Almost 5 Ingredient Pizza Spaghetti Pie


I found out multiple things over the weekend. The first one being I want to eat this recipe for the rest of my life. Seriously. It’s probably one of the best recipes I’ve ever made. Or tasted. I ate it for multiple meals and was extremely saddened when it was gone. And when it was, I had to eat cookies. Which led me understanding another fact. I love cookies. Actually, I love cookies from Cappello’s. You have to try these cookies. They are the best cookies to hit the paleo world. I want to make a home out of them.

Wait, that was only 2 facts. Here are some more that I learned:

  • Gluten free pizza by Against the Grain should always be eaten on Friday nights. I kind of really really really want it to be a tradition.
  • I hate working out in the morning. And since my workout Saturday morning sucked because I was pouting about being at the gym, I had to go back that night. And miraculously, that workout was wonderful. I don’t know how my 6am people do it.
  • I wish I did lunges more often. That should be one of my New Year’s Resolutions. It won’t be, but it should.
  • I hate cooking on the weekends.
  • Ok, that’s all I really learned.

This weekend was uneventful…to some. To me, it was wonderful. Friday night, I fell asleep by 8:30pm. Saturday night, I bought Netflix and became newly obsessed with Orange is the New Black. I’ve watched 6 episodes so far and I want more. Apple TV is seriously the coolest invention ever. What’s the point in having cable anymore with that thing?? It’s so rad.

But the most thrilling part of the weekend was definitely Sunday. I got to sleep in, go to brunch, drink a bloody mary, then a mimosa, eat a scramble, then head to a friend’s house for more mimosas. And then some more. I haven’t had a Sunday Funday in a loooong time and it was awesome. So awesome that I don’t even really remember what I ate for dinner. Or what the sixth episode of Orange is the New Black was about. But I remember both were good. Real good.

Now go make this recipe. I’m seriously making it for the second time today because I want it so bad. Make it and tell me what you think. Even if you hate it. If you do though, you’re weird. Straight up weird.


Almost 5 Ingredient Pizza Spaghetti Pie

  • Yield: 3-4 1x


  • 1 large spaghetti squash (about 600 grams)
  • 1 pound italian sausage
  • 1/2 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)


  1. Preheat oven to 400 degrees.
  2. 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.
  3. Once squash is done cooking, remove threads and place in an 8×8 greased baking dish.
  4. 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.
  5. Add pizza sauce, dried basil and salt and pepper to the pan and mix well.
  6. Add sausage mixture to the 8×8 dish and mix well with spaghetti squash threads.
  7. Lastly, add whisked eggs to the baking dish and mix everything together until you can no longer see the eggs.
  8. 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.
  9. Let rest for 5 minutes before serving.

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 PaleOMG Almost 5 Ingredient Pizza Spaghetti Pie



More 5 Ingredient Recipes:

Almost 5 Ingredient Green Chile Chorizo Cauliflower Casserole

5 Ingredient Butternut Squash & Sage Breakfast Casserole


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Oh, Hi! I’m Juli.

I’m a food hoarder. And a really bad dancer. If you don’t know me well, you will probably not understand my humor. Therefore, I apologize ahead of time. Thanks for listening to my ramblings of my ever-changing life and trusting my kitchen mishaps. Your trust in me is appreciated.


779 thoughts on “Almost 5 Ingredient Pizza Spaghetti Pie”

    1. Cousin El made this for Super Bowl yesterday- it’s the most delicious casserole bite I’ve ever had in my whole mouth. I’ll be sharing it with everyone I know who eats… food!

      1. I am making this recipe as we speak. I am slow cooking a marinara instead of pizza sauce, although I did add tomato paste to it.
        I also used hot chicken italian sausage…just ground, not in casing.
        I’ll let you know my opinion and my house family’s opinion, as they are a hard act to please on Paleo.

      2. This came out great! I don’t think I used enough sauce because it came out pink and although not very attractive, tastes nom nom.

        I am going to try this again next weekend!

      3. Thanks for sharing! I’d like to make it but was wondering if I could prepare it in the morning and put it in the fridge while I’m at work and when I get home cook in the oven also when adding cheese to I just do that for the last ten minutes or so? Thanks!!

        1. I made this and it was wonderful. You don’t need the cheese. You don’t miss it at all. I was skeptical but this was so good. I did add more tomato sauce though. Super yum.

  1. This looks fabulous! Can’t wait to try it! Looks filling and very inviting and right now I’m wishing I wasn’t snowed in and that it wasn’t a state of emergency so I could go out and grab the needed ingredients! I will as soon as I am able though! Thanks for sharing about the Against the Grain Pizza crust! I went to the link and it looks like a store about 40 minutes away from me may carry their stuff! If so I will be grabbing some for my parents to help them in their grain free journey!

  2. this looks awesome!! i just started eating eggs yesterday and now i want them for all of my meals.

    i just finished the finale of orange is the new black. i started watching it friday night and was done by sunday. you will DIE when you see the finale. it was insane. i hope there is a new season because there is no way they can end it like that.

  3. I have never bought a spaghetti squash but I definitely want to try this recipe. Is there anything special I need to know about how to buy or cooking them?

      1. I am not crazy about Italian sausage, do you think using 1lb of ground hamburg would be fine to replace it with? Thank you for the recipe!

          1. Silly question… 600 gram spaghetti squash whole or 600 grams of spaghetti sauce once cooked? My squash is average sized and 3 pounds (600 grams is only 1.3 pounds), hence my confusion!

      2. Yeah they are! I tried making this last weekend and I cut my hand open trying to open the squash and had to get 4 stitches! LOL. Not even kidding. I’m making it again today though (well, trying again)- and I’m pumped!! Adding some mushrooms and oregano- because those are two things I love on pizza. 🙂

        Next time I cut open the squash I’m going to microwave it for a little while first to make it easier to cut open… That’s the ER-visit-free way to open the squash, lol.

        1. You can also just roast the spag squash whole!! Just jab it with a knife (like a based potato) then put on a cookie sheet! Roast at 400 rotating a couple of times until it’s soft. Let cool for a bit and it is SUPER soft to cut into!

        2. Stacy Wharton

          I just boil mine for about 25 minutes and it comes out perfect! I saw this idea on YouTube 😉

        3. I know this is a little late but, you can just bake your spaghetti squash whole! I was so excited to hear this myself. Just poke it all over and bake at 400 for about an hour. Nice and soft to cut open….super easy!

        4. When I buy my spaghetti squash I ask the store to cut them in half for me. I have never had them tell my no. So much better then having to cut it myself.

      3. I just poke about 8-10 holes in the squash with a knife and cook it in the microwave for about 4 minutes per pound. Then cut it in half. About 12 minutes, flipping halfway usually. Much quicker! 🙂

      4. I just want to let you know that this has been one of my favorite recipes for years, even after not eating paleo anymore. I have 4 boys and they all love it too! I have used many different ingredients, but my go-to’s have been chicken sausage, pepperoni, & fresh basil. I don’t even feel like it needs cheese… and I am obsessed with cheese! Fantastic recipe!!

    1. A couple of good tips for the spag squash is you can preheat them in the microwave to make them a little easier to cut, then when you put them in a pan in the oven, add about half an inch of water. You can also do the whole thing in the microwave, also putting them cutside down in water, for 10-12 min depending on size.

  4. I’m totally making this for dinner! I’m going to substitute ground beef for the Italian sausage though 🙂 Thanks so much for the recipe Juli!!

  5. looks awesome!!!! have a spaghetti squash sitting at home that i need to use.
    i live in Germany and don’t think I have ever seen Italian sausage. Maybe I’m not looking hard enough – but – can you recommend a substitute??

  6. This looks so GOOD. Don’t have any Italian Sausage, so will marinade some cubed chix thighs in olive oil and spices. Can’t wait for dinner!

    1. One of my favorite meals! I have made all sorts of tweaks. I’ve done with the spaghetti squash, regular spaghetti noodles, or a 50/50 split is my favorite. And always big dollops of ricotta baked in. Ooey gooey yumminess. Thanks for the great recipe!

  7. Looks awesome! Do you use ground Italian sausage or just slice up some links?

    OitNB is one of my favorite shows… so good! Hope you like the ending.

    1. Some stores won’t have ground up sausage available but will have links. All you need to do is squeeze the meat out of the casings and break it up. Links = ground sausage.

  8. This looks amazing!!! Will definitely make it. Excited to have it on a cold cold day!! After Orange is the New Black, watch House of Cards. LOVED both. I think new seasons of both start this month…????

  9. Hey Juli!!! This looks AMAZEBALLS! Just one question, what did u use for the sauce? Any suggestions?

  10. You always seem to post simple, awesome recipes just in time; I’m kind of a hopeless meal-planner. Thank you! Totally making this tomorrow, it looks amazing.

  11. I would love to add any of these amazing books to my collection. Our household is hoping to get on the paleo/primal train for real this year. Thanks for making me smile on a daily basis!

  12. OITNB is one of the best shows ever. you should also check out House of Cards— equally addicting and Kevin Spacey the man.

  13. This is probably a very silly question, but I always struggle when i cook sausage … should I remove it from the casing so that it crumbles more easily? that is what I tend to do with recipes, but maybe I take the wrong approach….

    1. Courtney, I take the meat out of the casing because I find it easier to break it up into pieces that way. Also, some grocery stores carry sausage meat without it packed into casing. You could always use that if you find it. Hope that helps!

  14. Hey Juli!
    My husband and I are coming to Denver in 2.5 weeks. What are your favorite paleo friendly restaurants that you would recommend?

  15. Where do you buy the Cappello’s cookie dough? I live in Denver but I’ve only ever seen their pasta at Whole Foods and Vitamin Cottage. The cookies look fantastic!

      1. Good news! I found the cookie dough at a place called Difranco’s at 9th and Lincoln. They also have delicious looking gluten free and dairy free Italian food!

    1. I work at the Vitamin Cottage in Longmont. You can get all of the capellos products there (including the cookie dough!). You can also request it at the Vitamin Cottage you shop at in Denver. I think since it is relatively new it isn’t in every VC store yet.

  16. OMG this looks amazing, is there any alternative to the eggs as a binding agent, i’m allergic and miss pizza so bad 🙁

    1. For the person asking about another binding agent other than egg, you can try gelatin (if you’re not vegan) or applesauce! I’ve never tried it but those are two types of substitutes. For the gelatin, just add a tbsp of water and let it sit for 5-10 minutes until it liquefied and then add it.

      Hope this helps! 🙂

      1. This is one of my all-time favorite recipes but I’ve recently given up eggs. I was thinking it wouldn’t be nearly as good and casserole-like without them, but your pointers worked! I did 2T gelatin in water and 1T applesauce (just for good measure) and tasted just like the original that I loved so much. THANK YOU!

        1. I’m so excited to hear this worked. How much water did you use with the gelatin? Do you still add the applesauce after trying this now for a few years? TIA!

    2. Did you end up making this with an egg replacement? We have egg allergies in our house as well, and I have a feeling using flax gel will not be as good,

    3. I realize I am years late here, but I made this last night replacing each egg with 2 tablespoons of arrowroot starch. I mixed it in the same way I would the eggs, and it turned out perfect!

    4. Just saw your question. Make a white sauce with regular milk or a nut milk. My favorite is coconut Milk in the can. There will be plenty of recipes for that on the net. Make it fairly thick and use it the same way. Should work well. Spice it with Italian spices and a little ground mustard. ( I have to watch that I don’t eat half of it right out of the pan before it ever hits the casserole!!) Hope it works well for you!

  17. Orange is the New Black is the best. show. ever. It just keeps getting better too, so be prepared 🙂

    I’m coming to Denver this weekend for the first time and am super excited! My girlfriends there are anything but paleo and I would LOVE to know which coffee shop it is you always go to! (obviously I would like to see you there too and say hi but they probably don’t serve mimosas…)


  18. Made this for lunch today. Added zucchini to the recipe. Amazing!!!! Best recipe I have tried in a very long time.

  19. Looks amazing…Can you make this with zucchini noodles or maybe eggplant noodles or will it be to wet you think? We don’t have spaghetti squash in Denmark – so those are often the next best thing 🙂

        1. I’m from the netherlands and it’s also really hard to find spaghettisquash here, but I often subsitute by making noodles from sweet potatoes with my spirooli. It’s just a little higher in carbs, but the best replacement i think.

          1. Janne, je kunt de spaghettipompoen vaak vinden op de markt bij een biologische kraam. Of bij een grote Aziatische supermarkt. Ik weet niet waar je woont, maar hier in het noorden heb ik wel een tip voor je. Groet, Karin

      1. Re: Zucchini noodles (etc.): Once you have the noodles, toss them with salt, put on a strainer and put a heavy object on top. Let the water drain out for half an hour or so. Also delicious on its own (or with cucumber!).

    1. You can absolutely do this using zucchini. Just cook the zucchini in a skillet with the onion and drain out the excess water in a colander- then mix in all the sauce, meat, etc. It’s yummy too.

    2. I can confirm that zucchini noodles do leave the casserole a little damp. I salted them, drained them overnight, and even stir-fried them a bit and it wasn’t soggy like I imagine it would be if I hadn’t taken all those steps, but noticeably moist. It is still delicious though and really hits that pasta/pizza tomato sauce flavor.

  20. Juli, I can’t even stop laughing at you! You are too much!! My friend and I are hoping that you are coming to SLC, UT some time in the near future, we’d LOVE a Sunday FUNDAY for sure!! Definitely making this recipe, thanks!!

    1. Wow! PB Runner Jen linked this recipe a few days ago and I’m so glad she did! We just finished scarfing this down! I’m vegetarian so I subbed a pack of seitan, but otherwise made it as written, and it was dynamite. My husband, who is very much a meat eater, loves it. The eggs do a great job binding it and giving it an almost cheesy consistency.

  21. I just made your FANTASTIC Spaghetti squash-sausage bake this weekend (I used bacon-sausage and chorizo. so good) and will be trying this out for next week!

  22. I’m so making this! Looks like ultimate comfort on a plate!

    Question about the AAG pizza – Did you use the recipe on her blog or the one in her book? Thanks!

  23. Ok, so when you finish Orange is the New Black you have to start House of Cards. It’s on Netfix…so good.

    Is it dorky that I just had to excitedly tell my bf, “Juli from Paleomg eats Against the Grain pizza on Fridays nights and so do we?!” He was sorta happy for me. ha.

    Also, Against the Grain makes some dee-Lish-shush bagels. And baguettes.

    This looks great! I will try it for sure.

    1. Hi Neil,

      I’m in Sydney and can sometimes find it at ‘specialty’ type fruit and veg places (Harris farm market stores or similar?) Seems to have a very short season though…..

      Recipe looks amazing Juli – it’s top of my list to try over the next few days.

      🙂 Lea

    2. I’m in Australia too, I just made this with butternut pumpkin, baked then put through the food processor to shred it up, it was so delicious!

  24. This is in the oven as I type. Looks sooooo good. And I’m glad to know about Against the Grain. I’m going to pick up some of their stuff at Vitamin Cottage. I’ve been making my own pizza crust and I gotta tell you, that’s too much work! Especially when I make wheat pizza crust for the rest of the fam on the same night.Thanks so much for your recipes and your humor. Glad I found you!

  25. I made this for dinner tonight and it was so amazingly good! Added sauteed mushrooms and Parmesan cheese (we eat primal). The husband had three helpings which is always a good sign!

  26. Made this tonight and it was super fantastic! I added some chopped peppers and topped with nutritional yeast. Once it came out of the over I added fresh flat leaf parsley to make it pretty. Yum! My husband ate half of it. 🙂

    *Against the Gain pizza is amazing. Best frozen pizza EVER. It’s a little pricey, but worth it.

  27. I’m taking my first bites of this and it is amazing! One of my favorites from your blog and that’s saying a lot – they’re all so good. I added fresh basil that I had in the fridge but otherwise stuck with the recipe. Thanks for sharing this! Now back to eating…

  28. I LOVE SPAGHETTI SQUASH CASSEROLES. Sorry, I resort to capitals when I want to be emphatic about something. But seriously, they’re a delight.

    I had the hardest time with casserole replacements after going Paleo (my old casserole staples of milk, cheese, crackers and butter wasn’t going to pass the test anymore,) but spaghetti squash and eggs are such a good basis for SO MANY casserole recipes. There I go with the capitals again. Anyway, I can now fuel up for the winter! Thanks Juli!

  29. Against the Grain anything is awesome! I love their pizza, rolls, bagels….I like getting their 3 cheese pizza and adding cooked Italian sausage before baking. Yum!

    Also, this recipe looks fab! Can’t wait to make it this weekend!

  30. I made this last night, and had it for breakfast this morning – AMAZING! I added an egg, spinach, mushrooms, and green peppers. Thanks Juli!!

  31. Ok. This looks just amazing! Now… I am not a recipe developer like you, but I am wondering… what do you think about this? You swap the sausage for chicken, and the pizza sauce for a creamy cauliflower sauce and add bacon and maybe some other veggies. What do you think? Do you think it could work?

  32. I can’t wait to try this! I still think your meat sauce is the bee’s knees and make sure to always keep some in the freezer for quick meals. Question: Do you think this recipe would hold up to freezing and reheating? I guess only one way to find out!

  33. I made this last night so that my hubby could take it for lunch tomorrow. He just had it and said it was the! I’m having it right now (didn’t taste test it last night) and it is the shizzle! Thanks for another great recipe, Julie!!!

  34. And by the way…a thumbs up from my 4 year old. He ate an entire serving for lunch just now! WOOHOO!

  35. I made it tonight and it was great! I Added baby spinach and fresh basil, so it didn’t get the crunchy hard top but it was full of flavour. Will definitely be making this again. For the sugar free pizza sauce I used the “veggie packed pizza sauce” on a blog called “the best mom on the block” it worked perfectly!

  36. OMIGOD!!! I just made this for dinner (I added green peppers and mushrooms)… yum!!! Thanks so much for your awesome blog!!

  37. GREAT RECIPE! I added green pepper sauteed in with the sausage and onions. I bought some parm cheese to put on top, but after tasting it, I would rather save the cheese for something that needs it. This is perfect.

  38. Made it for dinner tonight – delicious! I didn’t have any sausage though, so I just used ground beef. Oh and cheddar cheese too. 🙂 And since I’m so stupid and don’t read directions, I cracked 3 eggs directly into the mixture before baking. So yeah, whisking that mess up was a lot of fun.

  39. I made this last night and it was amazing! I added kale for some green stuff. Loved it and can’t wait to make it again!

    1. My wife made this tonite, it was awesome ,for those of you on a lower fat diet like us use turkey Italian sausage as a substitute

  40. I haven’t had pasta in years, but all of a sudden had a serious craving. This was the perfect meal! I used ground beef instead of italian sausage and added a ton of garlic. Thanks for the delicious & satisfying recipe! I might have to make it again tomorrow…

  41. Holy mother of meals. I’ve cooked up a decent amount of your recipes and absolutely loved them. But this one is like icing on the cake.

    Was starving when I got home so made a quick meal but wanted to make something for lunch the next couple days so I cooked this up after dinner. Had a bite when it came out of the oven. Ended up turning into 10+ bites. I will DEFINETLY be making this again Soon! (Let’s be honest, as soon as I run out of left overs it will be happening)

    Touché Juli!

  42. Used 2 squashes, red pepper, onion, ground beef, garlic, spag sauce, eggs and spices for the base. Then made a ricotta cheese mix. Used a 13×9 pan and used half the squash mix in the bottom, added cheese layer, then rest of squash. Topped with some mozzarella and baked for an hour.
    The best faux lasagne I have ever made, thank you

  43. My hubby hates spaghetti squash but it’s one of my favorites. He’ll be out of town coming up and guess what I’ll be making? This, yep, and I’m gonna eat the hell out of it 🙂

  44. Made this last night. Doubled up the recipe, because it seems like it’ll keep well for easy dinners, and added mushrooms and some grass-fed mozzarella. SO GOOD. Next time I definitely need to get more moisture out of the spaghetti squash before baking…. it was a bit watery in the pan, but the flavor was amazing.

  45. I’m going to attempt a vegetarian take on this. I love squash, and cheese (Vegetarian, not Vegan, and ONLY because of cheese ) so how can I go wrong.

    I’m excited.

    Thanks for the idea!

  46. Any ideas on how to cut the sweetness of spaghetti squash? I’m not a fan of it…at all…in the least. Or maybe an alternative to spaghetti squash. Or I do have some Cappello’s Fettucini on hand!

  47. I really miss eating pizza, and I think you found my cure. I made it last night and it was delicious.I want to try and make this a BBQ Chicken pizza with red onion, chicken, cilantro and BBQ sauce.

  48. This was delicious! Next time I will add more goodies in it!

    But I NEEEED to know what kind of oven do you own that cooks a spaghetti squash in 20mins!?

  49. WOW thank you so much for this recipe, I made it Monday night ate two helpings of it then immediately made a second batch and so glad i did because i ate it for 3 meals in a row!

  50. Good Golly that was some good stuff. I made it last night, didn’t get a chance to taste it. Brought some in to work and I’m in heaven. Unbelievably good. Low in carbs and in calories. HEAVENLY!

  51. Juli you have done it again! God I want to critique your recipes soooo bad but you make it really hard! This one is going to be a staple in my book …beats the boring spaghetti squash and meat sauce combo :/ thanks for inventing and for the inspiration!

  52. I seriously cannot stop eating this! I feel like a huge pig. I just had to walk away before I ate the entire pan. hahaha Love it! SOOOOOO good! Thanks for sharing. 🙂

  53. Delish! Added a little mozzarella to the top, and it was a huge success with my husband and five year old daughter. New staple recipe fo sho! Looking forward to experimenting with different combos. Thanks!

  54. Woo hoo! Made this tonight! It is soooo awesome and my son came back for seconds, which he never does! I made exactly to your directions with the addition of some sauteed mushrooms. Thank you, this is a keeper recipe.

  55. Made this for dinner. Used extra sauce. It was amazing! Tastes like there is cheese in it! Can’t wait to have leftovers!
    Thank you for another amazing comfort food recipe!

  56. This was dinner tonight. I used package chicken sausage and it was great!
    Hubby and I did a binge watching of Orange is the new black last month – great show

  57. Amazing, I ate this last night right after reading the recipe, and then I ate it for lunch and dinner today and can’t wait to eat it again tomorrow. Yummy.

  58. Does this taste like spaghetti squash? I’ve tried spaghetti squash Mac and cheese and couldn’t eat it. The texture of the squash was way too crunchy and was just a weird flavor. Lol but this looks so good that I want to try it…

  59. Wow, Juli, this is amazeballs. My college age son just raved about it. Said it was one of the best meals I have ever made. I used 2 spaghetti squash and a jar of sugar free marinara sauce and made it in a 9×13 dish. Topped it with mozzarella. We will def make this one again!

  60. Wow so I’ve made something very similar to this half dozen times, however it was always running. I love love love love the addition of the eggs and bet that will help tons, THANKS!

  61. Made this tonight! It was delish! I baked for an hour but it didn’t have the crust I was looking for. I couldn’t wait any longer so I turned on my broiler for a few min. Worked great! Had to wrap it up and put it away before I ate the entire thing. Thanks for another great recipe !!!

  62. Hi! Great recipe! If I use an inspiralizer and make squash noodles beforehand, do I need to cook it and for how long before I put it into the meat mixture for baking? Thanks !

  63. This was really really good! I added veggies that I had around (mushrooms, kale) and did about half spicy italian sausage and half ground beef. It was delicious and I’ll definitely make it again! The eggs are such a great addition, even though I was mentally freaking out in the back of my mind while stirring them in. This dish is an excellent lasagna substitute and didn’t last long. I ate the leftovers for breakfast the next morning… Thanks for the recipe!

  64. Ahhh!!!! I had all the ingredients to make this and made plain spaghetti instead (insert sad pouty face here!) OK, it’s on my list for next week!

  65. Okay, not sure if you have already answered this but what kind of sausage did you use? I made this today and it was really liquidy – I think the fat from the sausage was too much – I tried draining the sausage but obviously I didn’t do a good job of it. Other than my crazy sausage this recipe is awesome!

  66. Made this tonight and it came out great, I will use a shallower pan next time so it gets a little crispier and add more sauce. Otherwise I can’t want to make it again and should make great leftovers!

  67. My husband was leery that it would be one of my “weird” dishes.. wanted to know what the back up dinner was for the kids… Shah! They gobbled it up. Just heard the five year old say, “I love it”. . . That’s the kid who doesnt like pizza, hamburgers or corn dogs. Yup. We used ground turkey, sauce and spices and then topped with cheese. Meant to use black olives but forgot. DELICIOUS. Thank you for being a genius.

  68. BIG DEAL here! This is the first Paleo recipe I’ve tried (yeah, I’m not a chef in the least). I am SO glad I tried this: I, hubby and two grandkids loved it! This is going to be on the menu at least once a week. Sprouts was out of Spaghetti Squash; the produce manager suggested Acorn Squash. Delicious! Thank you so much!!!

  69. Turned out really delicious! I added some zucchini and mushrooms, but even before that the 8×8 pan wasn’t big enough. Also, I wasn’t too sure about the basil I found at the store so I used some Italian seasoning.

  70. I made this by the recipe and it was great – definitely going to add more veggies next time. It was a great meal for filling casserole/comfort foods cravings. My husband and I are just finishing up our first week of paleo and have been pleasantly surprised with how much we are enjoying it thanks to tasty recipes like this!

  71. Made this for my foodie bf last night and he loved it! I did too! Gives you the satisfaction of comfort food without the heavy feeling afterward, and tastes SO GOOD!!

  72. I am glad that you talked about this so much in today’s blog post. 🙂 This looks amazing and sounds like it would be a great warm dish to eat while it is cold out. I have 2 coworkers that I do a “lunch club” with. Each week we rotate people and somebody brings in homemade food for all of us to eat for lunch. It is really great and the guys have been doing well at making things as close to Paleo as they know how. This dish is something rather familiar, yet something none of them have had before (squash + pizza). 😀 I’m so making this for our next lunch!

    1. cheese will work, but it won’t bind together quite as much! there are other egg substitutes out there that might work, but i haven’t tried any

  73. What a great way to kill “veggies going bad” in the fridge. Added broccoli and spinach plus grass-fed cheddar from TJ’s. What a cheap meal. And delicious. Thanks!

  74. Juli, i am counting the minutes until I can make this for dinner tomorrow night. I don’t love the spag squash/meat sauce combo…it just doesn’t work for me and I usually just eat the meat sauce by itself. This looks like it will solve all my issues. 😉
    Also, have you read “Orange is the New Black”? I read it but haven’t seen the show. You are making me want to watch it!

  75. I just made this and it was so delicious! I am on day 2 of no dairy and this hit the spot! It also was a hit with the kids! I added pepperoni and put cheese on their half and jalepenos on mine

  76. Not sure if I missed this in the directions or in all the comments, but do you cover the baking dish while cooking in the oven? remove cover (foil) for last few minutes? or just bake the whole thing uncovered? thanks

    this looks so good… can’t wait to try it.

  77. I just made this for the family last night and the little girls (read: picky eaters) gobbled it up! I am planning on making a second batch and freezing it for a meal in the future. I’ll let you know how it comes out – thanks so much for the recipe! PaleOMG to the rescue, again!

  78. This was amaaaaazing!! I had dinner with a girlfriend and proposed this recipe, making sure not to tell her it was from a paleo blog bc then she would’ve shot me down! We added mushrooms and some cheese, and I improvised with sage and thyme and oregano bc we didn’t have any basil. I could live on this and my friend also thought it was superb.

  79. Shelley