Entrees/ KETO Friendly/ Seafood

Clam Spaghetti w/Sausage

My family voted this #1 pasta dinner…although, they change their minds, often.

PLEASE NOTE: I’ve been on a journey of low-carb eating since this original post, so I no longer make this with pasta. Instead, I make it with fabulous Zucchini Spiral noodles. The Nutritional values are with spaghetti pasta but in the NOTE section, I’ve listed the Nutritional values with the Zucchini Spirals also.

Adapted from: Just One Cookbook Thank you!

Serves 4

Clam Spaghetti with Sausage

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By leslie Serves: 4
Prep Time: 15 minutes actual prep time, but 1.5 to soak clams beforehand Cooking Time: 30 minutes

Healthy, awesome tasting meal. Since my journey into the low-carb world, I would either use low carb pasta or zucchini spiral noodles in place of the standard spaghetti noodles but that's all I would change.


  • 1-2 lb Manila clams
  • 1 lb Andouille sausage (pre-cooked) sliced diagonal
  • 4 cloves Garlic
  • 1/2 C Parsley, chopped and divided
  • Red chilies to taste
  • 1 lb Spaghetti NOTE: I've cut down on Carbs since I made this and now serve it with Zucchini Spirals instead of Spaghetti.
  • Black pepper (I use freshly ground)
  • Kosher salt or Himalayan pink
  • 2 tbsp Olive Oil, extra virgin
  • 1 cup Clam Sauce (I use Progresso)



The first thing I do, with every recipe, is to gather all the ingredients together onto my working area. This way, I never leave out an ingredient.


De-grit clams (here’s how to do it...Just One Cookbook to my rescue, again!). Start this process at least 1.5 hours before.


Bring a pot of salted water to a boil. (I also add a smidgen of oil...got that tip from Top Chef dialog!) Add pasta, stirring constantly, in the beginning, to prevent it from sticking together. Follow time instructions on pasta box or until al dente...usually 9-11 minutes. Drain pasta.


In a large sauté pan heat the olive oil over medium heat. When the oil is hot, add garlic and red chili pepper and then reduce heat to medium low and sauté until you can smell the garlic but watch it so it doesn't burn.


Add the clams and clam sauce and increase the heat to medium. Quickly cover and steam for 5 minutes or until all the clams have opened.


Discard the clams that didn’t open. Add half the parsley and season with pepper. Transfer the clams to a plate.


Add the pre-cooked sausage and cook 3-4 minutes until heated through.


Add the pasta and toss until pasta is coated with the sauce.


Remove from the heat and place pasta on a serving plate and put clams on top. Sprinkle some parsley and serve immediately.


Serve with a salad of your choice w/vinegar & oil and warmed bread. Bon Appetit!


  • 836 Calories
  • 78.8g Carbohydrates
  • 147mg Cholesterol
  • 40.8g Fat
  • 39.4g Protein
  • 12.2g Saturated fat
  • 2209mg Sodium


*Nutrition information is provided as a courtesy only and should be construed as an estimate rather than a guarantee.” NUTRITIONAL DATA W/Zucchini Noodles: Calories: 509 Fat: 38.2 Carbs: 17.9 Protein: 26.6

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