This colorful and nutritious dinner recipe is surprising low-carb too! Butternut squash and sausage tastes as delightful as it looks.

Is Butternut Squash Keto
This doesn’t have a clear answer. It depends on how much butternut squash you eat. Butternut squash is ok on the keto diet in moderation.

There are 21.5 grams of total carbs in one cup of cooked butternut squash cubes. When you subtract the fiber, there is still 15 grams net carbs.
For this reason, you should be careful with how much butternut squash you eat, and what else you eat that day. It’s a really healthy vegetable, but too much could kick you out of ketosis.
Low-Carb Butternut Squash Recipe
There are just 8 grams net carbs in each serving of this tasty skillet meal. That’s why I called it a low-carb recipe instead of keto. Not everyone is comfortable eating 8 carbs in one serving of food on keto – and that’s ok!

In order to keep the carb count low, I shredded the butternut squash and only used 1/2 a cup in the entire recipe. This recipe makes 4 servings, so the carbs are spread out a bit better that way.
Butternut Squash and Sausage
For this butternut squash and sausage recipe, I used ground Italian sausage. But there is a lot of room for creativity. Use your favorite flavor of sausage. Try this with hot sausage and light up your taste buds!

You don’t have to use sausage, either. Just add some red pepper flakes and paprika, and you can use either ground turkey or ground chicken.
The sausage will have a lot more flavor, so I like to use it with the squash.
Keto Palmini Noodles
Have you discovered Palmini noodles? These low carb noodles are made from hearts of palm with a similar texture to wheat noodles. They are able to be low-carb because they have so much fiber.

There are just 2 grams net carbs in each serving! Compare that to nearly 40 grams net carbs in wheat pasta and you’ll be convinced to switch.
Want some other recipes that use them? Try my Keto roasted garlic alfredo, or low-carb palmini peanut noodles.
What To Eat With Butternut Squash
The spinach and butternut squash naturally sweetens this savory sausage and noodles skillet. Since there are a lot of Italian flavors in this recipe, I suggest serving it with some Italian sides.

Start out with some keto Italian wedding soup. Then add a keto grinder salad and keto tomato basil cream cheese pinwheels to the table. Everyone will love dinner and not even tell it’s all keto-friendly.
Low-Carb Butternut Squash Palmini Noodles With Sausage Recipe
Here’s the list of ingredients that you’ll need to make this low-carb butternut squash and sausage recipe. The exact measurements and instructions are in the printable recipe card, just a little below.
Prep Time: 15 minutes
Cook Time: 25-30 minutes
Servings: 4
Net Carbs: 8 net carbs per serving
Ingredients

- Ground Italian sausage
- Onion chopped
- Minced garlic
- Italian seasoning
- Can Palmini linguini noodles rinsed and drained well
- Heavy whipping cream
- Grated parmesan
- Fresh baby spinach
- Butternut squash shredded
- Salt and pepper to taste
Directions

Add the Italian sausage and onion to a skillet over medium heat. Saute until the sausage is browned and onions have softened. Drain the excess grease.
Stir in the minced garlic and Italian seasoning, and saute another 30 seconds.

Mix in the palmini noodles.

Pour in the heavy whipping cream and parmesan cheese, and simmer until thickened.

Mix in the spinach and butternut squash, and saute until the spinach has wilted.

Season with salt and pepper to taste and serve.
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Low-Carb Butternut Squash Palmini Noodles and Sausage
Equipment
- Skillet
Ingredients
- 1 pound Ground Italian Sausage
- 1/2 Onion Chopped
- 2 tsp Minced Garlic
- 1 tsp Italian Seasoning
- 1 can Palmini Linguini noodles rinsed and drained well
- 1 cup Heavy Whipping Cream
- 1/3 cup Grated Parmesan Cheese
- 3 cups Fresh Baby Spinach
- 1/2 cup Butternut Squash shredded
Instructions
- Add the Italian sausage and onion to a skillet over medium heat. Saute until the sausage is browned and onions have softened. Drain the excess grease.
- Stir in the minced garlic and Italian seasoning, and saute another 30 seconds.
- Mix in the palmini noodles.
- Pour in the heavy whipping cream and parmesan cheese, and simmer until thickened.
- Mix in the spinach and butternut squash, and saute until the spinach has wilted.
- Season with salt and pepper to taste and serve.
Keto Pasta Recipes
If you enjoyed this keto Palmini noodles and butternut squash recipe, here are some more pasta recipes you should try next. They are all keto-friendly.

