I know you’re excited about this keto spaghetti squash alfredo, because who doesn’t love alfredo?! It was one of my favorite meals as a kid, and thankfully, with this healthy chicken alfredo recipe, it’s still a family favorite! It’s got all of the classic flavors, but uses spaghetti squash as the keto noodles, a homemade alfredo sauce, and my trick for perfect baked chicken breast, so you can easily cut carbs and keep this recipe light. I’ve got no shortage of spaghetti squash recipes on my site – it’s one of my favorite keto vegetables! Try it as a pasta swap in spaghetti squash lasagna, a base for meaty recipes like stroganoff, or an equally delicious substitute for any recipe that uses zucchini noodles. This low carb spaghetti squash chicken alfredo was originally published on October 11, 2017, and the post was republished in October 2020 to add updated pictures and useful tips.

How To Make Spaghetti Squash Alfredo

Making a healthy chicken alfredo is really easy. I actually did it by combining three of my favorite low carb recipes! But don’t be intimidated. They are super easy, and you can make them in parallel:

Bake spaghetti squash. Get the instructions for how to roast spaghetti squash here – there are 2 options for the method, and a trick for making it faster!

Bake chicken breast. We’re using my juicy baked chicken breast recipe, but cutting the recipe in half and using Italian spices.

Make low carb alfredo sauce. The last step, this simple alfredo requires just 4 ingredients, and is super rich and creamy.

Assemble healthy chicken alfredo. Place strands of spaghetti squash into a large bowl and top with chicken pieces and the keto alfredo sauce. Season with salt and pepper to taste.

Is chicken alfredo healthy?

Regular chicken alfredo is not the healthiest option – a combination of high-carb pasta and high-fat alfredo sauce is not ideal. Once you swap the pasta for low carb spaghetti squash, it gets much better. So yes, this is a healthy chicken alfredo recipe! This meal is loaded with veggies and protein.

Can I make healthy chicken alfredo with spaghetti squash?

Absolutely! Chicken alfredo flavors work so well with the slightly sweet squash, give it a try.

Can I make healthy alfredo with zucchini noodles?

If you prefer zucchini to spaghetti squash, you can certainly make a batch of zucchini noodles and serve the sauce and chicken over those instead. It’s delicious either way. Or if it’s easier, simply follow my keto zoodles alfredo recipe.

Can I make it dairy-free?

Yes, you can swap out the heavy cream for coconut cream and skip the Parmesan, or use your favorite dairy-free Parmesan replacement.

How many carbs in spaghetti squash chicken alfredo?

Each serving of this spaghetti squash alfredo recipe has 9.1 grams net carbs – this is a good amount for a keto dinner. Compare that to a 2-ounce serving of regular fettucine, which has 35 grams net carbs!

Healthy Chicken Alfredo Storage Instructions

Can you make it ahead?

Yes, you can prep any or all of the components of this recipe ahead, which makes the assembly super simple.

Cook spaghetti squash. Bake chicken breasts. Make alfredo sauce.

When you’re ready to eat, reheat and toss everything together. It’s perfect if you want to make a chicken alfredo meal prep.

How to store spaghetti squash alfredo:

Store in the refrigerator for 3-5 days.

Can you freeze spaghetti squash with alfredo sauce?

Yes, you can actually freeze this dish. The sauce can change texture, so follow the reheating instructions.

How to reheat spaghetti squash with alfredo:

Reheat the spaghetti squash and chicken until warm in a hot skillet, stirring frequently. It’s especially important to stir if it was previously frozen, to prevent curdling. TIP: Be careful not to heat the sauce too much, or it can separate.

What To Serve With Keto Spaghetti Squash Alfredo

This dish could easily be a meal by itself. But if you want to add something, here are some ideas:

Rolls – Try breadstick and roll recipes, like keto breadsticks (find them in my Easy Keto Cookbook!) or fathead dinner rolls. Salads – These can be hearty like keto antipasto, or even just a simple green salad with Caesar dressing or Italian dressing. Sauteed Veggies – Simple veggies like sauteed broccoli, roasted broccolini, or sauteed zucchini.

More Keto Spaghetti Squash Recipes

If you like this spaghetti squash alfredo recipe, you might also like some of these other keto spaghetti squash recipes:

Buffalo Chicken Spaghetti Squash Casserole – Just 6 simple ingredients to make this hearty casserole that’s flavorful and healthy. Spaghetti Squash Pad Thai – This keto pad Thai is perfect for Thai cravings – loaded with flavor and no sugar. Lasagna Stuffed Spaghetti Squash – This healthy comfort food meal is easy and delicious. Keto Chicken Soup – All the classic flavors of chicken noodle soup, but with a healthy noodle upgrade of spaghetti squash.

Sheet Pan – For your baked spaghetti squash. Baking Dish – For your chicken breast. Saucepan – The perfect size for alfredo sauce.

Share your recipe picture by tagging @wholesomeyum and hashtag it #wholesomeyum on Instagram, or in our Facebook support group, too - I’d love to see it! Serving size: 1 cup