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4.8 from 5 votes

Keto Zoodle Bake w/ Italian Sausage

Flavorful Italian sauage, fresh zoodles, and cheese combine for a delicious low carb dinner.
Prep Time30 mins
Cook Time25 mins
Total Time55 mins
Course: Main Course
Cuisine: Italian
Keyword: One Pan, zucchini
Servings: 6 servings
Calories: 335kcal


  • 1 tbsp olive oil
  • 1 lb bulk Italian sausage
  • 1/2 ounce fresh grated parmesan
  • 4 ounces shredded mozzarella


  • 1.5 lb zucchini noodles 2-3 medium large zucchini
  • 2 tsp sea salt


  • 1/2 cup (about 2oz) red onion diced
  • 3 cloves garlic minced
  • 1 14-15oz can diced tomatoes no salt or sugar added
  • 3-4 tbsp fresh basil chopped
  • 3/4 tsp salt
  • 1/4 tsp crushed red pepper flakes
  • 1/4 tsp black pepper
  • 1/2 tsp dried oregano
  • 1/2 tsp dried parsely


Prep Zoodles

  • Toss zoodles with 2 teaspoons of salt and allow to rest in a colander/strainer for at least 20 minutes to draw out excess moisture.

Brown Sausage

  • Preheat oven to 400F.
  • Add olive oil to an oven safe skillet over medium high heat. Add Italian sausage to pan.
  • Cook for 6-7 minutes, or until browned, breaking up the sausage as you go.
  • Remove cooked sausage from pan and set aside.

Prep the Sauce

  • In the same pan, add diced onion. Saute for 4-5 minutes, or until softened and lightly browned.
  • Add minced garlic and cook for an additional 1 minutes.
  • Reduce heat to medium low. Add diced tomatoes, fresh basil, and other spices to pan, and simmer for 5 minutes.
  • Add cooked sausage to tomato mixture and stir to distribute. Remove pan from heat.

Keto Zoodle Bake

  • Discard any drained liquid from the salted zucchini. Carefully squeeze the zoodles to remove as much of anyway remaining liquid as possible, then add to pan.
  • Add parmesan to pan and toss to combine.
  • Finally, top the zoodle mixture with shredded mozzarella.
  • Bake in preheated oven for 20-25 minutes, or until cheese is melted and lightly browned.
  • Allow to rest for about 5 minutes before serving.

Serve and Enjoy!

  • Top with additional basil or parmesan if desired.


  • Make sure you're using quality Italian sausage without added carbs/fillers! Lately I've been using the sausage from Butcher Box, but there are good store bought options too.
  • Similarly, choose tomatoes without added sugar, corn syrup, etc. You can even use fresh tomatoes if you prefer, or 3/4 to 1 cup of low carb tomato sauce.


Calories: 335kcal | Carbohydrates: 8.3g | Protein: 27g | Fat: 22g | Fiber: 2.5g