
This paleo stuffed acorn squash recipe is a delightful fall dinner that marries sweet and savory flavors in every bite. The tender roasted squash becomes an edible bowl for a hearty filling of sausage, apple, and spinach accented with warm spices. I created this dish after my first farmers market haul of autumn, and now it's my go-to recipe whenever acorn squash is in season.
I first made this recipe when trying to find creative ways to use seasonal produce. The combination of flavors reminds me of fall festivals and cozy dinners, making it a regular in my meal rotation during cooler months.
Ingredients
- 2 acorn squash: provides the perfect edible vessel with its sweet flesh that becomes tender when roasted
- 1 tbsp olive oil: for roasting the squash helps create caramelization and prevent sticking
- ½ pound ground sausage: adds protein and savory flavor use high quality pork sausage without fillers for best flavor
- 1 tbsp olive oil: for sautéing the filling ingredients ensures nothing sticks to the pan
- ¼ cup diced onion: creates an aromatic base for the filling choose sweet onions for milder flavor
- 1 large apple diced: brings natural sweetness and pleasant texture contrast Honeycrisp works exceptionally well
- 1 tsp garlic powder: offers convenience and even garlic flavor throughout the filling
- 1 tsp oregano: adds an earthy herbal note that complements the meat beautifully
- 1 tsp onion powder: enhances the savory elements without adding more texture
- Pinch nutmeg: optional but highly recommended for its warm autumnal notes
- 2 cups chopped spinach: incorporates nutrients and color use fresh baby spinach for best results
Step-by-Step Instructions
- Preparing the Squash:
- Preheat your oven to 400°F and line a baking sheet with parchment paper. Carefully slice off the stem and about a quarter inch from the bottom of each squash to create stable bases. This little prep trick ensures your stuffed squash sits upright on plates without rolling. Slice squash through the middle and thoroughly scoop out all seeds and stringy bits with a spoon.
- Roasting the Squash:
- Brush the interior flesh and edges of each squash half with olive oil, ensuring complete coverage to prevent drying. Place the halves cut side down on your parchment lined baking sheet. This position allows the edges to caramelize slightly while the flesh becomes perfectly tender. Roast for a full 30 minutes or until you can easily pierce the flesh with a fork.
- Creating the Filling:
- While the squash roasts, cook the ground sausage in a large skillet over medium low heat. Break it into small crumbles as it browns, cooking for about 5 minutes until no pink remains. Pour off excess fat to keep the filling from becoming greasy. Add the olive oil, diced onion, apple chunks, and all seasonings to the same skillet with the meat. Reduce heat to low and cook for 10 minutes, stirring occasionally. This slow cooking allows the apples to soften and release their sweet juices while the onions become translucent and fragrant.
- Adding the Greens:
- Introduce the chopped spinach to the skillet mixture when everything else is cooked through. It only needs 1 to 2 minutes to wilt completely into the filling. The residual heat from the pan will continue cooking the spinach even after you turn off the heat, so remove the skillet from the burner once the spinach begins to wilt.
- Assembly:
- When your squash halves are fork tender, remove them from the oven and carefully flip them over to create bowls. Fill each cavity generously with the sausage mixture, allowing it to mound slightly. The filling should be warm and the squash hot, ready to serve immediately.

My favorite part of this recipe is the contrast between the sweet squash and the savory filling. I discovered that adding a pinch of nutmeg elevates the entire dish, bringing warmth that ties everything together. When my family smells this cooking, they know autumn has officially arrived in our kitchen.
Make Ahead Options
This recipe works wonderfully for meal prep purposes. You can roast the squash and prepare the filling up to two days in advance, storing them separately in airtight containers. When ready to serve, simply reheat the squash in a 350°F oven for about 15 minutes while warming the filling in a skillet. Then assemble as directed. The separate components actually allow the flavors to develop further, making this an even more flavorful dinner option.
Variations to Try
While this recipe is perfect as written, there are countless ways to adapt it to your preferences. For a nutty crunch, add a quarter cup of chopped pecans or walnuts to the filling during the last minute of cooking. If you eat dairy, crumbled goat cheese or feta sprinkled on top just before serving adds creamy tanginess. For spice lovers, adding a half teaspoon of red pepper flakes with the other seasonings brings a pleasant heat that contrasts wonderfully with the sweet elements.

Serving Suggestions
Serve these stuffed squash halves as a complete meal on their own or alongside a simple green salad dressed with apple cider vinaigrette. For special occasions, I like to drizzle a little coconut cream or balsamic reduction over the top for extra richness. This makes an impressive centerpiece for holiday gatherings as well, especially when arranged on a large platter surrounded by fresh herbs like sage or thyme.
Storage and Reheating
Leftover stuffed acorn squash will keep well in the refrigerator for up to three days. For best results, store the squash shells and filling separately in airtight containers. This prevents the squash from becoming soggy. When reheating, place the squash in a 350°F oven for about 10 minutes while warming the filling in a skillet or microwave. Then reassemble and enjoy a meal that tastes almost as good as when freshly made.
Recipe FAQs
- → Can I use a different meat instead of sausage?
Yes! Ground turkey or even plant-based crumbles work well as a substitution.
- → What type of apple is best for this dish?
Any apple works, but Honeycrisp is recommended for its sweetness and crisp texture.
- → How can I ensure the squash roasts evenly?
Cut the squash evenly and brush olive oil inside to ensure even roasting. Roast until fork tender.
- → Can I make this dish ahead of time?
Yes, roast the squash and prepare the filling separately. Assemble just before serving.
- → How do I store leftovers?
Store the squash and stuffing separately in airtight containers in the fridge for up to 3 days.