Creamy and comforting, this Spaghetti Squash Casserole makes a perfect keto side dish. Easy and cheesy, with tons of flavor, it turns your dinner into a hearty meal.
A spoon digging into a dish of Spaghetti Squash Casserole.

Creamy and comforting, this Spaghetti Squash Casserole makes a perfect keto side dish. Easy and cheesy, with tons of flavor, it turns your dinner into a hearty meal.

Spaghetti Squash Casserole in a white oval baking dish with a striped grey napkin.


 

I had an absolute bumper crop of spaghetti squash from my garden this year. We grew a variety called stripetti with pretty green stripes, and we weren’t expecting that much out of it. It far exceeded our expectations.

And now we have so many, we need to find ways to use it up. So I am dreaming up as many spaghetti squash recipes as I can! And this creamy, cheesy Spaghetti Squash Casserole is one such recipe.

Oh boy, is it ever good. So hearty and flavorful, this might be my new go-to side dish for fall. At least until I work through all those squash. And with only 5.6g net carbs per serving, it fits the keto diet perfectly.

I may have eaten the leftovers for breakfast too. It goes perfectly with a fried egg and a few slices of bacon. Just saying!

Make sure to try my Twice Baked Spaghetti Squash too. It’s another of my favorites!

Ingredients you need

Top down image of the ingredients for Keto Spaghetti Squash Casserole.
  • Spaghetti squash: You will need a medium-size spaghetti squash for this recipe, which should be about 3 pounds in weight when whole. It will yield about 4 cups cooked squash.
  • Sour cream: Sour cream gives the casserole a thick and creamy consistency.
  • Garlic: I recommend using fresh garlic for the best flavor. You can use pre-minced, jarred garlic instead. If all you have is garlic powder, try using 1 teaspoon.
  • Italian seasoning: This dried seasoning blend pairs perfectly with the squash and cheese.
  • Shredded cheese: I used a mild cheddar for the filling and mozzarella for the top of the casserole, plus some Parmesan to play up the Italian flavor. But you can use other cheese as well. Fontina or gruyere would be lovely.
  • Eggs: The eggs help bind the stringy squash together and give it a more coherent consistency.
  • Basil: Fresh basil adds both color and flavor.
  • Kitchen staples: Butter, salt, pepper, red pepper flakes

Step by step directions

A collage of four images showing how to make Spaghetti Squash Casserole.

1. Pre-cook the squash: Cut the spaghetti squash in half, crosswise, and scoop out the seeds. Place cut-side down on the prepared baking sheet and bake at 375ºF for 45 to 60 minute, or until the squash can be squeezed.

2. Scoop out the flesh: Remove and let cool for a few minutes, then scoop the flesh of the squash into a large bowl. Add the butter and let melt.

3. Mix the filling: Add the sour cream, garlic, Italian seasoning, salt, pepper, and red pepper flakes, and stir to combine. Then stir in the eggs, cheddar, and half of the Parmesan until well combined.

4. Sprinkle with cheese and bake: Spread in the prepared baking pan and top with the mozzarella and the remaining Parmesan. Bake at 350ºF for 30 to 35 minutes, until bubbly and browned.

Stripetti squash - a variation of spaghetti squash.

Expert tips

I like to use a large heavy duty spoon for scooping out the seeds of the spaghetti squash. The flesh is quite tough when raw, so a flimsy spoon can easily bend under the pressure.

If your squash is larger than 3 pounds and yields more than 4 cups of cooked flesh, just save the rest for another use. You can refrigerate it for 4 or 5 days, or freeze it for up to 2 months.

Make it a meal!

Turn this spaghetti squash casserole from a side dish into a full meal. Try adding some cooked Italian sausage, ground beef, or cubed chicken to the filling. Then top with cheese and bake as directed.

A spoon digging into a dish of Spaghetti Squash Casserole.

Frequently Asked Questions

Can I eat spaghetti squash on keto?

Spaghetti squash is a good option for keto and low carb diets, but some moderation is required. 1 cup of cooked spaghetti squash has 10g of carbs and 2.2g of fiber, so it’s a little higher in carbs than summer squash like zucchini. So it’s good to be mindful of how much you consume in one sitting.

Should spaghetti squash be hard to cut?

The rind of spaghetti squash is very tough and hard to cut through. Make sure you use a very large, sharp knife and cut on a stable surface. Once you get through the first part of the rind, you will find it easier to cut through the rest. Cutting the squash in half crosswise is also easier than cutting lengthwise, as it’s a shorter distance.

How many carbs are in spaghetti squash casserole?

This creamy spaghetti squash casserole has only 6.7g of carbs per serving and 1.1g of fiber. That amounts to 5.6g net carbs per serving.

A serving of keto Spaghetti Squash Casserole on a white plate with a sprig of basil.

Make Ahead and Storage Tips

If you want to get a jump on meal prep, this Spaghetti Squash Casserole is an ideal make-ahead side dish. You can roast the squash several days in advance, and just keep it in the fridge until you’re ready to assemble.

Or you can bake the full casserole and store it in the fridge for up 5 days, or the the freezer for up to two months. Make sure to wrap it up tightly to avoid freezer burn. Let it come to room temperature before warming it through in the oven.

More side dishes you might like

A spoon digging into a dish of Spaghetti Squash Casserole.
4.97 from 53 votes

Spaghetti Squash Casserole Recipe

Servings: 8 servings
Prep Time 20 minutes
Cook Time 1 hour 35 minutes
Total Time 1 hour 55 minutes
Creamy and comforting, this Spaghetti Squash Casserole makes a perfect keto side dish. Easy and cheesy, with tons of flavor, it turns your dinner into a hearty meal.

Ingredients
 

  • 1 medium spaghetti squash, about 3 pounds
  • 2 tbsp butter
  • 1/2 cup (115 g) sour cream
  • 4 cloves garlic, minced
  • 1 tsp Italian seasoning
  • 3/4 teaspoon (0.75 teaspoon) salt
  • 1/2 tsp (0.5 tsp) pepper
  • 1/4 tsp (0.25 tsp) red pepper flakes
  • 4 ounces (113.4 g) white cheddar, grated
  • 2 large eggs
  • 1 ounce (28.35 g) freshly grated Parmesan, divided
  • 2 tbsp chopped fresh basil
  • 4 ounces (113.4 g) mozzarella, grated

Instructions

  • Preheat the oven to 375ºF and line a baking sheet with parchment paper.
  • Cut the spaghetti squash in half, crosswise, and scoop out the seeds. Place cut-side down on the prepared baking sheet and bake 45 to 60 minute, or until the squash can be squeezed.
  • Remove and let cool for a few minutes, then scoop the flesh of the squash into a large bowl. Add the butter and let melt.
  • Reduce the oven temperature to 350ºF. Lightly grease a 2 quart casserole dish.
  • Add the sour cream, garlic, Italian seasoning, salt, pepper, and red pepper flakes, and stir to combine. Then stir in the eggs, cheddar, and half of the Parmesan until well combined.
  • Spread in the prepared baking pan and top with the mozzarella and the remaining Parmesan. Bake 30 to 35 minutes, until bubbly and browned.
  • Let cool a few minutes before serving. Sprinkle with additional chopped basil, if desired.

Notes

Storage Instructions:

Store the casserole in the fridge for up 5 days, or the the freezer for up to two months. Make sure to wrap it up tightly to avoid freezer burn. Let it come to room temperature before warming it through in the oven.

Nutrition

Serving: 1serving = 1/8th of recipe | Calories: 201kcal | Carbohydrates: 6.7g | Protein: 10.6g | Fat: 13.6g | Fiber: 1.1g
I’d love to know your thoughts, leave your rating below!

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4.97 from 53 votes (21 ratings without comment)

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Recipe Rating




65 Comments

  1. 5 stars
    This was so amazing! I usually avoid spaghetti squash because it takes so long to bake vs the end result of most dishes, but I could eat this for breakfast. Thank you so much for the recipe!

  2. 5 stars
    This is FANTASTIC! Best flavor squash casserole I’ve ever made and I’ve made a lot. I didn’t have white cheddar so substituted fontina, but used as directed on the parm and mozzarella. I also left out the basil. Make sure to hide any leftovers so you can eat it all yourself!

  3. EllenMarie says:

    5 stars
    This is a great recipe for a whole spaghetti squash taken out of the oven a bit too soon, which I did yesterday. The recipe is clear. Put the squash in a bowl, and add everything else. Easy peasy. Delish.

  4. Suzanne W Cole says:

    4 stars
    Recipe is delicious and my entire family enjoyed it. One tiny issue – the recipe directions do not say when to add the 2 T. of chopped basil.

  5. 5 stars
    My son said it tasted like Garlic bread and ate two servings! I call this winning! YUM!

  6. Richard Martian says:

    Still not seeing when to add the spaghetti squash.

  7. Richard Martian says:

    I am not seeing in the recipe when you add the spaghetti squash. Also, I already have my spaghetti squash prepared and in a freezer. Would you know how many cups I would need? Thank you.

    1. Step 3 says: Remove and let cool for a few minutes, then scoop the flesh of the squash into a large bowl. Add the butter and let melt.

      I’d say it’s about 4 cups.

      1. Richard Martian says:

        Thanks for the amount. What I don’t see when the spaghetti squash is added? Or is it combined with everything? Thanks

        1. Again…. Step 3. Pretty clear, it says to scoop out the flesh of the squash into the bowl.

          1. Richard Martian says:

            I assume you mix it all together then put it in the baking dish?

          2. Yes, all in the bowl, then into the dish.

  8. Kimberly Paws says:

    5 stars
    Great recipe except the recipe card says bake for 10 minutes instead of the proper “30-35 mins “

  9. 5 stars
    made this last night in my toaster oven. Smelled so good, I literally stood at the counter eating it out of the pan. so good!

  10. 5 stars
    DELISH! Made for a weeknight vegetarian meal, husband raved. Brought some to work for a single friend, too. This would be a really nice side for a holiday meal as well.

  11. 5 stars
    We make this in my house now instead of mashed potatoes! Never been keen on Spaghetti Squash, but let me tell you, THIS is the recipe to go with! Soooo flavorful and savoury.

  12. Jill Pearson says:

    5 stars
    This was incredible! I can’t stop eating it!! I used different cheeses based on what I had, but otherwise followed the recipe as written. I will absolutely make it again!

  13. Ellie Jay says:

    5 stars
    I had leftover spaghetti squash that I used for this – it was delicious. I did add some browned onions to it 😀

  14. Glenda Lucas says:

    can you use Greek yogurt in place of the sour cream?

    1. I am not sure it will be as thick and rich, but you’re certainly welcome to try!

  15. Lou Robinson says:

    5 stars
    We love spaghetti squash in any form and this recipe is over the top great! Thank you for sharing it. Tiny hack we discovered for easy seed removal: use a butter curler to remove the seeds. Also works great to remove cantaloupe seeds.

  16. 5 stars
    Absolutely loved this,my husband can’t get enough 🥰

  17. Melanie Cummings says:

    5 stars
    If I want to freeze half, do I freeze it before or after it’s been baked?

  18. 5 stars
    This was the best recipe for spaghetti squash I have ever made. I only had grated parmesan and dry basil as well as I used marble cheese on top but was absolutely an excellent side casserole. You have got to try this one.

  19. 5 stars
    This is so tasty! I made it as a side but next time I think I’ll just add some diced chicken. The flavor lingers on your tongue making you eager for the next bite. Definitely a staple recipe in our house!

  20. 5 stars
    I’ve made a similar dish using spaghetti squash. My recipe is similar but I leave out the Italian seasonings, basil, Mozzarella and Parmesan cheese. I add a packet of Taco seasoning and cheddar cheese or a Mexican blend shredded cheese along with the sour cream and the other ingredients. If you like cilantro you can add that in place of the basil. Yummy

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