PaleOMG Pizza Spaghetti Pie

Thursday, August 6, 2015

If you know me or just read here or follow my IG you know I am the ultimate Pizza Slut. I love me some pizza. All kinds, even the bad frozen stuff doesn't phase me. I'll eat it. And I have been, all summer long actually. Sooo I am on a self imposed pizza hiatus for at least the month of August. Actually I am hitting the Whole30 & Paleo hard until my birthday in September because I have been so lax and am feeling a wee bit crappy. 

In honor of that I decided to do some meal prep this week and finally, finally got around to making a recipe that so many rave about.... Almost 5 Ingredient Pizza Spaghetti Pie. It is from my favorite Paleo Cookbook author Juli Bauer who has a new book coming out this month... pre-order it for almost half off now  here... you will not be disappointed! Check out her IG feed too... @paleomg

This is definitely a keeper. I swear it tastes like pizza and spaghetti all in one. I followed the recipe exactly with the addition of some sliced pepperoni on top because I need pepperoni on my pizza. All of the flavors really come together and are the healthiest version of pizza I have had in weeks. Ok, there's no crust but make sure you really bake it well and the top gets a lovely, crispy golden brown. This is definitely going to be a keeper in my rotation. 

Oh yeah, you know how spaghetti squash is a bitch and a half to cut open? Well I read a lot of the reviews for the recipe and someone suggested piercing it a bunch of times with a knife and cooking it whole. Boom... this was genious and worked like a charm. No more almost cutting your hand off trying to get that thing open. Bake, split, let it cool and clean it out and you are ready to casserole! Enjoy! 

Almost 5 Ingredient Pizza Spaghetti Pie

Prep time
Cook time
Total time
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)
  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.

Seriously... Yum


  1. YUM!! definitely bookmarking this one. i've made a few things from the paleomg site and they've all been on point.

  2. So I have some pizza sauce in my fridge that I need to use. This is happening.

  3. Pizza gives me life, man... I've never had a pizza pie before though :) I really need to try it (especially since it has the word 'pizza' in it).

  4. YESSSSS. This is so going in rotation for Whole30. I just did sloppy joes last night and they were mind blowing. Pizza is something I am craving really bad right now, so this will probably happen this weekend. Thanks for sharing!

  5. ummmmm YES this looks incredible!!

  6. I have been making Spaghetti squash but after reading this, it seems my way is outdated. I have to try it your way and see what I’ll get.

  7. I so enjoy your site and your recipes. Would you please consider adding a print option so we can enjoy your recipes a little more easily. Thank you.

  8. Looks really good. Probably lots of flavor pop. Must try! ????
    Regards: Eve Hunt

  9. Hi!!
    Love your post. It's really amazing & helpful too. Being foodie i keep trying new dishes i tried this recipe & it turned out to be really tasty . Keep sharing :)
    Thank You & Regards

    bluehost black friday

  10. This contains sooooooo much healthy protein and delicious spices! I cannot wait to try making this with my mother 😀 I think the whole family would love it!!

  11. Thank you for this great post. Your ketchup recipe is a staple in my kitchen! I just made another batch yesterday .
    Joseph Donahue

  12. Ok, you have just made my day. I was just talking to my husband about wanting to make more things from scratch. This is awesome.
    Kelly Hubbard

  13. Homemade or not the marshmallows are not good for you, stay away from corn syrup. Otherwise a great list, thanks.
    Paul Brown

  14. Its such as you read my thoughts! You seem to know so much about
    this, such as you wrote the guide in it or something.