SIBO-Friendly Beef Ragu with Spaghetti Squash


If you’re into traditional dishes, there are few things more delicious than spaghetti and beef ragu. Unfortunately (as is the case with so many traditional foods we love to eat), spaghetti and beef ragu can wreak havoc on a sensitive digestive system — especially if you have SIBO. From the gluten in semolina pasta to the garlic and onions in a traditional sauce, spaghetti and beef ragu could cause some serious upset. So, we came up with a substitution that will leave you satisfied and wondering what could possibly be missing from the original.

Instead of semolina pasta, this recipe relies on spaghetti squash. While the preparation is a bit different, spaghetti squash is a fantastic grain-free substitute for traditional pasta. First you bake it, then you fluff it into “spaghett”’ that you can twirl on your fork just like the real thing. Any winter squash —- including spaghetti squash, acorn squash, delicata, butternut squash, and pumpkin — are all SIBO-friendly and work well to satisfy the carb cravings that can result from such a strict diet.

As for the sauce, there’s no garlic or onion. We use leeks, which are lower in FODMAPs, to offer a similar flavor. Leeks not only give a delicious depth of flavor to our meat sauce, they also contribute some greens, as the recipe calls for using the whole stalk, green part and all. Most SIBO guidelines suggest limiting leeks to ½ a leek per meal for moderate FODMAP consumption. We use a single leek for four servings, just to be on the safe side.

SIBO-Friendly Beef Ragu

Cooking Notes

This recipe does call for a little cheese at the end, but it’s completely optional. The question of dairy on the SIBO diet is a personal one for every individual. While most holistic medical practitioners will suggest removing dairy entirely for the first few weeks of a restricted diet, some will allow for dry cheese that has been aged for at least one month, due to its very low lactose content.

This allowance doesn’t apply to those who are sensitive to dairy or have a dairy allergy. Because SIBO is an infection of sorts, once the infection has resolved and you begin experimenting with adding foods back into your diet, it could be the case that a dry cheese poses no problem for you. If you’re able to consume dairy, and you’ve found that small amounts of dry cheese pose no problem, feel free to top your dinner with some freshly grated dry aged cheese.

This recipe also calls for  ½ a cup of Kettle and Fire bone broth to enhance the flavor and provide some additional gut support. Our bone broth does include onions and celery in the cooking process, both of which may cause digestive upset in those with SIBO. Although we strain out all of the veggies for our final product, we want to make sure you know that they’ve been cooked into the broth. Only you know what your body can handle, so we encourage you to listen to your body and use your best judgement.

SIBO Friendly Beef Ragu With Spaghetti Squash

This SIBO-friendly dish harkens back to the old country with traditional Italian herbs, a rich tomato base, and grass-fed ground beef. Sink your teeth into our pasta substitute, a sweet and savory spaghetti squash that you can twirl on your fork just like the real thing. 

Course Main Course
Cuisine Italian
Keyword beef ragu with bone broth, sibo dinner recipes, sibo recipes
Prep Time 10 minutes
Cook Time 40 minutes
Total Time 50 minutes
Servings 4
Calories 373 kcal
Author Kettle & Fire


  • 1 medium spaghetti squash
  • 2 tablespoons ghee
  • 1 pound grass-fed ground beef
  • 1 leek chopped from root to tip
  • 2 teaspoons extra virgin olive oil
  • 2 sprigs rosemary leaves minced
  • 2 sprigs parsley leaves minced
  • 2 sprigs oregano leaves minced
  • 2 sprigs sage leaves minced
  • ½ cup Kettle and Fire Beef Bone Broth
  • 3 cups canned tomatoes strained
  • 1 teaspoon raw apple cider vinegar
  • Salt and pepper
  • 2 tablespoons parmesan cheese optional


  1. Set the oven to broil and place the whole spaghetti squash on a baking pan. Transfer to the oven, and broil for 15 minutes on one side. Then turn over and broil for another 15 minutes. You’ll know it’s done when it gives a bit to pressure. Remove the spaghetti squash from the oven and cut in half, taking care that the steam doesn’t burn your hands.
  2. While the squash is cooking, make the sauce. In a large sauce pan over medium heat, warm 1 tablespoon of ghee. Add ground beef and cook until just brown. Remove meat from pan and set aside.
  3. Add 2 teaspoons extra virgin olive oil and the chopped leek to the pan and cook, stirring, until tender, about 3 minutes.
  4. Add the meat back to the pan. Stir in half the herbs, bone broth, and strained tomatoes. Turn the heat to a simmer and cook for another 15 minutes. Then add apple cider vinegar and a generous pinch of salt and pepper to the sauce and stir to combine. Remove from the heat.
  5. When the squash is cool enough to handle, remove the seeds and sprinkle a pinch of salt into each half. Fluff with a fork to remove the stringy part of the squash. Divide evenly into four large dinner bowls to create the “spaghetti.”
  6. Top each bowl of squash with about 1 cup of sauce and the remaining fresh herbs. Finish with cheese, if using.

Recipe Notes

Gluten Free | Paleo | Whole30 | SIBO Friendly

Nutrition Facts
SIBO Friendly Beef Ragu With Spaghetti Squash
Amount Per Serving (1 g)
Calories 373 Calories from Fat 198
% Daily Value*
Total Fat 22g 34%
Saturated Fat 10g 50%
Cholesterol 94mg 31%
Sodium 384mg 16%
Potassium 948mg 27%
Total Carbohydrates 17g 6%
Dietary Fiber 4g 16%
Sugars 8g
Protein 27g 54%
Vitamin A 17.4%
Vitamin C 24.3%
Calcium 14.5%
Iron 32.6%
* Percent Daily Values are based on a 2000 calorie diet.

This SIBO-friendly meat sauce takes it back to the old country with Italian herbs, a rich tomato base and grass-fed ground beef paired with spaghetti squash


Similar Posts

Bone Broth

Your daily nutrients