You can cook spaghetti squash in the oven, air fryer, microwave, or Instant Pot! Swipe up for directions and cooking times.
After draining off the sausage, add in the spaghetti squash and zucchini, then cook for 5 minutes. Finally, add marinara and tomatoes.
Spread mixture in a greased 7x11" baking dish.
Combine cream cheese, sour cream, garlic, and Italian seasoning in a small bowl. Carefully spread over sausage mixture.
Make sure cheese covers the entire dish, then bake.
When cheese has browned, remove and allow to sit for 5 minutes before cutting and serving.