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Slow Cooker Cheesy Spaghetti with Homemade Sausage

by Skinny Ms.

Slow Cooker Cheesy Spaghetti with Turkey Sausage

Made with 100% clean ingredients, our twist on classic spaghetti combines spicy homemade turkey sausage with whole wheat pasta and zesty sauce. Perfect for a cool fall or winter evening, this yummy recipe will leave your taste buds craving seconds, without the guilt!

Serve Cheesy Spaghetti with Turkey Sausage with one of our fresh salad recipes, like:
Garden Salad with Lemon and Oil Dressing
Green Bean and Zucchini Salad
Warm Cauliflower Salad

Slow Cooker Cheesy Spaghetti with Turkey Sausage

Slow Cooker Cheesy Spaghetti with Turkey Sausage

Data using turkey sausage: Yields: 8 servings | Serving size: 1-1/4 cup | Calories: 372 | Previous Points: 8 | Points Plus: 9 | Total Fat: 13 g | Saturated Fat: 6 g | Cholesterol: 72 mg | Sodium: 175 mg | Carbohydrates: 38 g | Sugars: 9 g | Fiber: 6 g | Protein: 25 g

Data without turkey sausage: Yields: 8 servings | Serving Size: 1 cup | Calories: 289 | Previous Points: 6 | Points Plus: 7 | Total Fat: 9 g | Saturated Fat: 4 g | Trans Fat: 0 | Cholesterol: 23 mg | Sodium: 142 mg | Carbohydrates: 38 g | Fiber: 6 g | Sugars: 9 g | Protein: 15 g


  • 1 lb lean ground turkey sausage (see recipe below)
  • 1 (24 ounce) jar spaghetti sauce (no sugar added)
  • 8 ounces (uncooked) 100% whole wheat spaghetti, about 2/3 of a 13.25 oz box, break into small pieces before adding to meat mixture
  • 1 cup low fat cottage cheese
  • 1 cup skim mozzarella cheese, shredded
  • 1 cup low-fat ricotta cheese
  • 1 teaspoon dried oregano
  • 1 tablespoon chopped (fresh) basil or 1 teaspoon dried basil
  • Kosher or sea Salt to taste
  • 1/2 tsp ground black pepper
  • Ingredients to Make Turkey Sausage
  • 1 lb lean ground turkey or chicken
  • 1/2 tsp garlic powder
  • 1/2 tsp freshly ground black pepper
  • 1 tsp dried sage
  • 1/4 tsp cayenne pepper
  • 1 tsp dried oregano


Add all the sausage ingredients a large mixing bowl and mix thoroughly. Cook ground turkey sausage in a large skillet over medium heat, breaking into small pieces while cooking. Ensure the turkey loses its pink color before removing from heat. Drain, discard any fat and set aside. Combine meat with marinara.

In a medium bowl combine cooked turkey sausage with the remaining ingredients, add to slow cooker. Cover and cook on low 2 hours until cheese is bubbly. Add spaghetti and 3/4 cup of water, stir thoroughly and cook for an additional hour until the spaghetti is cooked through.

Serve and sprinkle with parmesan if desired.

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61 Responses to Slow Cooker Cheesy Spaghetti with Homemade Sausage

  • Linsey Ralston says:

    how many servings does this make?

  • Skinny Ms. says:

    Linsey, It makes about six.

  • Jolene says:

    This sounds yummy – it will be on our menu this week!

  • Amy Jenkins says:

    Making this tonight!

  • Marla G says:

    My entire family loved this, which is a rarity! Great recipe!

  • I have made this recipe multiple times and it was a huge success. My kids and their friends could not get enough and it has become our family's favourite slow cooker meal. It has all the feel of that comfort food you crave in the colder months but still manages to give me the right amount of carbs and protein I need for my workouts. The recipe is also easily converted to gluten free. Love that added bonus! And really, who doesn't love cheese??! Yum!

  • Nicole says:

    Hi Macy! From my experience with WW, if you only had ONE cup of the pasta then it shouldn't be any where near 15 points. Hope that helps!

  • Merideth says:

    This looks great but turkey sausage is an actual different meat as opposed to ground turky with spices added.

    • Skinny Ms. says:

      Merideth, Not sure what your point is? We make, what we call, turkey sausage with ground turkey and spices.

      • Donna H says:

        I totally agree Skinny Ms. Store bought turkey sausage has tons of nitrates in it and much more fat. I appreciate the fact that you could give me a great, low fat, alternative!!!

      • guest says:

        The point is that people who are trying to make this recipe will be confused as to whether they should buy ground turkey or turkey sausage as the meat ingredient.

        • SkinnyMs says:

          Guest, I changed the title to Slow Cooker Cheesy Spaghetti with Homemade Sausage so that should help. Also, in the ingredients, I changed the wording to "To Make Turkey Sausage."

  • SusieQ says:

    Another one of my favorites. Turned out perfectly. Even my picky nephew liked it and he hates spaghetti with red sauce. Next time I'll make a double batch of the turkey sausage. I bet it would taste amazing in some scrambled egg whites for breakfast too!

  • Jane says:

    Could someone help me with the putting together instructions. Do you just mix everything together? I found it hard to mix in the small pieces of spaghetti, but maybe that is the way it is. Thanks

  • Donna H says:

    I plan to make this recipe this next week to see if my dinner group would like it!! Thank you so much for such a nutritious meal alternative with pasta. I was wondering if I used brown rice pasta, how much difference the caloric value would be. I have started using lost of brown rice pasta because it cooks so well and is such a healthy alternative…. but I still like 100% whole wheat pasta also!!! Thank you so much for so many healthy alternatives to "regular" meals!!!

  • Skinny Ms. says:

    Stephanie, So sorry to hear that. This is a popular recipe on the site. :(

    • Traci A. says:

      Same thing happened to me. I made it in the morning and did not cook until the afternoon. Is that why is turned to mush. Spaghetti seemed to already be tender by just sitting with the other ingredients. Should it be cooked as soon as it is all mixed together?

      • SkinnyMs says:

        Traci A., Another method for more al dente pasta is to add the spaghetti for the last hour of cooktime. If the sauce looks thick add 1/2 to 3/4 cup of water along with your noodles and stir so that all of the noodles are submerged. I am going to make a note about this method on the recipe shortly. Thanks so much for letting us know:).

        • Becky says:

          Also got the mush :( No discernible noodles after cooking and very glue-ey. Not sure what happened, but I'm sure it was on my end based on all the other reviews, will try again without adding noodles until the end

          • SkinnyMs says:

            Becky, We're sorry about that. Some readers raved about the recipe as is, but due to many complaints of the noodles too mushy, we are changing the recipe to only add the noodles an hour prior to the end. Thanks for your feedback. It is valued:).

          • Becky says:

            I'm sure it was my fault (or my crockpot's goofy temperature)since it worked out for so many people. Really love your site and have had success with all other recipes I've tried! Will definitely be trying this one again. Thanks so much!

          • SkinnyMs says:

            Becky, That's great! You're welcome. A lot of people have commented about the pasta overcooking. I'll test it again but I definitely thing adding it the end will be the best method. You should try our Skinny Slow Cooker Lasagna- the noodles don't get too soft at all in that one. It turns out excellent;).

        • Traci A. says:

          Thanks so much for the suggestions. Loved the taste, just not how it all ended up mushed together. I will try this way next time since my family loves all things italian.

  • Heather says:

    Can you use quinoa pasta? Any thoughts on that? Or would it work to just leave out the pasta and cook only the sauce & turkey sausage. I could just make the quinoa pasta separately to be sure it didn't turn to mush.

  • Danielle says:

    Do you think I could cook the sausage ingredients, cool, then freeze with the other ingredients (except the pasta) to throw in the slow cooker at another time? I run night shift with EMS, and am looking for new options to leave for the babysitter. She can boil pasta (we use quinoa pasta, and I saw another comment about keeping it separate so as not to turn to mush), and then just serve the sauce over top. Thanks for the yummy, healthy recipes!

  • Karen says:

    Due to bad planning I made a couple changes. I forgot the ricotta, so doubled the cottage cheese. I didn't have time for the crockpot, so just did it stove top. I cooked the pasta separately, mixed it in at the end, and let it warm for a few minutes. It was WONDERFUL! I'll definitely be making this again. Thanks!

  • Jaynee says:

    Ever try this with spaghetti squash?

  • yuare7 says:

    I have store bought veggie noodles which look like regular noodles but are made with corn squash zucchini and other veggies I think… do you think they would do good in this recipe

  • Bdud09 says:

    If I double the recipe, how long should I cook it in the crock pot??

  • Lynn says:

    This sounds so yummy. I saw a post about the ww points, I worked it out and it is 7, not sure what they were figuring. I love the fact that I can toss this in the crockpot and 2-3 hours later it's done, without heating up my kitchen (I live in Georgia, so we are always looking for good crockpot recipes). Also, thanks for the turkey sausage recipe, no nitrates or other icky stuff!! I am definately signing up for your emails, I found this on pinterest!

  • Skinny Ms. says:

    Christi, How did it turn out? There should have been enough liquid with the marinara sauce + cheese.

  • Christine says:

    Has anyone tried this with Rice Pasta? Did it turn out alright, or mushy?

  • H Reyn says:

    Donna, my crock pot seems to cook at way too high a heat. Sometimes I cook a meal on the "keep warm" setting and it turns out perfect. I have to adjust and watch my pot :( Thinking about writing the company and also getting a new crock pot!

  • Shelli says:

    It says serving size 1 cup without sausage but what about if you are using sausage? Still a 1-cup serving size?

  • SkinnyMs says:

    Wait and give it the 3 hours.

  • Marianne says:

    I ask again. Where can you purchase sugar free spaghetti sauce?

    • SkinnyMs says:

      Marianne, Classico Basil and Tomato has no sugar added, and many of the Newman's Own sauces do not have sugar as well. Hunt's also has a no sugar tomato sauce. I think the grocery store Whole Foods may carry their own brand of sugar free sauce, and Costco has a brand called Moms:)

  • Johlene says:

    same happened to me! It had a great flavor so I am going to try it again and just make the noodles by itself!

  • Shannon says:

    Wholesome Goodness pasta sauces have no sugar added as well.

  • Alicyn Falanga says:

    Rao's Arrabbiata's sauce would probably be really delicious in this recipe. Only 4 grams of sugar per serving.

  • Becky says:

    I wanted to know if there are any different cooking times/guides for making this meatless?

  • Colleen says:

    I couldn't figure out how to do this on a work night with no crock pot timer. I have done everything up until the last hour and now I will put in refrig til after work tomorrow, add the spaghetti and water; crossing my fingers!

    • SkinnyMs says:

      Colleen, That should work. Let us know how it turns out.

      • Colleen says:

        It was awful! I don't know what I did wrong but all of the textures were weird. Not the flavoring at all…and the turkey sausage was spot on. :( I have loved may other recipes from this site, but not a fan of how I did this! Live and learn

        • SkinnyMs says:

          Colleen, We are actually changing the recipe now to cook the pasta separately (not in the slow cooker) and then combine it with the sauce after it is cooked. That should fix it.

  • Dave & Amy says:

    I know this post is very old, but I'm with you. I just made this using Brookshire brand (Super 1 foods) stuff and the sauce with turkey sausage alone was 10-11 points per cup, without pasta. Not sure where the 7 came from. We made it with Zucchini Spaghetti (0 points) and it was delicious, but a much higher point value that expected.

  • Kathleen says:

    I've made this many times now and my family loves it. I used to put everything in the crockpot including the spaghetti but now I see I was supposed to add it a little later. Still turns out great though.

    • SkinnyMs says:

      Kathleen, You can add the spaghetti in the beginning. Some readers have said they would prefer a more al dente spaghetti so we modified the recipe to add it at the end.

  • Jill says:

    So you add the pasta UNCOOKED? Making this tonight and want to make sure! Thanks!

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