Creamy Tuscan Spaghetti Squash with sun-dried tomatoes, artichoke hearts and spinach makes for a flavorful healthy side dish or light dinner. Paleo, keto, low-carb, and vegan!
Make it as a meal prep recipe or for serving guests!

Feeling like a creamy, dreamy yet healthful dish that will tickle your taste buds and is crazy easy to make??
This simple 6-Ingredient Creamy Tuscan Spaghetti Squash is here for you, AND it’s bringing with it sun-dried tomatoes and artichoke hearts.
::Swoon!::
You’ll never believe how easy this recipe is to make.
The only time consuming part about it is roasting the spaghetti squash. The good news is you can multitask while it is roasting, as the squash requires zero attention once it’s in the oven!
After the squash is roasted, the remainder of the recipe comes together in a split second – ideal for those evenings you want something comforting and seemingly fancy but don’t feel like exerting yourself in the kitchen.
Let’s make it!

How to Make Tuscan Spaghetti Squash:
Begin by roasting the spaghetti squash. If you aren’t familiar with the process, no sweat! You can follow my instructions on How To Roast Spaghetti Squash or Instant Pot Spaghetti Squash.

Once the spaghetti squash has finished roasting and is cool enough to handle, use a fork to release the spaghetti strands and place them in a large bowl (or large 4-cup measuring cup if you have one).
Heat the coconut milk in a medium-sized skillet over medium-high heat until it comes to a full boil.
Add the garlic and sauté, stirring occasionally until garlic is very fragrant, about 3 minutes.
Add the spaghetti squash to the skillet and stir well. Add the baby spinach and cover. Cook until spinach has wilted.
Remove the lid and stir in the sun-dried tomatoes, artichoke hearts, dried parsley, sea salt and black pepper. Continue cooking another 2 to 3 minutes until all ingredients are well-combined and the sauce is nice and thick.
Serve alongside your favorite entree, and enjoy! I recommend my Crispy Basil Baked Chicken or Gluten-Free Chicken Marsala.

Tips For Preparing This Recipe:
Be sure to measure your spaghetti squash noodles to ensure you have enough sauce – you can always add more coconut milk, garlic, sun-dried tomatoes, spinach or artichoke hearts depending on how much spaghetti squash you have.
If you’d like, you can chop the artichoke hearts to incorporate them into the spaghetti squash in smaller pieces, or you can leave them as is.
Recipe Adaptations:
- Add ½ cup chopped yellow onion and sauté until brown.
- Add capers and/or kalamata olives for even more briny flavor.
- Stir in ½ cup grated parmesan cheese or ⅓ cup feta cheese crumbles if you do dairy.
- Add 1 large chopped chicken breast and cook in the coconut milk with the garlic to make a meat lovers main entrée of this recipe.

If you enjoy this recipe, you may also want to try my Creamy Sun-Dried Tomato Spaghetti Squash with Chicken and Spinach which includes a boost of protein!
More Healthy Spaghetti Squash Recipes:
- Chicken Pesto Spaghetti Squash
- Spaghetti Squash Egg Nests
- Spaghetti Squash Bolognese
- Basil Chicken Spaghetti Squash with Broccoli
- Creamy Tahini Spaghetti Squash with Kale
- Roasted Garlic Kale Spaghetti Squash with Sun-Dried Tomatoes
- Mushroom Bolognese Spaghetti Squash Casserole
Take a little mental vacation to Tuscany!
My cookbook, Paleo Power Bowls, is now available! CLICK HERE to check it out. Thank you for your support!
If you make this recipe, please feel free to share a photo and tag me at @The.Roasted.Root on Instagram!
Creamy Vegan Tuscan Spaghetti Squash
Ingredients
- 1 medium spaghetti squash roasted, about 3 cups
- 3/4 cup full-fat canned coconut milk
- 2 cloves garlic minced
- 2 cups baby spinach
- 1/3 cup sun-dried tomatoes drained
- 1/2 cup artichoke hearts
- 1 tsp dried parsley
- 1/2 tsp sea salt to taste
- 1/4 tsp black pepper
Instructions
- Begin by roasting the spaghetti squash by following my instructions on How To Roast Spaghetti Squash or Instant Pot Spaghetti Squash.
- Once the spaghetti squash has finished roasting and is cool enough to handle, use a fork to release the spaghetti strands and place them in a large bowl (or large 4-cup measuring cup if you have one).
- Heat the coconut milk in a medium-sized skillet over medium-high heat until it comes to a full boil.
- Add the garlic and sauté, stirring occasionally until garlic is very fragrant, about 3 minutes.
- Add the spaghetti squash to the skillet and stir well. Add the baby spinach and cover. Cook until spinach has wilted.
- Remove the lid and stir in the sun-dried tomatoes, artichoke hearts, dried parsley, sea salt and black pepper. Continue cooking another 2 to 3 minutes until all ingredients are well-combined and the sauce is nice and thick.
- Serve alongside your favorite entrée, and enjoy! You can also add your favorite protein such as chicken breasts, rotisserie chicken, shrimp, or ground turkey to the meal.
Video
Nutrition

Sara
Saturday 18th of November 2023
Absolutely delicious. Thank you for sharing this recipe :)
Julia
Sunday 19th of November 2023
My pleasure! Happy you enjoy it, Sara!
Susan
Friday 6th of October 2023
How many people will this recipe feed?
Julia
Saturday 7th of October 2023
Hi Susan! If you're including a main entree, the recipe will feed 4. If you're using the recipe as the main entree and are not serving anything else to go with it, it should comfortably feed 2. :) Hope you enjoy!
Sara M
Monday 2nd of October 2023
Thank you for sharing your recipes, Julia! I made this with the addition of bacon, chicken and feta cheese. It’s so delicious!! Highly recommend!
Julia
Monday 2nd of October 2023
Ooh, that sounds like an incredible combination! I'm going to try the same thing! Thanks so much for sharing, Sara :)
Judith Darnold
Saturday 30th of September 2023
Can I use light coconut milk instead of full fat?
Julia
Saturday 30th of September 2023
Hi Judith! Light coconut milk will work too, it just won't taste quite as rich :) Hope you enjoy!
Layna
Tuesday 25th of July 2023
This is an amazing recipe!! I substituted cashew cream and red onions because I had those on hand it and tasted great! I'll definitely be coming back to this every time I have spaghetti squash. Thanks!
Julia
Wednesday 26th of July 2023
Yaay! I'm thrilled to hear it turned out so well for you, Layna! I love the idea of using cashew cream! xo