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Healthy Turkey Tetrazzini

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This Healthy Turkey Tetrazzini is a lightened-up version of the classic dish. It’s made with turkey, zoodles, and a creamy Parmesan cheese sauce. This dish is perfect for a weeknight meal or to serve to guests.

If you are a fan of Instant Pot Chicken Tetrazzini then this is the recipe for you. It’s creamy and comforting, yet helps you achieve your health goals!

Healthy Turkey Tetrazzini on a serving plate with fork on the side.
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Low Carb Tetrazzini

One of the best things about this easy recipe is that it is full of zucchini noodles. I love to use zucchini because it’s filled with health benefits, such as being a great source of antioxidants, vitamins, and minerals.

Why I Love This Recipe

The classic dish, but with a healthier twist. This Healthy Tetrazzini is made from lean turkey and zoodles in creamy Parmesan cheese sauce! It’s perfect for busy weeknights when you need something easy!

  • Easy to make
  • Perfect for picky eaters
  • Fills the house with a delicious aroma

If you love creamy low carb recipes like this, then next time you may want to give this Low Carb Chicken Broccoli Casserole a try.

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Ingredients

Healthy Turkey Tetrazzini ingredients.

You only need a few simple ingredients to make this simple recipe. All of these ingredients are easy to find at your local grocery store. You can find the full list of ingredients in the recipe card below.

  • zucchini noodles – I used frozen zucchini noodles that are thawed and drained.
  • mushrooms – I used fresh sliced baby bella mushrooms.
  • cooked turkey – This is a great way to use up leftover turkey from Thanksgiving.

Substitutions

Turkey – If you don’t have leftover turkey on hand, you can use cooked ground turkey, even chopped turkey tenderloin instead.

Mushrooms: If you don’t have baby bella mushrooms, you can use white or button mushrooms instead.

Variations / Options / Add-Ins

Here are a few ways that you personalize this simple weeknight meal.

Add vegetables: You can add other vegetables to this dish, such as frozen peas or spinach.

Chicken: Instead of turkey, you can use cut-up chicken.

Spicy: Add a little cayenne pepper to the sauce to give it a little bit of a kick.

Equipment Needed / Helpful Tools

You only need a few kitchen tools to help you make this low-carb recipe.

How to Make Healthy Turkey Tetrazzini

This recipe comes together in just a few simple steps. Follow these instructions and you will have a creamy family-friendly recipe in no time at all.

Step 1: Preheat the oven and grease a baking dish

Preheat the oven to 400 degrees. Prepare a 9 x 13 casserole dish with nonstick cooking spray.

Step 2: Saute the onion, mushrooms, and garlic in a skillet

In a large skillet over medium heat, melt the butter. Add the onion, mushrooms, salt, pepper, and garlic to the saucepan. Cook until the onions are softened, stirring often. Then, add the turkey to the skillet and heat through.

Onion, mushrooms, and garlic in a skillet.

Step 3: Add the heavy cream to the skillet

Add the heavy cream to the skillet, stirring to combine. Bring the sauce to a boil. Reduce the heat and simmer for an additional two minutes before stirring in ¾ cup of the cheese. Remove from heat.

heavy cream, cheese, onion, mushrooms, and garlic in a skillet.

Step 4: Add the zucchini noodles, and sauce to a casserole dish and bake

Toss the sauce together with the zucchini noodles and place in the prepared casserole dish. Top with the remaining cheese and bake for 40 minutes.

The zucchini noodles and sauce are added to a casserole dish and topped with cheese.

Serving Suggestions

This turkey tetrazzini recipe is great by itself, however, if you want to add a flavorful and crispy side dish you can make these Air Fryer Keto Brussels Sprouts. End this meal with a sweet treat like these Keto Chocolate Chip Pecan Cookies.

Healthy Turkey Tetrazzini on a serving plate with fork on the side.

Pro Tips

Here are a few tips to make sure that this turkey tetrazzini turns out perfectly every time that you make it.

  • Use frozen zucchini noodles for this recipe. Thaw the noodles and drain before adding them to the recipe. If you use fresh zucchini, you will need to cook it first before adding it to the recipe.
  • I used leftover turkey in this recipe, but you can also use ground turkey. Make sure that you cook it first.
  • I like to garnish this with fresh parsley for a pop of color.
  • If you are not low-carb you could also make this recipe with cooked pasta, like egg noodles, linguine or spaghetti noodles.

FAQs

Do you have questions about this recipe? Here are the answers to the most commonly asked question for this recipe.

How to store

I recommend storing leftovers of this recipe in an airtight container in the fridge for 3 days. 

How to reheat

When you are ready to eat, heat the tetrazzini in the microwave for 2-3 minutes or until heated through. You can also reheat this dish in the oven at 350 degrees for 10-15 minutes. If this dish is too dry, you want to add a little cream or chicken broth to the sauce.

Do you have to use frozen zucchini noodles?

No, but it is much easier to use them in this recipe. If you decide to use fresh zucchini, you will need to cook them first before adding them to the recipe.

More Turkey Recipes

If you like turkey, give these recipes a try:

Ready to get cooking? Print off the recipe card below or toggle on Cook Mode to keep your screen from going dark while you follow along on your phone or tablet.

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📋 Recipe

Healthy Turkey Tetrazzini

Corinne Schmitt
This Healthy Turkey Tetrazzini is a lightened-up version of the classic dish. It’s made with turkey, zoodles, and a Parmesan cheese sauce.
5 from 78 votes
Prep Time 20 minutes
Cook Time 40 minutes
Total Time 1 hour
Course Dinner
Cuisine American
Servings 4 Servings
Calories 590 kcal

Equipment

  • Large skillet
  • 9×13 casserole dish

Ingredients
  

  • 23 ounces zucchini noodles thawed and well drained
  • 2 tablespoons butter
  • ½ onion diced
  • 8 ounces baby bella mushrooms sliced
  • ½ teaspoon salt
  • ½ teaspoon pepper
  • 1 clove garlic minced
  • 3 cups cooked turkey cut into bite-size pieces
  • 1 ½ cups heavy cream
  • 1 cup shredded mozzarella cheese divided

Instructions
 

  • Preheat the oven to 400 degrees. Prepare a 9 x 13 casserole dish with nonstick cooking spray.
  • In a large skillet over medium heat, melt the butter. Add the onion, mushrooms, salt, pepper, and garlic to the saucepan. Cook until the onions are softened, stirring often. Then, add the turkey to the skillet and heat through.
  • Add the heavy cream to the saucepan, stirring to combine. Bring the sauce to a boil. Reduce the heat and simmer for an additional two minutes before stirring in ¾ cup of the cheese. Remove from heat.
  • Toss the sauce together with the zucchini noodles and place in the prepared casserole dish. Top with the remaining cheese and bake for 40 minutes.

Notes

  • Use frozen zucchini noodles for this recipe. Thaw the noodles and drain before adding them to the recipe. If you use fresh zucchini, you will need to cook it first before adding it to the recipe.
  • I used leftover turkey in this recipe, but you can also use ground turkey. Make sure that you cook it first.
  • I like to garnish this with fresh parsley for a pop of color.

Nutrition

Serving: 1ServingCalories: 590kcalCarbohydrates: 12gProtein: 29gFat: 49gSaturated Fat: 29gPolyunsaturated Fat: 3gMonounsaturated Fat: 13gTrans Fat: 0.3gCholesterol: 192mgSodium: 636mgPotassium: 981mgFiber: 2gSugar: 9gVitamin A: 2046IUVitamin C: 31mgCalcium: 252mgIron: 2mg
Tried this recipe?Let us know how it was!

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