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4.78 from 31 votes

Butternut Squash Noodles with Sausage

You are going to fall in love with these Butternut Squash Noodles with Sausage! Made with Italian sausage, spinach, spiralized butternut squash, garlic, cream, and Parmesan cheese, this dish is just bursting with flavors!
Prep Time10mins
Cook Time20mins
Total Time30mins
Course: Main Course
Cuisine: American
Keyword: butternut squash noodles
Servings: 4servings
Calories: 453kcal
Author: Tania Sheff


  • 8oz.mild Italian sausage
  • 2tbsp.olive oil
  • 4oz.fresh baby spinach
  • 1lb.spiralized butternut squash*
  • 1tsp.
  • 1/4tsp.red pepper flakesoptional
  • 1cupHalf & Half
  • 2garlic clovesfinely minced
  • 1/2cupParmesan cheese
  • Saltto taste


  • In a large skillet, heat up the olive oil over medium-high heat, add the sausage, and cook, breaking it into bite-sized pieces, for about 7 minutes.
  • Add the spinach and cook until just wilted, for about 2-3 minutes.
  • Add the butternut squash noodles, and season with paprika, red pepper flakes, and salt. Cook, stirring occasionally, for about 5-7 minutes.
  • Add the garlic and Half & Half. Reduce the heat to medium-low, and cook for another 5 minutes.
  • Stir in the Parmesan cheese. Serve.



Details on how to spiralize butternut squash, as well as an instructional video, can be found in the "How to Make Butternut Squash Noodles" paragraph above.


Calories: 453kcal | Carbohydrates: 18g | Protein: 16g | Fat: 35g | Saturated Fat: 13g | Cholesterol: 73mg | Sodium: 672mg | Potassium: 819mg | Fiber: 3g | Sugar: 2g | Vitamin A: 15725IU | Vitamin C: 33.9mg | Calcium: 310mg | Iron: 2.6mg