Italian Sausage in Creamy Tomato Sauce with Spiralized Zoodles is so flavorful!

This THM S, Keto dish will transport you to your favorite local mom and pop Italian restaurant. Get the flavors of this popular dish without the heavy, hard to digest combination of carbs and fats! 

I’ve tweaked my original recipe to make it low carb and it’s also now an easy to cook one-skillet sauce with no-cook zoodles.

While the meal browns you spiralize the zucchini, salt it and let it drain. Then add your sauce ingredients to your meat and let it simmer. Plate, Serve, and Enjoy!

Recreating and/or adapting down-home Southern heritage recipes to a healthier eating style is one of my favorite things to do and this blog is loaded with those type recipes.

Another of my favorite hobbies has long been recreating some of our family’s restaurant favorites.

Little mom and pop Italian restaurants are high on our list of favorites and a sauce very similar to this one is the one chosen most often when we meet up for a great Italian meal.

This type sauce starts out as a basic red sauce but when heavy whipping cream is added you get the flavor benefits of the flavorful tomato-based sauce and added creaminess of an alfredo type sauce. 

I generally go for that type sauce when eating out but lately, I’ve been eating it over stuffed mushrooms and other veggies rather than pasta, for obvious reasons!

When I recently came across a recipe for a sauce of this sort but served over zoodles I knew I had to adapt it and add it to my blog favorites. I hope you enjoy it as much as we do!

Here are a few more remakes of restaurant favorites:

California Flat Bread Sandwich with Chipotle Ranch Dressing -S ~Schlotzsky’s

Low Carb Personal Pan Pizza Crusts -S ~Pizza Hut

Tomato & Spinach Panini -S ~Sbux

Chai Tea Lattes from Concentrate -S ~Coffee Shops

Tiramisu Smoothie -S or FP ~Italian Restaurant Flavor Combo that reminds me of the “real tiramisu”.

Iced Cafe Caramel Macchiato  Peppermint Mocha Latte Pumpkin Spice Latte- S ~Sbux

Lemonade Frosty -S or FP~ Chic Fil A

Frosted Coffee -S ~(Shhh— but I like this one a lot better than Chic Fil A’s)

Hot Fudge Sauce-S ~Dairy Queen

Lemon Loaf -S ~SBUX Copycat

Watch for affiliate links to products I have used in these recipes when testing them and those which I can fully recommend.

If you don’t have a zoodler yet, or don’t like the one you have here’s a selection with good ratings. #afflink:

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Yield: 6 cups sauce

Italian Sausage in Creamy Tomato Sauce

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Prep Time 20 minutes

Cook Time 15 minutes

Total Time 35 minutes

Ingredients

• 1 pound hot Italian sausage, casings removed, browned and crumbled
• 1 tablespoon olive oil
• 1/2 onion, diced
• 3 cloves garlic, minced
• 1 (14 ounces​) can petite diced tomatoes
• 1 (6ounces​e) can tomato paste
• 1 cup water
• 1 teaspoon dried basil or 1 1/2 tblsp fresh chopped basil
• 1/2 teaspoon salt
• 1 cup heavy cream
• ½ cup grated Parmesan cheese

Instructions

1. While zucchini is draining in a collander (see instructions below.)
2. Heat olive oil in a large saucepan or medium skillet over medium-high heat. Add onion and cook, stirring occasionally until softened, about 3 minutes. Stir in garlic.
3. To the onion, add browned Italian sausage, diced tomatoes, tomato paste, water remaining salt, basil, and pepper. Bring to a boil and reduce heat. Simmer for 10 to 15 minutes.
4. Reduce heat to low and stir in heavy cream. Heat through before adding Parmesan cheese.
5. Transfer zucchini to a large bowl and toss with sauce. Serve with additional Parmesan cheese and/or fresh basil.

Nutrition Information:

Yield:

8

Serving Size:

1 cup
Amount Per Serving: Calories: 365Total Fat: 30gSaturated Fat: 14gTrans Fat: 0gUnsaturated Fat: 17gCholesterol: 71mgSodium: 1007mgCarbohydrates: 10gFiber: 2gSugar: 5gProtein: 15g

Nutrition facts were calculated using a third-party plug-in. It is best to always validate!

Spiralized Zucchini

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Ingredients

• 3 to 4 zucchini, spiralized
• 1 tsp salt

Instructions

1. Toss spiralized zucchini with 1 teaspoon salt. Allow to drain in a colander while the sauce is prepared.
2. Transfer zucchini to a large bowl and toss with sauce.

Nutrition Information:

Yield:

8

Serving Size:

1 cup
Amount Per Serving: Calories: 16Total Fat: 0gSaturated Fat: 0gTrans Fat: 0gUnsaturated Fat: 0gCholesterol: 0mgSodium: 3mgCarbohydrates: 3gFiber: 1gSugar: 2gProtein: 1g