This guilt-free Spaghetti Squash Pad Thai recipe that tastes so amazing, you’d almost swear it’s the real thing!
Guilt-Free Spaghetti Squash Pad Thai
Pad Thai might just be my favorite dish on the entire planet. In fact, when I was pregnant, it was one of the few things I could eat and keep down!
Though I generally avoid wheat, I’m a self-confessed rice and rice noodle addict. However, sometimes I cut back on all grains when I start to feel my jeans getting snug.
This Spaghetti Squash Pad Thai recipe is the perfect compromise, because it doesn’t taste like a compromise at all! Seriously, this stuff is out-of-this-word amazing!
Paleo & Keto Spaghetti Squash Pad Thai Modifications
Note: Our recipe is gluten-free (be sure to check the ingredients of the sauce you use just in case), and we’ve included simple substitutions to make it keto and/or paleo friendly as well.
Check out the “cooking tips” section for more details!
Spaghetti Squash Pad Thai Ingredients
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- Spaghetti squash
- Rotisserie chicken
- Coconut oil
- Yellow onion
- Eggs
- Pad thai sauce*
- Cashews
- Green onion
- Silicone baking mat
*We sometimes use a store-bought sauce to save time; see cooking tips below for a homemade paleo sauce recipe and keto Pad Thai recipe.
Watch this 1-minute recipe demo to see our Keto Pad Thai Recipe. Prep tips follow, as well as a free printable copy of full recipe amounts/ingredients & directions. Click here to jump to printable recipe.
Click video to play:
Cooking Tips
- To make a this recipe a Paleo Pad Thai, omit the cashews and try a Paleo Pad Thai sauce alternative like this one from Well Fed.
- Save money and make your own rotisserie style chicken.
- Cook your spaghetti squash in advance to save time.
- Use both halves of the spaghetti squash and double the other ingredients to serve 4-6.
How to Make Keto Pad Thai
Our original recipe for Spaghetti Squash Pad Thai contains about 19 grams of carbs per serving. This could still work on a maintenance phase of a low carb diet, however, it might be too many carbs for a keto diet.
My husband and I started eating keto in 2019 and love the results, so we made a few modifications to this recipe to make it keto-friendly.
Instead of store-bought sauce, whisk together the following ingredients for a Keto Pad Thai Sauce:
- 1 Tablespoon lime juice
- 1 Tablespoon lemon juice
- 2 cloves garlic, minced (1 1/2 teaspoons)
- 2 Tablespoons sugar free ketchup
- 1 Tablespoon chili paste
- 1 teaspoon Coconut Aminos
- 1 Tablespoon Natural Peanut Butter
- 2 Tablespoons Fish Sauce
- 1 teaspoon Rice Wine Vinegar
- 1 teaspoon Swerve (erythritol)
This low carb Pad Thai sauce recipe was inspired by our friends at Sizzle & Salt – click here to see their original recipe for Shrimp Pad Thai Zoodles. If you prefer zucchini noodles to spaghetti squash, this could be just the recipe for you!
Our Keto Pad Thai Sauce contains about 6 grams net carbs per serving, compared to the 10+ grams per serving in store-bought sauce.
More Keto Pad Thai modifications:
- Halving the amount of cashews in your pad thai will take out another 2 grams of carbs per serving.
- Using half an onion instead of a full onion will remove another 2 grams of carbs per serving.
With these modifications, this Keto Pad Thai recipe clocks in at around 10 grams net carbs per serving.
Make Cooking Fun (and Easy!)
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Grab a free printable copy of this healthy spaghetti squash pad thai recipe here:
If you like this recipe, rate it! We’d also love to hear your thoughts in the comments below.

A healthy Spaghetti Squash Pad Thai recipe that tastes so amazing, you'd almost swear it's the real thing! Gluten Free, Paleo, & Keto sauce options!
- 1/2 spaghetti squash (about 2 cups)
- 1 cup chopped rotisserie chicken
- 1 onion sliced
- 4 eggs
- 1/3 cup pad thai sauce
- 1/3 cup cashews chopped
- 1/4 cup green onion chopped
Preheat oven to 375°F. Cut spaghetti squash in half lengthwise and remove seeds. Place facedown on a silicone baking mat and bake for 45 minutes.
Once spaghetti squash is cool enough to handle, use a fork to remove from shell.
In a medium frying pan, brown onion. (Use your choice of cooking oil; we love coconut oil). Once onion slices are caramelized, add 4 eggs to pan and scramble. Remove eggs and onion from pan and set aside.
To the same pan you used to cook eggs and onion, add chopped chicken and stir to heat. This also allows the chicken to absorb some of the juices left in the pan.
Add spaghetti squash, Pad Thai sauce, eggs, onions and toss to coat evenly. Remove from heat and garnish with green onion and chopped cashews.
Recipe Video
Note: Nutrition information is an estimate only; actual values will vary based on the exact ingredients used and amount of recipe prepared. For example, if you use the paleo sauce substitution, your carb and sugar values will be lower.
Nutrition facts are for our original spaghetti squash Pad Thai recipe. Modifications to make Paleo and Keto Pad Thai are listed in the post.
More of our favorite healthy spaghetti squash recipes:
We love using spaghetti squash as an ingredient substitute in gluten free cooking! It is extremely mild on its own, and absorbs all the flavors of the recipe in which you use it.
Gluten Free Crab Cakes made with Spaghetti Squash
Italian Roasted Spaghetti Squash with Sausage & Kale
And be sure to check out our original Authentic Pad Thai Recipe (one of our most popular dishes ever!)
**See a full list of recipes on the Soccer Mom Blog here**
Make Cooking Fun (and Easy!)
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Stacey aka the Soccer Mom
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Last updated on July 24th, 2019 at 05:16 pm
Ashlee @ The Normal Mom's Guide says
April 19, 2017 at 9:08 pmThis looks seriously delicious! We just tried spaghetti squash for the first time a few weeks ago and now I’m thinking we will definitely have to try this.
Stacey aka the Soccer Mom says
April 20, 2017 at 1:00 amThis totally hit the spot and satisfied my noodle cravings! It’s a keeper in our menu rotation 🙂 Hope you love it too!
sarah says
June 6, 2018 at 3:22 pmthis isnt paleo. the pad thai sauce contains sugar.
Stacey aka the Soccer Mom says
June 6, 2018 at 5:40 pmHi Sarah, the recipe offers a paleo-friendly sauce option too in the ingredients list.