Paleo Spaghetti Squash with Bison Meatballs
Hello Paleo enthusiasts! Craving spaghetti and meatballs but want to stay true to your Paleo lifestyle? Meet your new go-to recipe: Paleo Spaghetti Squash with Bison Meatballs—a dinner delight that’s both healthy and satisfying.
Why This Recipe is Perfect for Paleo Followers

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Get the free cookbook →Sticking to Paleo can sometimes feel like a treasure hunt for recipes that fit the bill. Luckily, this dish combines wholesome, Paleo-approved ingredients to deliver big flavor without compromise.
Spaghetti Squash: The Perfect Paleo Pasta Alternative
Say goodbye to traditional pasta and embrace spaghetti squash—nature’s low-carb, nutrient-rich substitute. When cooked, this unique vegetable transforms into delicate strands, making it an ideal Paleo-friendly pasta replacement.
Bison Meatballs: Lean, Nutritious, and Flavorful
Bison is a standout protein choice for Paleo diets. Leaner than beef and rich in iron and omega-3 fatty acids, bison lends a distinct, savory taste that elevates these meatballs to a new level.
Ingredients You’ll Need

- 1 medium spaghetti squash: a delicious, low-carb pasta alternative
- 1 lb ground bison: lean, protein-packed meatball base
- 1 egg: binds the meatballs perfectly
- 1/2 cup almond flour: keeps it grain-free and Paleo-approved
- 3 cloves garlic, minced: adds aromatic depth
- 1/4 cup fresh parsley, chopped: for freshness and color
- 1 tsp sea salt and 1/2 tsp black pepper: essential seasonings
- 1 tsp dried oregano and 1 tsp onion powder: for that classic Italian flavor
- 2 cups no-sugar-added tomato sauce: quality matters!
- 2 tbsp olive oil: healthy fats for cooking
- Fresh basil leaves: garnish with flair
How to Make This Paleo Dinner Delight
Prepare the Spaghetti Squash
- Preheat oven to 400°F (200°C). Slice the squash lengthwise, remove seeds, drizzle with olive oil, and season with salt and pepper. Place cut-side down on a baking sheet and roast for 30-45 minutes until tender.
- Once cooled, use a fork to shred the flesh into spaghetti-like strands.
Make the Bison Meatballs
- In a large bowl, combine ground bison, egg, almond flour, garlic, parsley, salt, pepper, oregano, and onion powder. Mix gently to keep meatballs tender.
- Roll into 1-inch meatballs.
- Heat olive oil in a skillet over medium heat and brown meatballs on all sides, about 8-10 minutes, until cooked through.
Bring It All Together
- In the same skillet, simmer the tomato sauce for 5 minutes.
- Add meatballs back into the sauce and let them soak up the flavors for another 5-10 minutes.
- Serve the bison meatballs atop the spaghetti squash strands, garnished with fresh basil leaves.
Tips for Paleo Success
- Prepare the squash and meatballs ahead to simplify dinner time—reheat gently in the sauce.
- Choose a tomato sauce free from added sugars and preservatives for optimal Paleo compliance.
- Double the recipe for tasty leftovers that only get better the next day.
Serving Suggestions
Enjoy this dish on its own or alongside lightly sautéed greens like spinach or kale with garlic and olive oil for a well-rounded, Paleo-approved meal.
Get ready to indulge in a wholesome, delicious Paleo spaghetti squash and bison meatballs experience!
Paleo Spaghetti Squash with Bison Meatballs
Indulge in a wholesome, delicious Paleo spaghetti squash and bison meatballs experience!
Prep: 15 min
Cook: 45 min
Total: 60 min
Serves: 4
Ingredients
- 1 medium spaghetti squash (a delicious, low-carb pasta alternative)
- 1 lb ground bison (lean, protein-packed meatball base)
- 1 egg (binds the meatballs perfectly)
- 1/2 cup almond flour (keeps it grain-free and Paleo-approved)
- 3 cloves garlic (minced, adds aromatic depth)
- 1/4 cup fresh parsley (chopped for freshness and color)
- 1 tsp sea salt (essential seasoning)
- 1/2 tsp black pepper (essential seasoning)
- 1 tsp dried oregano (for that classic Italian flavor)
- 1 tsp onion powder (for that classic Italian flavor)
- 2 cups no-sugar-added tomato sauce (quality matters!)
- 2 tbsp olive oil (healthy fats for cooking)
- to taste fresh basil leaves (garnish with flair)
Instructions
- Preheat oven to 400°F (200°C). Slice the squash lengthwise, remove seeds, drizzle with olive oil, and season with salt and pepper. Place cut-side down on a baking sheet and roast for 30-45 minutes until tender.
- Once cooled, use a fork to shred the flesh into spaghetti-like strands.
- In a large bowl, combine ground bison, egg, almond flour, garlic, parsley, salt, pepper, oregano, and onion powder. Mix gently to keep meatballs tender.
- Roll into 1-inch meatballs.
- Heat olive oil in a skillet over medium heat and brown meatballs on all sides, about 8-10 minutes, until cooked through.
- In the same skillet, simmer the tomato sauce for 5 minutes.
- Add meatballs back into the sauce and let them soak up the flavors for another 5-10 minutes.
- Serve the bison meatballs atop the spaghetti squash strands, garnished with fresh basil leaves.
Nutrition per serving
450 cal
20g net carbs
30g fat
35g protein
600mg sodium
Prepare the squash and meatballs ahead to simplify dinner time—reheat gently in the sauce.Choose a tomato sauce free from added sugars and preservatives for optimal Paleo compliance.Double the recipe for tasty leftovers that only get better the next day.
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