Preheat the oven to 400°F (200°C) with an oven rack in the center.
Cut the spaghetti squash in half lengthwise, scoop out the seeds, and place it cut-side down on a baking sheet. Roast for 30-40 minutes until tender.
Allow the squash to cool slightly, then scrape out the strands into a large bowl.
Lower the oven temperature to 350°F (175°C). Heat olive oil in a large skillet over medium-high heat. Add ground turkey, diced onion, and bell pepper. Season with salt and pepper. Cook for about 8 minutes until the turkey is browned and vegetables are tender.
Stir in diced tomatoes, minced garlic, Italian seasoning, and crushed red pepper flakes. Cook until most liquid evaporates, about 4 minutes.
Add the spaghetti squash strands to the skillet and mix thoroughly. Incorporate 1/2 cup of the grated cheese.
Lightly spray a baking dish with nonstick spray and spread the squash mixture evenly into it. Bake uncovered for 20 minutes.
Remove from the oven and sprinkle remaining cheese on top. Return to the oven and bake until melted and bubbly, about 5-10 minutes.
For a golden finish, broil for a few minutes, watching closely.
Garnish with fresh parsley or basil and let rest for 5 minutes before serving.
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Notes
Store leftovers in an airtight container in the refrigerator for up to 3-5 days.