Friday, August 13, 2021

Italian Zucchini Spirals with Sausage + Video

Italian zucchini spirals with sausage is fast and can be cooked in 10-minutes. Filled with healthy and delicious ingredients it’s the ultimate dinner recipe. 

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 it’s not flavorful. It’s the opposite and will have your taste buds doing a happy dance when you bite into this scrumptious meal.

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!

Italian Zucchini Spirals with Sausage in a skillet

How To Make Italian Zucchini Spirals Skillet

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!

tomato and onion in a skillet

Skillet Recipe - Helpful Tips and Tricks

  • Don’t overcook. 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, cut the sausage, slice the onions, cut the tomatoes, and spiral the zucchini ahead of time. Store in separate containers in the fridge until you are ready to cook.
  • Make a smaller portion. 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

FAQ - Common Recipe Questions

How long do leftovers last?

Ideally, this skillet recipe 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 may even become mushy.

Because this meal is so fast to make, 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 zucchini into spirals and save in the fridge for up to 1 week before you want to cook it. 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. 

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skillet recipe with zucchini and sausage

Video: Italian Sausage Skillet Recipe

To watch us make this recipe from start to finish, check out the video at the top of this post.

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

Italian Zucchini Spirals with Sausage

Italian zucchini spirals with sausage is fast and can be cooked in 10-minutes. Filled with healthy and delicious ingredients it’s the ultimate dinner recipe
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

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  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!


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