This recipe for Creamy Zucchini Noodles with Sausage is so simple, yet totally delicious. This 30-minute paleo, Whole30, and keto recipe uses tahini for a dairy-free sauce.

two bowls of zoodles with sausage.

If you’re watching your carb intake or you’re on a carb-restricted diet like keto, then you’re going to love this recipe!

Recipe Highlights

  • This is a 25-minute meal that is perfect for busy days.
  • You can easily double or triple the recipe for families. 
  • Zucchini noodles are a great substitute for regular pasta, making this dish gluten-free, grain-free, and healthy.
  • This Whole30 recipe is also dairy-free since it uses tahini for creaminess.

If you don’t have a spiralizer yet, there’s really no better time than now to get one. I’ve had a few spiralizers over the years, and this one is my favorite. It’s easy to use, easy to clean, and doesn’t take up a lot of space in the cabinet.

paderno spializer making zucchini noodles

Recipe Steps

Step One

Once you have your zoodles made, the rest of this recipe is a cinch to make. Slice your sausages and add them to a large skillet. Sauté them for just a few minutes.

ingredients for zucchini noodles with sausage recipe

Step Two

Add the noodles and cook for an additional 4 minutes. You’ll be shocked by how much the noodles cook down. 

zoodles in skillet with sausage

Step Three 

Stir in the tahini sauce and water and serve your creamy zucchini noodles dish hot.

bowl of zoodles with sausage and tahini sauce

Recipe Tips

  • Make sure you read the labels on your sausage package to make sure it  is gluten-free. If you are watching your sugar intake, look for a brand that says it is “Whole30 approved.”
  • Don’t be surprised if it looks like there will be too many noodles; zucchini noodles cook down a lot.
  • Feel free to double or even triple this recipe. Just be sure to use a very large skillet so everything fits!

Other Healthy Whole30 Meals You Might Like

bowl of zoodles and sausage ready to eat

I hope you make this recipe! If you do, please leave a comment and a starred review below.

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two bowls with zucchini noodles with sausage

Creamy Zucchini Noodles with Sausage

This recipe for Creamy Zucchini Noodles with Sausage is so simple, yet totally delicious. This paleo and keto recipe uses tahini for a dairy-free sauce.

  • Total Time: 25 minutes
  • Yield: 2 1x


  • 2 cooked sausages, sliced
  • 1 large zucchini or 2 medium zucchini, spiralized
  • 2 green onions, sliced
  • 2 tablespoons tahini
  • 2 tablespoons filtered water


  1. Heat a large non-stick skillet over medium heat.
  2. Add the sausages and cook for 1-2 minutes, stirring occasionally.
  3. Add the spiralized zucchini noodles and stir to combine.
  4. Cover the skillet and cook for another 4 minutes or until the noodles have softened.
  5. Stir in the tahini and water and stir to combine.
  6. Serve hot.


  1. Store any leftovers in a tightly-sealed container in the refrigerator for up to 4 days.
  2. You can easily double or triple this recipe, just make sure you use an extra-large skillet.

Keywords: zucchini noodles cooked with sausage, keto zoodles, paleo zoodles

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