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Best Keto Spaghetti Ever

Updated: Apr 13, 2024

Shared by DeniseM


This cream cheese spaghetti is so good, you can’t tell it’s not carby pasta!






Make sure you get the ready-to-eat marinara, they are the best noodles. I believe they are going to be selling the plain ones again very soon. You don‘t have to rinse them, just put them in whatever you are making.



I made my marinara sauce, but Rao’s is excellent! You can purchase it at Walmart and online.

For homemade marinara, I don’t have a recipe written down, so sorry! But it’s basically:


  • 2 large cans of crushed tomatoes

  • 1 can tomato paste

  • 1 onion chopped

  • garlic to taste, I put lots

  • fresh basil and oregano or dried herbs

  • garlic powder

  • onion powder

  • fennel seeds, just because I love them

  • Italian seasoning

  • red pepper flakes

  • cream cheese

  • Italian sausage about 2 packages

  • Salt and Pepper or One and Done seasoning salt


Brown the sausage, and remove it from the pan. Add onion and sauté until tender, then add garlic and cook for 1-2 minutes. Add tomato paste and cook that for a minute or two then add the crushed tomatoes. cook for about 15 minutes. Add all the other ingredients except cream cheese. Cook for another 30 minutes. Might need to add some water. Add the cream cheese shortly before serving. Garnish with fresh basil, if you have it, and Parmesan cheese. So yummy!


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Disclaimer: Virtaworks is not affiliated with Virta Health, but is just my personal journey on the program and doesn’t constitute medical advice for anyone else. I just want to show what my living a ketogenic lifestyle has done to improve my health and save my life! Some posts may contain affiliate links to help defray the costs of recipe and product testing. I hope Virtaworks can help you with your health journey!

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