Simple Supper Friday: Italian Sausage “Fettuccine”


Snow is coming down in Portland, or at least it was at the time I wrote this post on Thursday. I actually haven’t seen this much snow in the city since my first winter here, back in 2008. It’s beautiful, but I’m keeping my fingers crossed that it doesn’t impact my early morning flight to Kentucky today. I have some buffer room to get there, as my seminar doesn’t start until Saturday morning, but the less hiccups, the better. Really though, I kinda wish the snow would have held off until next week, but it is what it is. The same can be said about this head cold that I got too. Quite the combo to get right before a weekend of travel, but I guess it makes it that much more of an adventure (well, minus the being sick part).

Meanwhile, enjoy this simple, satisfying meal, which was inspired by the cauliflower recipe I shared last week. Cheers and happy weekend!


  • ~1 lb bulk Italian chicken sausage
  • 1 Tbsp grass-fed butter, separated
  • 1 large or 2 small/medium zucchini, noodled with a spiralizer (straight blade attachment)
  • 3 Tbsp blanched almond flour
  • 1.5 tsp dried oregano
  • 1/2 tsp dessicated garlic
  • Sea salt and black pepper to taste
  • Extra virgin olive oil for drizzling, optional


  1. Melt 1/2 tbsp of grass-fed butter in a large pan over medium heat. Once melted, add the chicken sausage. Continue to cook, stirring occasionally and breaking up large chunks with a spatula.
  2. Once sausage is browned, after 5-7 minutes or so, transfer to a large serving bowl and set aside.
  3. To the same pan, add the noodled zucchini and heat briefly over medium-low heat. After a couple minutes, transfer to the bowl with the sausage.
  4. Combine the almond flour, oregano, dessicated garlic, sea salt and pepper in a small bowl. Melt the remaining butter in the same pan over medium-low heat and then add the almond flour mixture.
  5. Stir mixture, allowing it to soak up the butter and continue to cook a few minutes, until golden brown.
  6. Sprinkle on top of the sausage and zucchini. Serve warm and drizzle with extra virgin olive oil, if desired. Add more sea salt and pepper to taste, if needed. If you tolerate some dairy, you could also sprinkle on a bit of raw Parmesan cheese.

Yields: 2-3 servings


11 thoughts on “Simple Supper Friday: Italian Sausage “Fettuccine”

  1. Paula February 7, 2014 / 5:48 pm

    I know I’ll like this as much as the cauliflower (I have 2 heads to make a bigger pan this weekend). Hope you have a safe trip without weather delays and that your cold is over quickly. Enjoy your seminar!

    • paleoinpdx February 13, 2014 / 8:39 am

      Thanks, Paula! I had a great time, despite not feeling well. Made it there and back safe too 🙂

  2. GiGi Eats Celebrities February 7, 2014 / 8:32 pm

    I just bought a spiralizer and I am completely and utterly OBSESSED. It’s my brand new favorite gadget in the kitchen!

    • paleoinpdx February 13, 2014 / 8:39 am

      Yeah, spiralizers are pretty rad 😉

  3. Corrie Anne February 17, 2014 / 8:43 am

    Yum that looks beautiful and delicious!

  4. Momma B February 26, 2014 / 1:56 pm

    You might have to let me know the brand name of your spiralizer, I might want one. Is that your new bowl? Your fettuccine looks real yummy in it!

    • paleoinpdx February 26, 2014 / 2:42 pm

      Yep, that’s my new bowl! Isn’t it pretty? The brand of my sprializer is Paderno and it come with 3 different attachment blades. Here’s the link to it on Amazon if you want to check it out: I got mine off Amazon and at the time, it was under $30. The price changes every now and again, but I think on average, they’re around $30-$35. You can use it for lots of different veggies too (carrots, zucchini, summer squash, sweet potatoes/yams, butternut squash, rutabaga, etc.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s