Tuesday, June 21, 2022

Zucchini Noodles with Sausage + Video

Zucchini noodles with sausage is a healthy, flavor packed meal, cooked in 10 minutes. Filled with garden veggies, it’s a great summer meal.

Italian Zucchini Spirals with Sausage in a skillet

Fresh spiralized zucchini, Italian sausage, and juicy tomatoes steal the show with this easy one-pot meal.

Don’t let the fact that it’s loaded with nutrients give you the impression that it’s not flavorful. It’s the opposite, and will have your taste buds doing a happy dance when you bite into this scrumptious dinner.

Zucchini Noodles with Sausage

When the time of year hits when your garden is producing tons of zucchini don’t forget to try my grilled zucchini and baked zucchini chips. They are both simple and tasty.

Love skillet meals? This cheesy skillet lasagna and skillet chicken are both to die for!

How to Make this Skillet Meal 

Begin by heating a skillet with oil. While the oil is heating up, prepare the onions, tomatoes, zucchini and sausage.

Toss the onions in the pan and top with salt and pepper. Pour in the tomatoes until they have released their juices. Then add the zucchini noodles and toss until they are coated.

Season with an extra dash of salt and pepper if desired and add some parmesan cheese. Serve hot and enjoy!

Watch the video in this post for tips on spiralizing zucchini and making this recipe!

tomato and onion in a skillet

Helpful Tips and Tricks

  • Don’t overcook the zucchini noodles. If you overcook the zucchini spirals, they will be soggy and not too appetizing. It’s better if you cook them similar to al dente pasta.

  • Prep the ingredients ahead of time. To save even more time in making zucchini noodles with sausage, slice the onions, cut the tomatoes, and spiralize the zucchini ahead of time. Store in separate containers in the fridge until you are ready to cook the meal.

  • For smaller portions, cut the recipe ingredients by ¼ and use a smaller skillet. 
zucchini noodles with sausage in a skillet

Kitchen Tools You Will Need for Spiralizing Zucchini


How long do leftovers last?

Ideally, zucchini noodles with sausage should be served and eaten right away. You can store leftovers in the fridge overnight in a sealed container and reheat.

Reheating will cause the zucchini noodles to lose their texture and they may even become mushy.

Because this meal comes together quickly, my best recommendation is to make it fresh each time you want it. The results are much better!

You can however, go ahead and cut the fresh zucchini into spirals and save them in the fridge for up to 1 week before you want to cook them. This will save you lots of time!

zucchini spirals on the spiraizer

Can I add different kinds of cheese?

Yes, it’s fine to add other kinds of cheese. We love the flavor or parmesan with the other ingredients, but mozzarella, gorgonzola, and even ricotta would be acceptable choices.

Or if you simply don’t like cheese, skip it!


With love from our simple kitchen to yours. 

Do you   love  TSRI?  Don't miss another recipe.  Click here to Subscribe to The Slow Roasted Italian by Email and receive new recipes in your inbox every day!

Don't miss a thing! Follow us on Facebook Twitter Pinterest | Instagram ❤ ❤ ❤  

skillet recipe with zucchini and sausage

Yield: 4
Author: Donna Elick
Italian Zucchini Spirals with Sausage

Zucchini Noodles with Sausage

Zucchini noodles with sausage is a healthy, flavor packed meal, cooked in 10 minutes. Filled with garden veggies, it’s a great summer meal.
Prep time: 5 MinCook time: 10 MinTotal time: 10 M


  • 2 tablespoons coconut oil (or olive oil)
  • 1 medium yellow onion, thin sliced
  • pint grape tomatoes, sliced in half
  • 4 fully cooked Italian sausage links, sliced into coins
  • 4 medium zucchini, (or 3 large)
  • 2 ounces fresh Parmesan cheese, shredded
  • salt and pepper (to taste)


  1. Warm a large skillet over medium-high heat. Once you can feel the heat from 6" above the pan, add oil.
  2. Meanwhile: cut the onion in half and peel the outer layer. Slice the onion into thin strips. Toss onion slices in the pan when it's ready. Sprinkle with salt and pepper (about 1/4 teaspoon of each).
  3. Meanwhile: Rinse tomatoes and slice in half. I recommend this tomato slicing tip to make quick work. Cut sausage into coins.
  4. Once the onions are beginning to look translucent, add tomatoes and sausage. Add salt and pepper (about 1/4 teaspoon each). Your tomatoes will begin to release their juices, and it will collect in the pan, once you see the tomato juice, you are ready to add zucchini.
  5. Meanwhile: Wash zucchini and make zucchini noodles (see above for options on making the noodles).
  6. Add zucchini noodles to skillet. Add salt (about 1/2 teaspoon). Use tongs to toss and coat zucchini. Cook until desired texture is reached. I like mine like al dente pasta, about 3 minutes.
  7. Taste. Season with salt and pepper as necessary.
  8. Shred Parmesan cheese over the skillet. Serve and enjoy!
  1. For a single portion, cut the recipe by 1/4, cook on medium heat and use a smaller skillet (I like my medium (10") skillet for this recipe).
  2. STRESS-FREE RECIPE NOTES: To make this a stress-free recipe you can prep the ingredients ahead of time. It will take an extra 5 minutes, but if you are a newer cook, it will go much smoother.

Italian Zucchini Spirals with Sausage closeup

Originally published March 2016, updated and republished August 2021


Disclosure: Posts may contain affiliate links. If you purchase a product through an affiliate link your price will remain the same and The Slow Roasted Italian will automatically receive a small commission. Thank you for supporting us, it helps us keep creating new recipes.


  1. Yes, zucchini noodles are great :) No wonder why you had the food daily for 3 weeks! Mmmmh...

  2. Made this tonight, minus the onions since I don't like them. It was delicious and surprisingly flavorful

    1. I am so happy you enjoyed it! Let me know if you try it again. It is an incredibly versatile recipe. I often change out the sausage and the aromatics. I have used jalapenos and a squeeze of lemon juice too.

  3. Try spiralizing onions for this and other things. I LOVE them and no tears.

  4. Would shredded zucchini like I use for bread be suitable for noodles?

  5. I have had my Veggetti Pro for a year, brand new in the box and last night I broke it out to make this. With my fresh out of the garden tomatoes, this was a great dish! I also added sliced garlic to mine. It's a keeper!


If you really like a post, please Facebook and give it a THUMBS UP or Pin It on Pinterest!

We love to hear your comments and hear when you have used a recipe. ❤ ❤ ❤