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Healthy Baked Ziti with Turkey Sausage Recipe

If you’re looking for a comforting, crowd-pleasing dinner that’s a little lighter but still packed with flavor, you’re going to adore this Healthy Baked Ziti with Turkey Sausage Recipe. It’s everything you want in a baked pasta dish—creamy, hearty, and full of veggies—without feeling heavy or overindulgent. I absolutely love how this turns out every time, and I’m excited to walk you through it step-by-step so you can nail it in your kitchen too!

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Why You’ll Love This Recipe

  • Balanced and Nutritious: Using turkey sausage and plenty of veggies keeps this baked ziti wholesome without sacrificing flavor.
  • Super Easy to Make: I love how quick the prep is, and it’s a one-dish meal that bakes itself in the oven.
  • Kid-Friendly Comfort Food: My family goes crazy for this—especially when I toss in spinach that even picky eaters don’t notice!
  • Perfect Make-Ahead Option: You can prepare it in advance and just bake when you’re ready, saving you time on busy nights.

Ingredients You’ll Need

The ingredients in this Healthy Baked Ziti with Turkey Sausage Recipe come together to create a rich, creamy sauce with just the right blend of spices and veggies. Grab fresh produce and quality sauces for the best results—trust me, they make a big difference here.

Healthy Baked Ziti with Turkey Sausage Recipe - Ingredients
  • Ziti noodles: Classic tubular pasta that holds sauce beautifully and bakes up soft yet firm.
  • Olive oil: Adds a subtle richness and helps brown the turkey sausage evenly.
  • Ground turkey sausage: A leaner alternative to pork sausage that still delivers great savory flavor.
  • Yellow onion: Brings sweetness and depth when sautéed.
  • Zucchini: Adds a fresh, mild crunch and sneaks in extra veggies unnoticed.
  • Baby bella mushrooms: Lend an earthy, meaty texture that pairs so nicely with sausage.
  • Garlic: A must-have flavor booster that wakes up the whole dish.
  • Italian seasoning: This blend brings savory herbal notes that tie everything together.
  • Red pepper flakes (optional): Adds just a hint of heat—totally up to your spice preference.
  • Salt and black pepper: Essential for seasoning and balancing flavors.
  • Marinara sauce: Use a quality brand like Rao’s for an authentic, rich tomato base.
  • Vodka sauce: The creamy tomato and subtle tanginess of vodka sauce blends perfectly here.
  • Baby spinach leaves: Wilts down into the sauce, adding color and nutrients without overwhelming the taste.
  • Cottage cheese (or ricotta cheese): Gives that luscious creamy texture inside the ziti without extra heaviness.
  • Parmesan cheese: Adds a sharp, salty kick and melts beautifully.
  • Mozzarella cheese: For that irresistible gooey, golden topping.
  • Fresh basil: Brightens the finished dish with a pop of fresh herbal flavor.
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Note: You’ll find the complete list of ingredients, along with their exact measurements, in the printable recipe card at the bottom of this post.

Variations

I always encourage you to make this Healthy Baked Ziti with Turkey Sausage Recipe your own. Over time, I’ve tweaked the veggies and cheese combo to suit different moods or what’s in my fridge—you’ll find that customizing it keeps the dish exciting.

  • Swap the turkey sausage for ground chicken or beef: I once tried it with spicy Italian chicken sausage, and it gave the dish a nice bold kick that my family loved.
  • Add extra veggies: Feel free to throw in bell peppers, eggplant, or even kale for more texture and nutrients.
  • Use ricotta instead of cottage cheese: For a creamier, richer texture, ricotta works beautifully if you want that classic Italian flair.
  • Make it dairy-free: I’ve used vegan cheese alternatives and swapped cottage cheese for silken tofu—perfect for dairy allergies or plant-based diets.

How to Make Healthy Baked Ziti with Turkey Sausage Recipe

Step 1: Brown the Turkey Sausage and Sauté the Veggies

Start by heating olive oil in a large skillet over medium-high heat, then add the ground turkey sausage. Break it up with your spatula and cook until it’s browned and just cooked through—about 5 to 7 minutes. I find cooking it until it gets a little caramelized adds fantastic flavor. Next, toss in the chopped onion, zucchini, mushrooms, and garlic, along with the Italian seasoning, red pepper flakes, salt, and pepper. Sauté everything until the veggies soften, usually about 5 minutes. Then pour in half the marinara and vodka sauces, letting it simmer gently while you cook the pasta. This way, the flavors meld together beautifully.

Step 2: Cook the Ziti Pasta Al Dente

Bring a large pot of salted water to a boil. Add the ziti and cook according to package instructions until al dente—you know, tender but with a slight bite. Stir occasionally to prevent sticking. I always give the pasta a little taste to be sure, since overcooked pasta turns mushy in the oven. Once done, drain it carefully using a colander, then transfer the pasta directly into your lightly sprayed casserole dish to start layering.

Step 3: Combine and Layer the Ingredients

Turn off the heat on your sausage-veg sauce and stir in the baby spinach leaves until they just begin to wilt—this keeps them vibrant and fresh. Pour this mixture evenly over the cooked ziti in your casserole dish. Then, add the remaining marinara and vodka sauces on top, followed by the cottage cheese and parmesan cheese. Mix everything thoroughly so every bite has a little cheesy, saucy goodness. Finally, sprinkle the shredded mozzarella cheese on top, ready to melt and turn golden in the oven.

Step 4: Bake to Perfection

Cover your baking dish with foil to lock in moisture and pop it in a preheated 375°F oven for 20 to 25 minutes. You’re aiming for bubbly sauce around the edges—that’s when you know it’s heated through perfectly. When time’s up, remove the foil and set your oven to broil. Broil the ziti for 1 to 2 minutes to get a beautiful golden and bubbly cheesy top. Keep a close eye during this step, as it can go from golden to burnt in a flash. Once done, take it out and let it rest for a few minutes before serving—this helps everything settle and makes it easier to scoop.

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Pro Tips for Making Healthy Baked Ziti with Turkey Sausage Recipe

  • Don’t overcook your pasta: Al dente pasta holds up well during baking and prevents a mushy casserole, which I learned after a few too-soft batches.
  • Use quality sauces: Using brands like Rao’s adds authentic flavor without extra fuss—trust me, it elevates the entire dish.
  • Wilt spinach off the heat: Adding spinach when the heat is off keeps it bright green and avoids turning your sauce dark and soggy.
  • Watch the broiler closely: The cheese browns quickly under the broiler, so stay nearby to avoid burning.

How to Serve Healthy Baked Ziti with Turkey Sausage Recipe

Healthy Baked Ziti with Turkey Sausage Recipe - Serving

Garnishes

I always finish my baked ziti with a handful of fresh basil leaves right before serving. They add a fresh fragrance and pretty pop of green that brightens each bite. Sometimes, I like to sprinkle a little extra grated parmesan for an extra cheesy touch—go ahead and add whatever you love to customize the finish.

Side Dishes

My go-to sides with this are simple—roasted garlic bread or a crisp Caesar salad. The contrast of crunchy, refreshing veggies with the hearty pasta is a perfect balance that makes dinnertime feel complete.

Creative Ways to Present

For special occasions, I’ve served this in individual ramekins—perfect for plating up pretty portions with a little fresh basil on top. It feels fancy but is still comforting. You can even add a drizzle of good olive oil or a dollop of ricotta for a restaurant-style touch at home.

Make Ahead and Storage

Storing Leftovers

I store leftover baked ziti in an airtight container in the fridge for up to 3 days. Honestly, it tastes even better the next day once the flavors have melded. Just be sure to cool it completely before sealing to keep things fresh.

Freezing

This recipe freezes beautifully! I freeze it in portion-sized containers and defrost overnight in the fridge. When I make it ahead for busy weeks, freezing helps me keep dinner ready to go without any stress.

Reheating

To reheat, I cover the dish with foil and warm it in a 350°F oven until bubbly—usually about 15-20 minutes. If I’m in a hurry, the microwave works too, but I prefer the oven for that crispy cheesy top.

FAQs

  1. Can I use different pasta instead of ziti for this recipe?

    Absolutely! Penne, rigatoni, or even large shell pasta work great as they hold sauce well, just like ziti. Just adjust cooking times according to the pasta you choose to ensure it’s al dente before baking.

  2. Is it okay to substitute turkey sausage with regular pork sausage?

    Yes, you can! Pork sausage will give a richer, more traditional flavor. If you use pork sausage, consider reducing added salt since pork sausage is often saltier.

  3. Can I make this recipe ahead of time?

    Definitely! You can prepare the entire casserole a day ahead, keep it covered in the fridge, and bake just before serving. It’s a real time-saver for busy evenings or entertaining.

  4. What is the best way to store leftovers?

    Store leftovers in an airtight container in the fridge for up to 3 days, or freeze in portions for up to 3 months. Reheat covered to maintain moisture and flavor.

Final Thoughts

This Healthy Baked Ziti with Turkey Sausage Recipe has become one of my favorite weeknight dinners because it strikes that perfect balance between comfort food and something I feel good about eating. It’s hearty enough to satisfy, light enough to keep me feeling energetic, and just downright delicious every time. I can’t wait for you to try it and see how quickly it becomes a staple in your kitchen too—trust me, once you taste it, you’ll be making it again and again!

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Healthy Baked Ziti with Turkey Sausage Recipe

5 Stars 4 Stars 3 Stars 2 Stars 1 Star 4.8 from 124 reviews
  • Author: Paula
  • Prep Time: 15 minutes
  • Cook Time: 30 minutes
  • Total Time: 45 minutes
  • Yield: 8 servings
  • Category: Main Course
  • Method: Baking
  • Cuisine: Italian-American
  • Diet: Low Fat

Description

This Healthy Baked Ziti is a flavorful Italian-inspired casserole featuring tender ziti noodles, lean ground turkey sausage, sautéed vegetables, and a delightful blend of marinara and vodka sauces. Mixed with cottage and parmesan cheeses, then baked to bubbly perfection and topped with fresh basil, this dish offers a comforting, nutritious meal perfect for family dinners or meal prep.


Ingredients

Pasta

  • 1 lb ziti noodles
  • salt (for boiling water)

Meat and Vegetables

  • 1 Tbsp olive oil
  • 1 lb ground turkey sausage
  • 1/2 yellow onion, chopped
  • 1 medium zucchini, chopped into small chunks
  • 8 oz petite baby bella mushrooms, sliced
  • 3 cloves garlic, minced
  • 2 tsp Italian seasoning
  • 1/4 tsp red pepper flakes (optional)
  • 1/2 tsp salt
  • 1/2 tsp black pepper
  • 2-3 cups baby spinach leaves

Sauces and Cheeses

  • 2 cups marinara sauce (divided; I used Rao’s)
  • 2 cups vodka sauce (divided; I used Rao’s)
  • 1 1/2 cups cottage cheese (or ricotta cheese)
  • 1/2 cup parmesan cheese
  • 1 1/2 cups mozzarella cheese, shredded

Garnish

  • Fresh basil, for serving


Instructions

  1. Preheat and Prep: Preheat your oven to 375°F and lightly coat a 9×13-inch baking pan with nonstick spray to prevent sticking and ease cleanup.
  2. Cook Turkey Sausage: Heat a large skillet over medium-high heat with a drizzle of olive oil. Brown the ground turkey sausage, breaking it apart as it cooks until it’s crumbled and nearly cooked through.
  3. Sauté Vegetables and Simmer Sauces: Add chopped onion, zucchini, mushrooms, minced garlic, Italian seasoning, red pepper flakes (if using), salt, and black pepper to the skillet. Sauté until the vegetables are tender. Stir in 1 cup each of marinara and vodka sauce, and let the mixture simmer gently while you cook the pasta.
  4. Cook Pasta: Bring a large pot of salted water to a boil. Add ziti noodles and cook until al dente as per package instructions, stirring occasionally to prevent sticking. Drain the pasta using a colander and transfer it to the prepared casserole dish.
  5. Combine Spinach and Sauce: Turn off the heat under the skillet with the veggie marinara mixture. Stir in the baby spinach leaves until they wilt slightly. Pour this mixture evenly over the cooked noodles in the casserole dish.
  6. Add Remaining Sauces and Cheeses: Pour in the remaining 1 cup of marinara and 1 cup vodka sauce over the pasta and vegetables. Add cottage cheese and parmesan cheese, mixing thoroughly so everything is evenly combined. Sprinkle shredded mozzarella cheese on top.
  7. Bake: Cover the casserole dish with foil and bake in the preheated oven for 20 to 25 minutes until the dish is heated through and bubbly around the edges.
  8. Broil for Finish: Remove the foil and switch the oven to broil. Broil the ziti for 1 to 2 minutes until the top is golden brown and bubbly. Keep a close watch to avoid burning.
  9. Serve: Remove from the oven and let the baked ziti cool slightly before serving. Garnish with fresh basil leaves for a bright, herby finish. Enjoy your healthy, comforting meal!

Notes

  • You can substitute cottage cheese with ricotta for a creamier texture.
  • If you prefer a spicier dish, increase the red pepper flakes to taste.
  • Leftovers store well in the fridge for up to 3 days and reheat nicely in the oven or microwave.
  • Use gluten-free pasta to make this dish gluten-free.
  • For a vegetarian version, omit the turkey sausage and add extra vegetables or plant-based protein.

Nutrition

  • Serving Size: 1/8 of recipe (about 1.5 cups)
  • Calories: 380
  • Sugar: 6g
  • Sodium: 550mg
  • Fat: 14g
  • Saturated Fat: 6g
  • Unsaturated Fat: 7g
  • Trans Fat: 0g
  • Carbohydrates: 38g
  • Fiber: 4g
  • Protein: 28g
  • Cholesterol: 65mg

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