Spaghetti Squash Pizza Casserole is the ultimate way to enjoy pizza night without the carbs. Picture tender strands of spaghetti squash layered with savory sauce, melted cheese, and all your favorite toppings baked into one bubbly, family-approved dish. It’s warm, hearty, and loaded with flavor—yet light enough to keep you feeling good.
As a busy mom, I love meals that feel indulgent but still nourish my family. That’s why this recipe has become one of our weeknight staples. If you’re a fan of veggie-forward dinners, you’ll also want to try my Creamy Spinach Mushroom Stuffed Spaghetti Squash, another delicious option that’s just as comforting.
Why You’ll Love This Spaghetti Squash Pizza Casserole
- Quick and easy to prepare, making it perfect for busy weeknights.
- Low-carb and keto-friendly, so you can enjoy pizza guilt-free.
- Customizable with your favorite toppings, ensuring everyone gets what they love.
- Healthy and nutritious, packed with fiber and protein.
- A delicious way to sneak in veggies for picky eaters.

Spaghetti Squash Pizza Casserole
- Total Time: 45 minutes
- Yield: 4 servings
- Diet: Keto
Description
A delicious and healthy alternative to traditional pizza, this Easy Spaghetti Squash Pizza Casserole is low-carb and perfect for a keto diet.
Ingredients
- 1 pre-cooked spaghetti squash
- 1 cup pasta sauce (your choice)
- 2 cups mozzarella cheese
Instructions
- Preheat your oven to 375°F (190°C).
- Cut the pre-cooked spaghetti squash in half and scoop out the seeds.
- In a baking dish, layer the spaghetti squash strands.
- Pour the pasta sauce over the squash.
- Sprinkle mozzarella cheese on top.
- Bake in the oven for 25-30 minutes or until the cheese is bubbly and golden.
Notes
- For added flavor, consider adding your favorite pizza toppings like pepperoni or bell peppers.
- This dish can be made ahead of time and reheated.
- Adjust the amount of cheese based on your preference.
- Prep Time: 15 minutes
- Cook Time: 30 minutes
- Category: Dinner
- Method: Baking
- Cuisine: Italian
Ingredients for Spaghetti Squash Pizza Casserole
Gathering the right ingredients is key to making a delicious Spaghetti Squash Pizza Casserole. Here’s what you’ll need:
- Pre-cooked spaghetti squash: This is the star of the dish! It provides a healthy, low-carb base that mimics traditional pasta.
- Pasta sauce: Choose your favorite variety! Whether it’s marinara, garlic, or a spicy arrabbiata, this adds flavor and moisture to the casserole.
- Mozzarella cheese: The gooey goodness that ties everything together. Feel free to use part-skim for a lighter option or go full-fat for extra creaminess.
- Optional toppings: Think pepperoni, bell peppers, or olives! These can elevate your casserole and cater to everyone’s tastes.
- Herbs and spices: A sprinkle of Italian seasoning or fresh basil can enhance the flavor profile. Don’t be shy to experiment!
For exact quantities, check the bottom of the article where you can find everything listed for easy printing. Happy cooking!

How to Make Spaghetti Squash Pizza Casserole
Step 1: Preheat the Oven
First things first, preheat your oven to 375°F (190°C). Preheating is crucial because it ensures even cooking. If you skip this step, your casserole might end up unevenly baked. Trust me, you want that cheese to melt perfectly and bubble up beautifully!
Step 2: Prepare the Spaghetti Squash
Now, let’s tackle the spaghetti squash. Carefully cut it in half lengthwise using a sharp knife. This can be tricky, so take your time and use a sturdy cutting board. Once halved, scoop out the seeds with a spoon. You want to create a nice, clean bowl for your casserole. The strands of squash will mimic pasta, making this a fantastic low-carb pizza casserole. If you’re short on time, you can even buy pre-cooked spaghetti squash at the store!
Step 3: Layer the Ingredients
Next, it’s time to layer! Start by placing the spaghetti squash strands in a baking dish. Spread them out evenly to create a solid base. Pour your favorite pasta sauce over the squash, making sure to cover it well. This adds moisture and flavor. Now, sprinkle a generous amount of mozzarella cheese on top. If you’re feeling adventurous, add your favorite toppings like pepperoni or bell peppers. This keto spaghetti squash casserole is all about customization, so make it your own!
Step 4: Bake the Casserole
Finally, pop your casserole in the oven and bake for 25-30 minutes. Keep an eye on it! You’ll know it’s done when the cheese is bubbly and golden brown. Let it cool for a few minutes before serving. This healthy pizza casserole is sure to be a hit!

Tips for Success
- Use a sharp knife when cutting the spaghetti squash for safety and ease.
- Don’t skip the preheating step; it makes a big difference in cooking.
- Feel free to mix and match toppings to suit your family’s preferences.
- Let the casserole cool slightly before serving to avoid burns.
- Store leftovers in an airtight container for up to three days.
Equipment Needed
- Sharp knife: Essential for cutting the spaghetti squash. A sturdy chef’s knife works well.
- Cutting board: A stable surface to safely prepare your ingredients.
- Baking dish: Any oven-safe dish will do, but a 9×13 inch works best.
- Spoon: For scooping out the seeds and layering ingredients.
- Oven mitts: Protect your hands when handling hot dishes!
Variations To Try
- Meat Lovers: Add cooked ground beef, sausage, or diced chicken for a protein-packed twist.
- Veggie Delight: Load up on vegetables like spinach, mushrooms, or zucchini for a colorful and nutritious option.
- Spicy Kick: Incorporate jalapeños or crushed red pepper flakes for a zesty flavor boost.
- Cheesy Garlic: Mix in garlic powder or fresh minced garlic with the cheese for an aromatic touch.
- Herb Infusion: Experiment with fresh herbs like oregano, thyme, or parsley to elevate the taste.
Serving Suggestions
- Pair your Spaghetti Squash Pizza Casserole with a fresh garden salad for a light, balanced meal.
- Serve with a side of garlic bread or keto-friendly breadsticks for a comforting touch.
- Complement with a glass of sparkling water or a light red wine for a delightful dining experience.
- Garnish with fresh basil or parsley for a pop of color and flavor.
- Consider using fun, colorful plates to make the meal visually appealing for the family!
FAQs about Spaghetti Squash Pizza Casserole
Can I make this casserole ahead of time?
Absolutely! This healthy pizza casserole can be prepared in advance. Just assemble it, cover it tightly, and store it in the fridge. When you’re ready to eat, pop it in the oven. It’s a great low-carb pizza casserole option for busy nights!
What can I substitute for spaghetti squash?
If you can’t find spaghetti squash, you can use other low-carb vegetables like zucchini or cauliflower. Just remember, the texture will differ, but it can still be a delicious grain-free casserole!
Is this casserole suitable for a keto diet?
Yes! This keto spaghetti squash casserole is perfect for anyone following a low-carb lifestyle. With its minimal carbs and high fiber content, it fits right into your meal plan.
How do I store leftovers?
Store any leftover casserole in an airtight container in the fridge. It should last for up to three days. Just reheat in the oven or microwave when you’re ready to enjoy it again!
Can I freeze this casserole?
Yes, you can freeze it! Just make sure to let it cool completely before wrapping it tightly. When you’re ready to eat, thaw it in the fridge overnight and reheat in the oven for the best results.
Conclusion
This Easy Spaghetti Squash Pizza Casserole is more than just dinner—it’s a fun, family-friendly twist that brings all the flavors of pizza to the table in a healthier way. Each cheesy bite combines comfort and nourishment, making it a recipe you’ll want to make again and again.
For more creative squash ideas, check out my bold and flavorful Thai Spaghetti Squash with Peanut Sauce or the cozy Tomato Feta Baked Spaghetti Squash. Both are fantastic ways to keep your meals exciting while staying wholesome.
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