Spaghetti Squash Pizza Boats

You know how everyone in the paleo/primal world is essentially married to the spaghetti squash meat sauce combination? I swear whenever I scroll through Instagram (which is more times a day than I care to admit), I'm hit with at least 3 food porn snaps of some deliciously saucey looking spaghetti squash platter. That is where the inspiration for this recipe derives. Spaghetti squash and meat sauce is pretty much a deconstructed version on this delightful pizza boat.

Long story short, now you can enjoy your pizza in healthy, gluten-free fashion. YAS KWEEN!!! Broad City, anyone? Quite possibly the most amazing show on television. 


  • 1 large spaghetti squash
  • Salt and pepper to taste
  • 1 lb ground Italian sausage (you can use any ground meat, but the sausage makes it most pizza-like)
  • 1 tsp grass-fed butter or ghee
  • 2 cups pizza sauce
  • Optional if you tolerate dairy: 1/2 cup full-fat cheese of choise (I did a combination of mozzarella and pecorino romano)


  1. Preheat your oven to 425.
  2. Poke holes with a sharp knife or fork all over the spaghetti squash. Place the squash in a microwave-safe dish and microwave for 5 minutes to soften. Remove the squash from the microwave and cut it in half, length-wise (hot dog style). 
  3. Scrape the seeds out of the center of each squash half. Drizzle the tops with olive oil and a few shake of salt and pepper. 
  4. Place the squash, flat side down, on an aluminum lined baking sheet. Place in the oven for 25-30 minutes (or until the squash strands are cooked).
  5. While the squash is cooking, prepare the sausage. In a skillet over medium/high heat, cook the sausage in the butter or ghee until cooked through.
  6. Remove the squash from the oven. With a fork, scrape around and loosen up the spaghetti squash strands, keeping them inside the squash skin. 
  7. Evenly distribute the cooked sausage on top of the squash strands (you may have extra sausage leftover...nothing wrong with that!). Carefully pour about a cup of pizza sauce over the sausage on each squash boat. Finish off with sprinkling the cheese on top (if using).
  8. Return the pizza boats to the oven for 10 minutes. 
  9. If you want to brown the cheese a bit, turn the broiler on for 2-3 minutes or until the cheese is golden to your liking.
  10. Nosh!

Servings: 2-3