This low-carb sausage “pasta” with sage cream sauce makes a creamy, hearty, and satisfying meal. The noodles are zoodles-noodles made from spiralized zucchini. The zoodles provide the canvas for the creamy, garlicky goodness on top. Add in sausage and sage and yum, what a treat! It’s like a trip to Italy in your mouth.

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I remember the day when the only low carb pasta substitute was spaghetti squash. Don’t get me wrong, spaghetti squash was and still is God’s gift to the low carb diet. Unfortunately, the noodles from the squash are just too fine to stand up to heavier spicy cream sauces. The spiralizer offers a powerful alternative. The machine boasts a variety of settings allowing us to make low carb noodles in different diameters–from an angel hair diameter all the way up to thin wide spirals. Yes, it is a creative low-carbs cook’s dream!

If you don’t have a spiralizer, you can find some tips in this article on how to make zoodles without using one.

In this dish, I spiralized the squash into spaghetti sized strands. I steamed it separately, which makes an extra step, but gives me perfectly cooked noodles in a sauce with the consistency I choose. If you want a one dish meal, you can cook the noodles right in the sauce. This method gives fewer dishes to wash, but doesn’t give as much control over the thickness of the sauce. When cooked in the sauce, the juice from the zucchini will thin the sauce a bit. To help prevent this from being a problem, just cook the sauce until it is a little thicker than desired, then, when the zucchini is added, the sauce will thin to the correct consistency.

For for information on spiralizing, check out our Greek Cucumber Salad recipe. Other recipes we have that use a spiralizer are Low Carb Sweet and Sour Cucumber Salad, Grain-Free “Spaghetti” with Tomato Basil Cream Sauce and Paleo Cajun Shrimp Pasta with Cream Sauce. Clearly we love our spiralizer and use it frequently.

If you eat low carb, but love pasta, this recipe is for you. So get out your spiralizer, pour a glass of wine, and put on some Puccini. Italy awaits.

–Annissa

PS: If you’re craving pasta, but not a big fan of zucchini, you might want to try this recipe for low carb gnocchi from Tasteaholics. It would work perfectly with this sauce.