two white bowls with dish and two antique spoons

Creamy Zucchini Noodles with Sausage

  • Author: Carrie Forrest, MPH in Nutrition
  • Prep Time: 15 minutes
  • Cook Time: 10 minutes
  • Total Time: 25 minutes
  • Yield: 2 1x
  • Diet: Gluten Free


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.



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


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


Store any leftovers in a tightly-sealed container in the refrigerator for up to 4 days.

You can easily double or triple this recipe, just make sure you use an extra-large skillet.

  • Category: Main Dish
  • Method: Stovetop
  • Cuisine: American

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