
Creamy Tuscan Salmon over Spaghetti Squash: A Low-Carb Dream Come True
If you’re looking for a low-carb dinner that doesn’t sacrifice flavor or satisfaction, this Creamy Tuscan Salmon over Spaghetti Squash is it. Created by content queen @the.ketokween, this dish is creamy, hearty, and packed with Tuscan-inspired flavor while staying keto-friendly and guilt-free.
From perfectly seasoned salmon to the rich and velvety cream sauce poured over tender strands of spaghetti squash, this is the kind of dish that makes you forget you’re eating low-carb. It’s perfect for a weeknight dinner or to impress guests—and it all comes together with simple steps and ingredients.
Ingredients
For the Spaghetti Squash:
- 1 whole spaghetti squash – halved and seeds removed
- 1–2 tablespoons olive oil – for drizzling
- Salt, black pepper, and Italian seasoning – to taste
For the Salmon:
- 2 salmon fillets – skinless or skin on based on preference
- Salt, pepper, garlic powder, onion powder, paprika, chili flakes – or your favorite seasoning mix
For the Creamy Tuscan Sauce:
- 1 tablespoon olive oil or butter – for sautéing
- ¼ cup diced onions
- ½ cup cherry tomatoes – halved
- 2 cloves garlic – minced
- 1 cup spinach – fresh or frozen
- ¼ cup dry white wine – plus a glass for yourself 😉
- ¾ cup heavy cream
- ⅓ cup grated Parmesan cheese
Step-by-Step Instructions
1. Roast the Squash
- Cut spaghetti squash in half, remove seeds, drizzle with olive oil, and season with salt, pepper, and Italian seasoning.
- Roast at 400°F for 45 minutes.

2. Air Fry the Salmon
- Season your salmon fillets generously.
- Air fry at 400°F for 10 minutes until cooked through and crispy on the edges.

3. Make the Creamy Tuscan Sauce
- Sauté onions, garlic, tomatoes, and spinach in a pan until tender.
- Pour in dry white wine and cook it down.

4. Finish the Sauce
- Stir in heavy cream, then cut the heat and add Parmesan cheese.
- Mixing until the sauce thickens.

5. Assemble the Plate
- Use a fork to shred the squash into noodle-like strands.
- Plate it and pour the Tuscan sauce over top, finishing with the salmon fillet.

Pro Tips & Suggestions
- Roast the squash face down in the pan for better caramelization.
- Swap the salmon for shrimp or chicken if preferred.
- Use coconut cream for a dairy-free twist.
- Store leftovers separately to keep everything fresh and flavorful.
About the Creator
This recipe is by The Keto Kween, the vibrant creator behind @the.ketokween. She brings flavor, flair, and fun to keto cooking with bold, easy-to-follow meals that feel anything but restrictive.
The Keto Kween | @the.ketokween