It’s like a combination slow cooker and pressure cooker and makes cooking so fast and easy. This recipes teaches you how to easily make spaghetti squash in the instant pot!

8. Tuscan Spaghetti Squash Casserole

Overhead shot of tuscan spaghetti squash casserole in white dish

The Tuscan Spaghetti Squash Casserole is a wholesome Whole30 recipe that will be a hit with the whole family! Tender ground sausage, roasted squash, and kale are generously coated with a creamy garlic sauce that’s completely dairy-free. Baked to perfection in the oven, this gluten-free and healthy comfort food is easy to make and will leave you satisfied.

9. Bacon and Kale Spaghetti Squash Fritters

Bacon and kale fritters on metal baking sheet with small cup of sauce

This is one of the most creative uses for spaghetti squash I’ve seen! Getting those spaghetti strings and making them into crispy bacon and kale fritters sounds like a win to me!

10. Pesto Bacon Spaghetti Squash

Halved spaghetti squash with green pesto and bacon on top

Yum! What could be better than combining bacon and pesto? Two rich and amazing ingredients that combine to make this spaghetti squash recipe a decadent meal!

11. Spaghetti Squash Taco Boats

spaghetti squash halves stuffed with turkey meat blend on baking sheet

These Taco Spaghetti Squash Boats are a nutritious delight, filled with savory ground turkey, black beans, and cheese. With its satisfying flavors and simple preparation, it’s a recipe that is sure to be a crowd-pleaser!

12. Sausage and Fennel Spaghetti Squash Pasta

Halved cooked spaghetti squash with sausage mixture inside on wooden table

This tasty dish combines fennel and sausages–two ingredients that compliment each other beautifully. Top your baked spaghetti squash with these succulent items and you’ve got a filling and healthy paleo meal.

13. Paleo Bacon Chicken Pasta

Small blue ramekin filled with spaghetti squash pasta topped with bacon crumbles

In my opinion, whenever you top something with bacon bits, it just takes the flavor to the next level. This delicious bacon chicken pasta includes savory mushrooms, shallots and coconut cream to create a decadent gluten free and dairy free meal.

14. Creamy Garlic Spaghetti Squash Casserole 

White casserole dish filled with spaghetti squash casserole

When you are paleo, you tend to miss out on comfort foods like those heavy noodle-laden casseroles. Luckily, with this recipe you can enjoy that comfort food without that heavy feeling from eating heaps of dairy and gluten.

15. Paleo Lasagna 

White casserole dish with pepperoni topped lasagna and a serving on a white plate next to it

This recipe creatively uses spaghetti squash as a base for paleo lasagna. With sausage, tomato, mushrooms, herbs and topped with pepperonis, this dish would be sure to impress guests.

16. Spaghetti Squash Chicken Chow Mein

White bowls filled with spaghetti squash and chicken and cabbage

I love the idea of using spaghetti squash in place of noodles in asian dishes like this chicken chow mein The cabbage adds a nice crunch while the ginger adds a kick. Serve over cauliflower rice or regular rice.

17. Bursted Tomato & Pesto Baked Spaghetti Squash Recipe

White bowl filled with yellow spaghetti squash and grape tomatoes

What is better than a fresh and bright tomato specked meal? I love that this simple spaghetti squash dish features pesto and juicy cherry tomatoes.

18. Paleo Spaghetti Noodles with Cashew Cream Sauce

Collage of white bowl filled with spaghetti squash and toppings

What a creative idea to use cashews to create a rich creamy sauce that adds protein and healthy fats to your meal. This dish is also topped with crispy pork crumbles seasoned with ginger and curry.

19. Buffalo Chicken Casserole

Woman holding pot with orange crusted casserole with avocado on top

This buffalo chicken casserole spices up spaghetti squash with ingredients like hot sauce and bell pepper. Most of the meal can be made in one pot to make clean up quick and easy!

20. Spaghetti Squash Hash Browns Recipe

Ceramic pan with browned spaghetti squash inside

Hash browns from spaghetti squash is such a fun and original idea! This recipe is pretty simple and easy to make with just a few basic ingredients like olive oil, salt and pepper.

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Hannah Healy

Hannah Healy is the founder of Healy Eats Real, a health and wellness website that provides healthy recipes and helpful information on wellness. Hannah is the published author of The Ultimate Paleo Cookbook. Her work has been featured on Huffington Post, Buzzfeed, Redbook, fitness and MSN.

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