Low Carb Spaghetti Squash Pizza Casserole (Paleo, Whole30, AIP, Keto) (2024)

Jump To Recipe // September 16, 2018 // 20 Comments »

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This low carb spaghetti squash pizza casserole has all of the flavors of pizza but without the grains or cheese! It’s paleo, whole30, keto, and can be easily made to be AIP complaint.

If I had to name my all-timefavorite food, it would have to be pizza. There simply just can’t be another. Who doesn’t love pizza? Well, I did love it… not it’s much harder to love pizza when you’re not eating grains, dairy, or nightshades. Actually, how the heck do you even do that? This low carb pizza casserole may help!

This spaghetti squash low carb pizza casserole is basically pizza if you hold the grains, dairy, and nightshades. What are you left with? Tons of veggies, and flavor! Yes, it can be done! This casserole has a spaghetti squash base and is made with ground beef, mushrooms, red onion, basil, and delicious tomato free sauce, or just regular ol’ sauce if you tolerate it.

Why I’m Obsessed with this Spaghetti Squash Pizza Casserole

It’s full of veggies

Spaghetti squash, onion, mushroom, herbs, and all of the veggies in the sauce? Heck yes! This is not your everyday pizza.

It’s easy to make

By nature of being a casserole, this is close to being a one-pot meal. Yes, there’s prep of making the spaghetti squash and the ground meat separately, but it’s a lot less work than making a grain-free crust and dairy free cheese.

The flavors remind you of pizza!

No, spaghetti squash isn’t actually pizza. I know, I know! But these flavors and ingredientsreally do remind you of it.

The Ingredients for the Low Carb Pizza Casserole

Spaghetti Squash

You’ll use a whole spaghetti squash for this recipe. Grab a big one, because you’ll want a lot of this casserole!

Ground beef (or Italian sausage)

Since I’m nightshade free, I just used ground beef for this recipe. However, you can also use a compliant Italian sausage if you tolerate it.

Mushrooms, olives, and red onions

These are the pizza toppings I used for this recipe. If you have other toppings you like, feel free to layer them on!

Marinara sauce

If you’re AIP and nightshade free you can try my tomato free sauce! If you’re on whole30 or keto and can tolerate tomatoes, just use a tomato free sauce.

If you like this recipe, you may also like these…

  • One pot lasanga skillet
  • Enchilada casserole
  • Unstuffed cabbage roll

Print

Low Carb Spaghetti Squash Pizza Casserole (Paleo, Whole30, AIP, Keto)

★★★★★5 from 4 reviews
  • Author: Michelle
  • Total Time: 50 minutes
  • Yield: 5 servings 1x
Print Recipe
  • 1 cooked spaghetti squash, using the oven or instant pot
  • 1 lb ground beef (or Italian sausage if tolerated)
  • 1/2 white onion, diced
  • 2 cloves garlic, minced
  • 1 cup mushrooms, sliced
  • 1 tspsea salt
  • 1/2 tspblack pepper (omit for AIP)
  • Optional- 2 eggs (omit for AIP)
  • 1 cup sugar-free “tomato” sauce (use this for AIP, or a sugar-free sauce if you tolerate nightshades)

For toppings

  • 1/4 cup black olives, sliced
  • 1/4 cup red onion, diced
  • 1 tbsp fresh basil, chopped
  • 2 tspfresh parsley, chopped

Instructions

  1. Preheat the oven to 400 F and prepare an 8×8″ baking dish
  2. Using a large skillet on medium heat, brown the ground beef (or sausage) and lightly salt. Set aside, reserving some of the fat in the pan.
  3. Saute the white onion and garlic in the pan until lightly translucent. Add in the mushrooms and cook for 3-4 minutes or until soft. Set aside.
  4. Take the cooked spaghetti squash and remove the strands with a fork and place in a large mixing bowl. Use a paper towel or clean cloth to pat down some (but not all) of the excess liquid.
  5. If using eggs, whisk the eggs together in a separate bowl, and mix with the squash, salt, and pepper.
  6. Mix the ground beef, cooked vegetables (reserving about 8-10 mushroom slices), and 3/4 cup of the sauce with the spaghetti squash. Pour into the casserole dish and evenly distribute.
  7. Top the casserole with the remainder of the sauce and mushrooms.
  8. Bake in the preheated oven for 30 minutes.
  9. Remove from the oven and top with extra toppings. Use a spatula to remove slices and enjoy!

Notes

All nutritional information are estimations and will vary. Nutritional information does not include optional ingredients.

  • Prep Time: 5
  • Cook Time: 45
  • Category: casserole
  • Method: oven
  • Cuisine: Italian

Nutrition

  • Serving Size: 1 serving
  • Calories: 196
  • Fat: 4.4g
  • Carbohydrates: 18.2g
  • Fiber: 4g
  • Protein: 22.5g

Keywords: pizza, casserole, paleo pizza

Main Dishes Winter

posted by Michelle on September 16, 2018

20 Comments / Leave a Comment »

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20 comments on “Low Carb Spaghetti Squash Pizza Casserole (Paleo, Whole30, AIP, Keto)”

  1. Pingback: How to Meal Prep for Beginners | Kate S. Lyon

  2. Jennifer September 29, 2018 @ 12:18 am Reply

    Hi!
    What would be a good substitute for the mushrooms in the meat mixture? (I would be omitting eggs if that makes a difference).
    Thank you!
    Jennifer

    • Michelle October 2, 2018 @ 1:47 pm Reply

      You can just leave it out! The recipe would still work. Enjoy!

    • Stacey January 22, 2020 @ 12:22 am Reply

      You could substitute any of your favorite veggies or just add a little extra of what is already in there to make up for the 1 cup mushrooms. Hope this helps 🙂

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  6. Teryn February 22, 2019 @ 4:47 pm Reply

    Hello! This looks yummy! Curious though-do us ok the sausage before putting it into the casserole dish (prior to baking) it does it just get cooked in the oven? Excited to try!
    Thanks!

    • Michelle February 22, 2019 @ 6:04 pm Reply

      It’s cooked before going in 🙂

  7. Lindsey March 27, 2019 @ 1:55 pm Reply

    This was a great, easy and quick meal to put together! With leftovers for the next day’s dinner, it made my life easy. I used spicy ground Italian sausage from whole foods, it was perfect for the dish.

    • Michelle March 28, 2019 @ 9:51 pm Reply

      Yay! So glad you liked it!!

  8. Beth April 20, 2019 @ 3:09 am Reply

    I made this tonight and it was a HIT! I subbed the spaghetti squash for sweet potatoes and added spinach. So delicious!

    • Michelle April 25, 2019 @ 4:33 pm Reply

      Yum! Thank you so much, Beth!

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  10. Pingback: Zucchini Ravioli (Paleo, Keto, Vegan) - Unbound Wellness

  11. Cheryl Scott July 26, 2020 @ 12:10 pm Reply

    This is Solomon good. I was planning on freezing some of it but we are it until it was gone. My husband,who is a meat and potatoes guy is still raving about it to everyone he talks to. So that is a definite testimony to how good this sauce is. Thanks for the recipe, it’s so much easier to keep on track when there are yummy recipes like this!

    • Cheryl Scott July 26, 2020 @ 12:13 pm Reply

      Sooooooo good not Solomon good! And ate it not are it !!!!!!!

  12. Mavi Arocha-Rowe September 10, 2020 @ 12:10 am Reply

    Q: Would you recommend this dish as one to create the night before, and then bake the next day? Or is there another one of your dishes that you prefer best to prep, and then bake the next evening? Trying to come up with the ideal dish when I am working late and can’t do much prep work.

    • Unbound Wellness May 30, 2023 @ 5:24 pm Reply

      I would cook it fully ahead and time and store in the fridge. You can reheat it for a few minutes in the oven!

  13. Melissa June 19, 2021 @ 6:30 pm Reply

    I made this today and it was really wonderful. I did use more sauce, but I suspect that I may have had more spaghetti squash then needed. I used 2 medium because they did not have any large ones, but probably only need to use 1 1/2 of them. I also added a thinly sliced Chomps Italian Beef Stick as one of the topping (it was a good substitute for pepperoni), and broiled the casserole for 3 minutes after adding the toppings. Really so good!

Low Carb Spaghetti Squash Pizza Casserole (Paleo, Whole30, AIP, Keto) (2024)
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