Almost 5 Ingredient Pizza Spaghetti Pie

lmost 5 Ingredient Pizza Spaghetti Pie

I tried this recipe from PaleOMG over the weekend and it was great!

Prep time: 25 mins

Cook time: 1 hour

Total time: 1 hour 25 mins

Serves: 3-4


1 large spaghetti squash (about 600 grams)

1 pound Italian sausage

½ yellow onion, diced

1 cup pizza sauce (no sugar added)

1 teaspoon dried basil

Salt and pepper, to taste

3 eggs, whisked

(optional: add anything you like with pizza: veggies, basil, even cheese if you do primal)


  • Preheat oven to 400 degrees.
  • Cut spaghetti squash in half lengthwise. Place spaghetti squash cut side down on a baking sheet and bake for 20-25 minutes or until the skin of the squash gives when you press on it. Then reduce oven heat to 350 degrees.
  • Once squash is done cooking, remove threads and place in an 8×8 greased baking dish.
  • Place a large pan over medium heat. Add Italian sausage and onion. Cook until pink no longer remains in the sausage and it is broken up into pieces.
  • Add pizza sauce, dried basil and salt and pepper to the pan and mix well.
  • Add sausage mixture to the 8×8 dish and mix well with spaghetti squash threads.
  • Lastly, add whisked eggs to the baking dish and mix everything together until you can no longer see the eggs.
  • Place in oven and bake for 1 hour or until the top of the mixture forms a slight crust that doesn’t give when you press on it in the middle of the dish.
  • Let rest for 5 minutes before serving.