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Home » recipes

Updated: Jan 13, 2026 · Published: Jul 9, 2023 by Dan Harper · This post may contain affiliate links · Leave a Comment

Easy Alfredo Sauce with Chicken and Sausage with Zoodles

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The Zoodles for the Alfredo Sauce

Zoodles, or zucchini noodles, are a great low carb alternative to pasta. There are many devices you can use to make zucchini noodles. There are attachments to a Kitchen Aid mixer, hand held devices, and table top devices to name a few. I just used a hand held maker to make my zoodles. Just cut the ends off of a zucchini and twist away!

The Chicken and the Italian sausage

The chicken is cut to bite sized pieces along with the Italian sausage. I used bulk Italian sausage and pressed the pieces into the size I felt appropriate. Place the sausage and chicken pieces on a lined baking sheet and bake for 15-20 minutes at 375 degrees or until the chicken is 165 degrees F. The spices from the sausage will season the chicken while baking. When the chicken and sausage are finished baking, just place the piece into a large skillet and you are ready to add the sauce!

Finishing the Dish

Place the sauce into the skillet with the chicken and sausage. Heat on medium heat until the sauce is warm. While the sauce is heating, place a serving of zoodles on a plate and warm them in the microwave for about 20-30 seconds. When the sauce, chicken, and sausage are warm, pour over the zoodles and serve right away.

Want A Thicker Sauce?

If you would like your sauce thicker, then mix a teaspoon of cornstarch with a teaspoon of water and mix thoroughly. Pour the mixture into the skillet with the sauce and meat. Stir continuously while heat over a medium high heat until the consistency you would like is achieved.

A great salad to go with this dish is the Easy Make Ahead Layered Salad or zucchini roll ups.

FAQ's:

Can I use a different type of pasta?

Absolutely! While this recipe uses zucchini noodles for a low-carb option, you can easily serve this sauce over traditional pasta like fettuccine, penne, or rigatoni. Simply cook your pasta according to package directions and toss with the finished sauce.

What does cottage cheese alfredo taste like?

When blended, cottage cheese loses its lumpy texture and becomes incredibly smooth and creamy. It provides a mild, slightly tangy base that, when mixed with parmesan, garlic, and oregano, tastes remarkably similar to a traditional rich alfredo sauce.

How do I store and reheat leftovers?

Store leftovers in an airtight container in the refrigerator for up to 3 days. To reheat, gently warm the sauce and meat in a skillet over low heat, stirring occasionally. You may need to add a splash of milk to restore its creamy consistency. Avoid microwaving, as it can cause the sauce to separate.

Can I make this sauce ahead of time?

Yes, you can prepare the sauce up to 2 days in advance. Blend the cottage cheese, parmesan, and spices and store it in an airtight container in the refrigerator. When you're ready to cook, bake the chicken and sausage and heat them with the sauce in a skillet as directed.

Are there any other vegetables I can add?

This dish is very versatile. Steamed broccoli florets, sautéed mushrooms, or wilted spinach would all be delicious additions. Stir them into the skillet with the chicken and sausage just before serving.

Looking for more cozy inspiration? Browse my full collection of Comfort Food Recipes to find your next family favorite.

Recipe

chicken and italian sausage over zucchini noodles with a cottage cheese based alfredo sauce. Recipe from cleveland cooking.

Easy Alfredo Sauce with Chicken and Sausage

Author: Dan Harper
580kcal
No ratings yet
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Prep 25 minutes mins
Cook 40 minutes mins
Total 1 hour hr 5 minutes mins
This low carb alfredo sauce recipe, made with zucchini noodles, chicken, and italian sausage, comes together in no time making it a popular dish in my house.
Servings 6 servings
Course dinner
Cuisine American

Ingredients

  • 2 cups of cottage cheese
  • 1 cup of parmesan cheese
  • 1 cup of milk or heavy whipping cream see notes
  • 1 teaspoon of oregano
  • ½ teaspoon of garlic powder
  • ½ teaspoon of sea salt
  • ½ teaspoon of freshly cracked black pepper
  • 1 tablespoon of cornstarch optional see notes
  • 1 tablespoon of cold water optional see notes
  • 3 pounds of zucchini
  • 3 chicken breasts
  • 1 pound of Italian sausage

Equipment

  • 1 Large skillet
  • 1 Zoodle maker

Method

  1. Using a spiralizer, handheld zoodle maker, or whatever you have to make zoodles, make zoodles out of the three pounds of zucchini and set aside.
  2. Place cottage cheese, parmesan cheese, milk, oregano, garlic powder, sea salt, and pepper into a food processor and blend until combined.
  3. Next, cut up chicken and sausage into bite sized pieces and place onto a large lined baking sheet. Bake at 375 degrees for 15-20 minutes or until chicken reaches 165 degrees F.
  4. After the chicken and sausage is finished cooking, place in a large skillet. Then add the cottage cheese mixture and cook over a medium heat for about 15 minutes stirring occasionally.
  5. The mixture will begin to get thin once it starts warming up. If you would like a thicker sauce, then mix the cornstarch and the water together to create a slurry. While stirring the sauce in the pan, pour the slurry in and mix until well combined. Lower the heat to medium low and continue to stir until the sauce is thickened.
  6. Place a serving size of zoodles on a plate and warm in the microwave for 15-20 seconds. Then spoon a serving of the mixture in the skillet over the zoodles and enjoy!

Nutrition

Serving6 servingsCalories580kcalCarbohydrates14gProtein54gFat34gSaturated Fat13gPolyunsaturated Fat4gMonounsaturated Fat13gTrans Fat0.01gCholesterol149mgSodium1484mgPotassium1352mgFiber2gSugar10gVitamin A721IUVitamin C43mgCalcium355mgIron3mg

Video

Notes

Adding heavy whipping cream will thicken the sauce better than milk and you may not have to use the cornstarch.
The cornstarch will thicken the sauce but be sure to keep an eye on the skillet after you add it. Remove the skillet from the heat after you have achieved your desired thickness.

Private Notes

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