Italian Meatballs and Spaghetti Squash
Recipe Type: Main
Prep Time: 
Cook Time: 
Total Time: 
Serves: 8 servings
Spaghetti Squash:
  • 2 medium spaghetti squashes*
Creamy Tomato Sauce:
  • 1 Tbsp. olive oil
  • ½ medium yellow or white onion, peeled and diced
  • 2-3 cloves garlic, peeled and minced
  • 1 Tbsp. Italian seasoning
  • ½ Tbsp. dried oregano leaves
  • 1 (32 oz.) can whole San Marzano tomatoes
  • ¼ cup fresh basil leaves
  • 1 tsp. coarse salt
  • ½ tsp. freshly ground black pepper
  • ¼ tsp. crushed red pepper flakes
  • 1 ½ tsp. granulated sugar
  • 2 oz. (about ¼ cup) cream cheese
Italian Meatballs:
  • Click the link above for the recipe.
  • ¼ cup freshly grated Parmesan cheese
  • ¼ cup flat-leaf Italian parsley, chopped
To make spaghetti squash:
  1. Slice spaghetti squashes in half and scoop out the seeds. Place face-down in a baking dish. Pour ½ cup water into the dish. Microwave on high 10-12 minutes, or until fork-tender or bake at 400 degrees for 45-60 minutes, or until fork-tender. Let slightly cool, then use a fork to loosen strands of squash. For serving, leave squash strands in the shell or remove and place in bowls.
To make tomato sauce:
  1. Heat oil in a Dutch oven or high-sided pan to medium-low heat. Add onion and sauté 6-7 minutes or until soft. Stir in garlic, Italian seasoning and oregano. Add tomatoes and fresh basil and bring to a simmer. Crush the tomatoes with a wooden spoon, then let simmer 10-15 minutes. Stir in salt and black pepper. Use an immersion blender to puree the sauce until very smooth, or transfer mixture to a blender and puree until very smooth. Stir in sugar and cream cheese until cream cheese is melted. Taste and adjust seasoning, if necessary.
To make meatballs:
  1. Preheat oven to 375 degrees. Fit a baking sheet with a wire rack and coat with cooking spray. Place all ingredients into a large bowl and mix with your hands until ingredients are thoroughly combined. Form into 2-inch meatballs and place on the prepared rack. Bake 17-20 minutes or until meatballs are set and internal temperature reaches 155 degrees.
  2. Serve spaghetti squash with meatballs and creamy tomato sauce, and garnish with chopped parsley and Parmesan cheese.
*The spaghetti squash can be cooked in the oven @ 400 degrees for about an hour, or until fork tender.
Recipe by Honest Cooking by Mercato Fabbrica at