Eosinophilic Esophagitis Friendly Spaghetti with Marinara Sauce
A bowl of spaghetti in a rich, garlicky tomato sauce is one of those meals that feels like a hug, and this version delivers exactly that without a long list of complicated ingredients. For anyone managing eosinophilic esophagitis, pasta night can feel like a minefield — dairy, eggs, soy, and wheat all lurking in store-bought sauces and specialty noodles — but this recipe keeps things refreshingly straightforward. The sauce is built from olive oil, sliced garlic, red pepper flakes, and hand-crushed San Marzano tomatoes, simmered low and slow until thick and deeply flavored. No hidden triggers, no mystery additives, just real ingredients you can read at a glance. The Parmesan at the end is listed as optional, making it easy to leave off if dairy is a concern for your specific trigger profile. Tossing the pasta directly in the sauce with a splash of starchy cooking water is the move that makes everything silky and cohesive rather than soupy. It's a weeknight classic that finally feels safe to put on regular rotation.
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Learn more →Ingredients
4 servings
For the pasta
- 12 oz spaghetti
- 1 tbsp kosher salt
For the sauce
- 3 tbsp extra-virgin olive oil
- 5 cloves garlic, thinly sliced
- ½ tsp red pepper flakes
- 1 can (28 oz) whole peeled san marzano tomatoes
- ½ tsp sugar
- salt and pepper, to taste
- ¼ cup fresh basil leaves, torn
For serving
- 1–2 tbsp extra-virgin olive oil, for finishing
- parmesan cheese, freshly grated (optional)
Can be omittedparmesan cheese
Instructions
- 1
Bring a large pot of water to a boil over high heat. Add the kosher salt, then the spaghetti, and cook, stirring occasionally, until al dente — tender with a slight resistance at the center, about 1–2 minutes less than the package directions. Reserve 1/2 cup of the pasta cooking water before draining. Drain the spaghetti through a colander and set aside.
- 2
While the pasta water heats, pour the canned tomatoes into a large bowl and crush them by hand, breaking them into rough, uneven pieces. Set aside.
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