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Butternut Squash Noodles with Tomato Basil Sausage Cream Sauce

Tomato Basil Sausage Cream Sauce is a dairy free sauce with a "cheesy" delicious taste! Served over butternut squash noodles as a perfect compliment. Recipe is Paleo, Whole30 compliant, and sure to be loved by the whole family!
Course Main Course
Prep Time 10 minutes
Cook Time 30 minutes
Total Time 40 minutes
Servings 6
Calories 455 kcal
Author Amy Rains


  • 2 butternut squash bulbs
  • 3 tbsp avocado or olive oil divided
  • 1 lb mild Italian sausage
  • 1 med yellow onion diced
  • 2 cloves garlic minced
  • 1 28 oz can of whole tomatoes
  • 2 tsp dried basil
  • 1/2 cup full fat canned coconut milk
  • 1 tbsp nutritional yeast
  • 1 tsp sea salt + more to taste
  • 1/3 cup chopped fresh basil


  1. Preheat your oven to 375 degrees. Line a baking sheet with foil and lightly grease with a non-stick spray. Set aside

  2. Now prepare your butternut squash. Remove the bulbous end of the squash (you can't spiralize this end because of the seeds). Now peel the skin off the narrow end that you are going to spiralize. It's easier to cut this part in half. Spiralize the sized/shape noodles you like. Once noodles are made, drizzle with a tbsp of oil, add to the sheet pan. Salt and pepper the squash. Place in the oven and bake for 25-30 minutes.

  3. Meanwhile, make your sauce. Heat a large skillet to medium heat. Once hot, add remaining 2 tbsp oil. Saute onion for 2-3 minutes, then add sausage. Continue to cook until sausage is cooked through about 8 minutes.

  4. Now add garlic. Top with canned tomatoes, fresh basil, and let simmer over medium low heat for another 10 minutes stirring occasionally. 

  5. Now add coconut milk and nutritional yeast to the sauce. Continue to simmer for another 5 minutes, stirring and combining the sauce so it's nice and creamy. 

  6. Remove the noodles from the oven. Plate butternut squash noodles, pour sauce on top, and serve with fresh basil.

Nutrition Facts
Butternut Squash Noodles with Tomato Basil Sausage Cream Sauce
Amount Per Serving
Calories 455 Calories from Fat 279
% Daily Value*
Fat 31g48%
Saturated Fat 11g69%
Cholesterol 54mg18%
Sodium 494mg21%
Potassium 1166mg33%
Carbohydrates 32g11%
Fiber 5g21%
Sugar 6g7%
Protein 15g30%
Vitamin A 26700IU534%
Vitamin C 55.1mg67%
Calcium 144mg14%
Iron 3.6mg20%
* Percent Daily Values are based on a 2000 calorie diet.