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Turkey Sausage Spaghetti Squash Baked Ziti with Mushrooms and Chard

This spaghetti squash baked ziti is a healthier twist on the classic Italian dish yet still packed with that hearty, comforting and cheesy taste you love.

Pasta has and probably always will have my heart when it comes to comfort food.

You know that question people love to ask about what your last meal would be? Well, I’ve never been able to really answer that but I’m pretty sure pasta would somehow be involved.

Most likely pappardelle and definitely with cheese. Lots of it.

*This post is sponsored by Redpack Tomatoes. All content and opinions are my own.
This spaghetti squash baked ziti is a healthier twist on the classic Italian dish yet still packed with that hearty, comforting and cheesy taste you love.

Baked ziti was never a dish my family did often.

I don’t know why really but dishes like risotto and bolognese were more our go-to for hearty, Italian comfort food.

That said, I can still appreciate a deliciously saucy, cheesy tray of baked ziti. I mean, who can’t, right?

I’ve never been as “into” spaghetti squash as everyone else seems to be.

But, most of that isn’t because I don’t like the squash, I just don’t like when people try to pass it off as pasta.

99% of the time it doesn’t even come close to convincing me.

I’m not even sure I want to say this spaghetti squash baked ziti fits into that 1% of the time, (that’s a bold statement to make) but I will say this: it’s delicious as heck as it’s own thing.

Spaghetti squash baked ziti is still as cheesy, hearty and delicious as the traditional Italian dish.

Something magical happens when you combine that saucy tomato-ness with creamy ricotta and mozzarella that whatever else is involved almost doesn’t matter.

In this case, it’s sweet Italian sausage, chard, mushrooms and spaghetti squash.

Looking for more recipes with those ingredients? Try Simple Sautéed Swiss ChardCaramelized Mushrooms and Creamy Pesto Spaghetti Squash Noodles.

It’s a recipe born out of the need to both clear out my fridge and allow me to eat it while I’m over here starting week 3 of counting macros again in preparation for 3 weeks in Mexico at the end of January and actually wanting my bathing suits to fit after a summer of delicious ice cream indulgence.

Redpack tomatoes help make this spaghetti squash baked ziti taste every bit as delicious as the real Italian dish.

So ziti was replaced with spaghetti squash and for once, I have to say, I don’t hate the substitution.

It still very much resembles everything you love in baked ziti and I promise you don’t finish your serving wishing you had the real deal.

As a skeptical spaghetti squash swapper, I don’t say that lightly either.

Put a healthier spin on your baked ziti by using spaghetti squash as the noodles!

It’s a healthier, vegetable packed version of baked ziti. It’s macro friendly but it’s still hearty, cozy, cheesy and filled with quality ingredients.

Sauce can either make or break a dish like this so choose wisely when selecting your canned tomatoes.

Redpack Tomatoes are always a staple in my pantry.

With turkey sausage, chard and mushrooms, this spaghetti squash baked ziti is packed with heartiness!

Whether it’s Redpack or Tuttorosso (same company, both brand labels are sold in my area), it’s the only canned tomato I keep on hand because the taste is legitimately second to none.

Last year at this time, I got the opportunity to visit their headquarters and some of the tomato farms they work with (I talked all about both in this recipe for Italian tomato pasta soup).

This year, I’m happy to partner with them again to talk about their work with the Help Crush Hunger campaign this time of year.Cheesy, hearty and delicious, you won't miss the noodles in this spaghetti squash baked ziti.

Over 11 million families in America face hunger. Redpack Tomatoes and Feeding America have teamed up and in the month of October, Redpack is donating 1 meal to someone in need for every can of tomatoes purchased. The goal is to donate 2 million meals to Feeding America food banks!

You can visit the Help Crush Hunger site for lots more information on hunger in America and how you can help.

So, grab a recipe (their pizza stromboli looks good!) while you’re there or, of course, make this spaghetti squash baked ziti, buy a can of Redpack/Redgold/Tuttorosso tomatoes and enjoy a delicious dinner while simultaneously helping an American family in need out there do the same.

Love this turkey sausage spaghetti squash baked ziti recipe?

Try other recipes like: Creamy Pesto Spaghetti Squash NoodlesGarlicky Butternut Squash Noodles with Spinach and Ricotta, and Basil and Mint Squash Noodles.

This spaghetti squash baked ziti is a healthier twist on the classic Italian dish yet still packed with that hearty, comforting and cheesy taste you love.

Turkey Sausage Spaghetti Squash Baked Ziti

This spaghetti squash baked ziti is a healthier twist on the classic Italian dish yet still packed with that hearty, comforting and cheesy taste you love.
4.3 from 12 votes
Prep Time 15 minutes
Cook Time 45 minutes
Total Time 1 hour
Servings 4 servings


  • 1 1/2 tablespoons extra virgin olive oil
  • 12 ounces sweet Italian turkey sausage
  • 1 large shallot minced
  • 2 large cloves garlic minced
  • 1 bunch swiss chard cleaned and roughly chopped
  • 12 ounces white button mushrooms sliced
  • salt and pepper
  • flesh from 1 small spaghetti squash cooked (*see note on how I cook it)
  • 14 ounces crushed tomatoes
  • 1 tablespoon chopped fresh herbs I used rosemary and thyme
  • pinch red pepper flakes
  • 12 ounces whole milk ricotta divided
  • 5.5 ounces shredded part-skim mozzarella divided


  • Preheat oven to 400°F and lightly grease a baking dish.
  • Place olive oil in a large pot or Dutch oven over medium-high heat. Add the sausage and cook until browned, breaking up into small pieces with a spatula as it cooks.
  • Reduce heat to medium, add the shallots and garlic to the pot and stir. Cook for about 1 minute until softened and fragrant.
  • Add the chard and mushrooms to the pot, season with salt and pepper to taste. Stir and let cook until the chard has wilted and mushrooms softened, about 5-7 minutes.
  • Add the cooked spaghetti squash, crushed tomatoes, herbs and red pepper flakes to the pot. Stir until well combined. Bring mixture to a simmer then remove from heat. 
  • Combine 8 ounces of the ricotta with 4 ounces of the shredded mozzarella in a small bowl. Add to the pot and stir until thoroughly combined.
  • Transfer the mixture to the prepared baking dish.
  • Dollop the remaining ricotta on top of the mixture then cover the top with the remaining mozzarella.
  • Loosely cover the baking dish with aluminum foil and bake for 15 minutes. Remove foil and bake for another 10 minutes until cheese starts to turn golden brown on top. You can also finish under the broiler for 1-2 minutes for an even crispier/golden brown topping.
  • Remove from oven, let cool for a few minutes before serving. Garnish with freshly chopped parsley or basil before serving.


*To cook spaghetti squash – half the squash, remove seeds, poke a few holes in the flesh of each halve with a knife. Drizzle with olive oil, season with salt and pepper and bake at 375°F in a baking dish for about 45 minutes or until flesh is fork tender. Let cool to the touch then scrape out the flesh with a fork discarding the skin. Or, you can air fryer spaghetti squash in about half the time.

Nutrition Facts

Serving: 1SERVING | Calories: 614kcal | Carbohydrates: 36g | Protein: 45g | Fat: 34g | Saturated Fat: 14g | Polyunsaturated Fat: 16g | Trans Fat: 1g | Cholesterol: 147mg | Sodium: 1280mg | Fiber: 8g | Sugar: 15g

This website provides approximate nutrition information for convenience and as a courtesy only. Nutrition information can vary for a variety of reasons. For the most precise nutritional data use your preferred nutrition calculator based on the actual ingredients you used in the recipe.

Cuisine American
Course Main Dishes
Keyword gluten-free baked ziti, spaghetti squash baked ziti, squash baked ziti, turkey sausage

Gina Matsoukas is the writer, founder, photographer and recipe developer of Running to the Kitchen — a food website focused on providing healthy, wholesome recipes using fresh and seasonal ingredients as much as possible. Her work has been featured in numerous media outlets both digital and print, including MSN, Huffington post, Buzzfeed, Women’s Health and Food Network.

Recipe Rating


Saturday 14th of November 2020

Delicious flavors! I got 8 servings out of a 9x13 pan. A great way to enjoy some healthy ingredients!

Shape That Bod

Monday 22nd of January 2018

This one's ready for the dinner. I always use spaghetti squash as a good alternative for traditional high carb-calorie pasta.

Janet Jameson

Saturday 20th of January 2018

Is this considered low carb?

Running to the Kitchen

Saturday 20th of January 2018

Depends on your definition of low carb. It's definitely lower carb than traditional ziti as spaghetti squash has much fewer carbs than pasta.

Sandy @ RE

Sunday 29th of October 2017

This looks so cheesy, good! 'Tis the season for a fabulous comfort dish!

Liren | Kitchen Confidante

Saturday 28th of October 2017

Absolutely gorgeous - and love how this makes a family favorite more healthy!