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Creole Ragu with Shrimp and Sausage – Paleo Style

Big taste but few ingredients from this "Big Easy" inspired meal. Bring the taste of New Orleans to your dinner table with Paleo Creole Ragu with Shrimp and Sausage.

December 3, 2021

Creole Ragu on a white plate

Bring the Taste of New Orleans

New Orleans is a great place to enjoy the culture and fare. You can celebrate the city’s unique flavors at your dinner table with this recipe. This veggie-forward version of a classic Big Easy dish – Paleo Creole Ragu with Shrimp and Sausage- has a new twist: serving it over spaghetti squash rather than rice. 

More Reasons to Love Paleo Creole Ragu

Notes on Ingredients and Variations

  • Pescatarian or Lenten Meal – omit the sausage
  • Make it a budget meal – reduce the shrimp and add a can of red beans
  • Nitrate-free and low-sodium turkey sausage is a great choice
  • Green Pepper – replace with any preferred color – red, orange, yellow
  • Creole seasoning – look for low salt or no salt added seasoning mix
  • Frozen or fresh shrimp can be used. Frozen raw (uncooked) shrimp is a great option. Look for wild-caught American shrimp. It will come from the coastal regions: NC, SC, GA, FL, and LA. If you cannot find an affordable price for wild-caught American shrimp, look for sustainable farm-raised.
  • Spaghetti squash is such a flavorful and fun vegetable. I seek out recipes and grow them in my garden. Kids love to help scrape the strands but ensure they are cool enough to handle. 

Equipment Needed

This simple recipe does not require much equipment, but it needs a Dutch oven or stockpot and a sharp and sturdy chef knife to cut the spaghetti squash.

Creole Ragu with Sausage and Shrimp over Spaghetti Squash
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Creole Ragu on a white plate

Creole Ragu with Shrimp and Sausage – Paleo Style

5 Stars 4 Stars 3 Stars 2 Stars 1 Star 5 from 2 reviews
  • Author: Karen
  • Prep Time: 20
  • Cook Time: 20
  • Total Time: 40 minutes
  • Yield: 5 1x
  • Category: Seafood and Turkey
  • Method: Stovetop and microwave
  • Cuisine: Creole
  • Diet: Gluten Free


Big taste but few ingredients in this Paleo Creole Ragu with Shrimp and Sausage recipe. The classic Creole sauce has a new twist by placing it over spaghetti squash, making it a gluten-free, low-carb, one-pot meal that freezes well.


Units Scale

Creole Sauce

  • 14-oz pkg. nitrate-free, low sodium and gluten-free smoked turkey sausage, cut into 1/2-inch pieces*
  • 2 Tablespoons avocado oil or olive oil
  • 1 onion, chopped
  • 1 green bell pepper, chopped
  • 4 cloves garlic, minced
  • 11/2 Tablespoons No Salt Creole Seasoning
  • 1 Tablespoon chopped fresh thyme or 1 tsp dried
  • 11/2 lb. peeled and deveined medium-large shrimp, fresh or frozen**
  • 14 oz can fire-roasted diced tomatoes, no salt

Spaghetti Squash

  • 2 spaghetti squash
  • 1 Tablespoon extra-virgin olive oil
  • 1 Tablespoon balsamic vinegar
  • 2 Tablespoons chopped fresh thyme or 1 tsp dried
  • 1/2 teaspoon garlic powder
  • 1/2 teaspoon pepper


  1. Microwave Spaghetti Squash: Prick the spaghetti squash with a sharp knife in 10-12 places around the perimeter. Microwave on high for 9 minutes to soften the squash. This makes it easier to cut. Slice both squashes in half lengthwise, and be careful of the steam. Remove and discard the seeds. Place squash cut side down in a microwave-safe dish with 2 tablespoons of water. Cook on high for an additional 9 minutes or until tender. Let stand for 10 minutes to cool.
  2. Cook Ragu: Start the ragu while the squash is cooking and cooling. Cook sausage in hot oil over medium heat for 5 minutes or until browned.
  3. Add onion, bell pepper, garlic, seasoning, and thyme; cook for 8 minutes, stirring often.
  4. Mix tomatoes and shrimp. Cook for 5 minutes or until the shrimp turns pink.
  5. Prepare Cooled Squash: Remove strands from squash with a fork and place in a serving bowl. Toss with olive oil, vinegar, thyme, garlic salt, and pepper.
  6. Serve: Place spaghetti squash on dinner plates and top with Creole Ragu.


* omit for pescatarian diet; read the label for gluten-free if following a Celiac diet

**  follow pkg direction to thaw frozen shrimp; for budget meal, reduce shrimp to 1/2 pound and add 1 can red beans, drained

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Karen the Supper Sanity Home Chef

Welcome to Supper Sanity

Hello, I’m Karen, a very passionate meal planner. As a mother of three, I have been planning family menus for years. When I was diagnosed with a digestive condition, I found it necessary to follow an eating regime that eliminated many ingredients. That made meal planning a health necessity. I’ve learned a lot and want to share my resources to simplify meal planning, shop efficiently and cook affordable homemade meals. If you wish to try new recipes, plan healthier meals, and enjoy a great dinner with your friends and family, Supper Sanity can help.

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