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Home » Recipes » Chicken

Healthy Chicken Tetrazzini

By: Kathryn Doherty | Last Updated: May 14, 2025 | Published: Feb 20, 2023
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Healthy Chicken Tetrazzini is a lightened up version of the classic spaghetti casserole with a creamy sauce, tender pieces of chicken, mushrooms, pasta and a crunchy breadcrumb topping. It makes a delicious comfort food dinner the whole family will love!

A silver serving spoon with a scoop of chicken tetrazzini with a crunchy breadcrumb topping in a large white casserole dish.


 

I've had a lovely little beach getaway weekend! Something about the enormity of the ocean, the huge open skies and the horizon that stretches out as far as I can see brings me such joy and peace.

But we're here for the food, right? Let's get to it.

Previously, I’ve shared turkey tetrazzini, which is one of our favorite ways to use leftover Thanksgiving turkey.

And today, we’re making a few tweaks to create this delicious healthy chicken tetrazzini.

It’s lightened up but you’d hardly know it with how rich and creamy this is. And it’s still got all those classic tetrazzini flavors.

This classic spaghetti casserole has tender pieces of chicken, mushrooms and pasta in a creamy sauce, made without heavy cream.

It’s topped with flavored breadcrumbs and baked until bubbling and browned and crunchy on top.

Comfort food all the way!

(You might also love this healthy tuna noodle casserole. Or easy chicken carbonara.)

Close up of a creamy baked chicken tetrazzini in a round white casserole dish with parsley sprinkled on top.

But if you’re wondering, how is this lightened up?

Well, we’re using skim milk and cream cheese to get the creaminess factor.

There’s a little less butter and flour in the creamy sauce and less Parmesan cheese and breadcrumbs on top.

But don’t worry, it’s still well covered and gets a nice brown crust on top. Cause no one wants to sacrifice that!

Oh, and you can use whole wheat noodles (if you’ve got them) for some extra nutrition.

Simple swaps and still all the big flavor.

So let’s get cooking!

Cooked spaghetti noodles in a large glass bowl.
A creamy mushroom sauce in a large all-clad pan.
Spaghetti noodles mixed with chicken, mushrooms and a creamy sauce in a large glass bowl.
Chicken terrazzini in a round white casserole dish with a breadcrumb topping dotted with butter.

I’ve got some notes and substitutions coming up below on how to make chicken tetrazzini. Just tryin’ to be helpful.

If you want to jump on down to the recipe, simply scroll right on through the rest of the text. The recipe card is near the bottom of the page, above the comments section.

Ingredient Notes

  • Spaghetti: I opted for whole wheat noodles to add some fiber and nutrition to this recipe, but you can certainly use regular spaghetti.
  • Milk: Skim milk helps lighten up this dish, but you could also use 1% or 2% milk if that’s what you keep on hand. Fat-free half and half would also work.
  • Cream cheese: I use a ⅓ reduced fat cream cheese. You could also go with the regular full fat for some extra richness.
  • Sherry: Either dry sherry or dry vermouth will work for this recipe.
  • Mushrooms: I use regular white button mushrooms but you could also use cremini or baby bella mushrooms.
Creamy baked chicken tetrazzini in a round white casserole dish with a golden brown topping and parsley sprinkled on top.
A scoop of a healthy chicken tetrazzini with a golden brown breadcrumb topping being taken from a white round casserole dish.

Also, just to note that the chicken needs to be already cooked for this recipe, so please plan accordingly.

You can use a rotisserie chicken from the store or some leftover baked chicken. You can also boil 2-3 breasts and then chop those up to use in this recipe.

This recipe does take a good 25 minutes to prep, but you can also make it ahead to bake off later or to freeze.

Can I prep chicken tetrazzini ahead?

Yes, you can make the casserole in advance. Prep as directed, but omit the breadcrumb topping. Cover the casserole with plastic wrap and refrigerate for up to 2 days.
Bring to room temperature as you preheat the oven. Add the breadcrumb topping and bake as directed, adding 5-10 minutes as needed to get the casserole hot and bubbling.

Can I freeze chicken tetrazzini?

Yes! Assemble the casserole as directed, omitting the breadcrumb topping. Cover tightly with plastic wrap and then with aluminum foil. Label and freeze for up to 4 months.
Defrost completely in the refrigerator overnight. Bring to room temperature as you preheat the oven. Add the breadcrumb topping and bake as directed, adding 5-10 minutes as needed to get the casserole hot and bubbling.

This can be a great way to prep and take a casserole to a friend in need.

As for finishing off the meal, any steamed vegetable would be great here – broccoli, green beans, peas, etc.

You could also serve this with a side salad for something fresh.

Healthy chicken tetrazzini served on a small round white plate with parsley sprinkled on top and a fork to the side.

Last thing, what to do with any leftovers.

Storage Tips

- Leftover chicken tetrazzini, once cooled, can be stored in a covered container in the refrigerator for up to 3-4 days. Reheat in individual portions in the microwave.

- Or, if you want to freeze leftovers after you’ve baked it, you can do that, too. Let cool then transfer to a freezer-safe container or ziptop bag and freeze for up to 3-4 months. Let thaw in the refrigerator and then reheat in the microwave. The breadcrumb topping will have lost its crunch, but it’s still tasty.

Next time you’re craving some comfort food on a chilly day, I hope you’ll give this healthy chicken tetrazzini a try.

It’s sure to hit the spot.

Enjoy!

XO,

Kathryn

Close up of a scoop of chicken tetrazzini resting in a large round white casserole dish.
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4 from 4 votes

Healthy Chicken Tetrazzini

Healthy chicken tetrazzini is a lightened up version of the classic spaghetti casserole with a creamy sauce, tender chicken, mushrooms, pasta and a crunchy breadcrumb topping.
Prep Time25 minutes mins
Cook Time30 minutes mins
Total Time55 minutes mins
Yield: 8 servings

Ingredients

  • 8 oz. whole wheat spaghetti
  • 3 tablespoons unsalted butter
  • ½ large onion, chopped
  • 8 oz. white button mushrooms, sliced
  • ¼ cup all-purpose flour
  • 1 ½ cups low-sodium chicken broth
  • 1 ½ cups skim milk
  • 4 oz. low fat cream cheese
  • ¼ cup dry sherry or dry vermouth
  • 4 cups chopped, cooked chicken
  • ½ teaspoon kosher salt
  • ¼ teaspoon black pepper

For the topping:

  • ⅓ cup grated Parmesan cheese
  • ⅓ cup plain breadcrumbs
  • ½ teaspoon paprika
  • 2 tablespoons unsalted butter, cut into small cubes

For serving:

  • 2 tablespoons chopped fresh parsley

Instructions

  • Preheat the oven to 400. Spray a 9x13 baking dish or a 3-4 quart baking dish with cooking spray and set aside.
  • Cook the spaghetti according to package directions and drain. Place the noodles in a large bowl and set aside.
  • Meanwhile, melt the butter in a large skillet over medium heat. Add the onion and mushrooms and sauté for 7-8 minutes, until softened.
  • Add the flour and whisk until absorbed and no white streaks remain, then cook and stir for 1-2 minutes.
  • Add the chicken broth, milk, cream cheese, and the sherry or vermouth. Stir well and bring to a boil. Then reduce heat and cook until thickened, about 5 minutes.
  • Add the cooked chicken, salt and pepper and stir into the sauce. Turn off the heat and add the chicken and sauce to the bowl with the cooked spaghetti. Stir well to combine then transfer to the prepared casserole dish.
  • In a small bowl, combine the Parmesan cheese, breadcrumbs and paprika. Sprinkle evenly over the top of the casserole. Arrange the cubes of butter on top of the casserole.
  • Bake at 400 for 30 minutes, until bubbling. Serve hot and enjoy!

Notes

Chicken: The chicken needs to be already cooked for this recipe, so please plan accordingly. You can use a rotisserie chicken from the store or some leftover baked chicken. You can also boil 2-3 breasts and then chop those down to use in this recipe.
Spaghetti: I opted for whole wheat noodles to add some fiber and nutrition to this recipe, but you can certainly use regular spaghetti.
Milk: Skim milk helps lighten up this dish, but you could also use 1% or 2% milk if that’s what you keep on hand. Fat-free half and half would also work.
Cream cheese: I use a ⅓ reduced fat cream cheese. You could also go with the regular full fat for some extra richness. 
Sherry: Either dry sherry or dry vermouth will work for this recipe.
Mushrooms: I use regular white button mushrooms but you could also use cremini or baby bella mushrooms.
Make ahead: Assemble the casserole as directed, omitting the breadcrumb topping. Cover tightly with plastic wrap and refrigerate up to 2 days. Bring to room temperature as you preheat the oven. Add the breadcrumb topping and bake as directed, adding 5-10 minutes as needed to get the casserole hot and bubbling.
Freezer tips: Assemble the casserole as directed, omitting the breadcrumb topping. Cover tightly with plastic wrap and then with aluminum foil. Label and freeze for up to 4 months. Defrost completely in the refrigerator overnight. Bring to room temperature as you preheat the oven. Add the breadcrumb topping and bake as directed, adding 5-10 minutes as needed to get the casserole hot and bubbling.
Storage tips: Leftover chicken tetrazzini, once cooled, can be stored in a covered container in the refrigerator for up to 3-4 days. Reheat in individual portions in the microwave. Or you can freeze leftovers after you've baked it. Let cool then transfer to a freezer-safe container or ziptop bag and freeze for up to 3-4 months. Let thaw in the refrigerator and then reheat in the microwave. The breadcrumb topping will have lost its crunch, but it’s still tasty.

Video

Nutrition

Serving: 1serving | Calories: 376kcal | Carbohydrates: 23g | Protein: 25g | Fat: 21g | Saturated Fat: 9g | Polyunsaturated Fat: 9g | Cholesterol: 95mg | Sodium: 367mg | Fiber: 2g | Sugar: 5g
Tried this recipe?Leave a comment below or follow me on Instagram @familyfoodonthetable and tag me in your photo!
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Meet Kathryn

Hi there! I’m Kathryn Doherty, a cookbook author, mom of two, and devoted food and home cooking nut. I’ve got lots of easy recipes to help you get delicious food on the table for your family!

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