Chicken Tetrazzini is one of those classic, nostalgic dishes that brings comfort and warmth to the table. Traditionally rich, creamy, and indulgent, it has roots that trace back to the early 1900s and is named after the famed Italian opera singer Luisa Tetrazzini. Despite its name, the dish is believed to have American origins, most likely created by a chef in San Francisco. Originally made with poultry—typically turkey or chicken—it’s baked in a creamy sauce with pasta, mushrooms, and cheese, a combination that has made it a beloved family favorite for generations.
What makes this Healthy and Easy Chicken Tetrazzini recipe stand out is its clever adaptation of that timeless classic without sacrificing flavor or texture. It’s a purposeful departure from the calorie-laden versions found in traditional cookbooks, which often rely heavily on full-fat dairy products like butter, cream, sour cream, and cream cheese. These ingredients, while delicious, tend to weigh down not only the dish but also the dieter’s conscience.
In creating this healthier adaptation, the focus is on clean, nutritious ingredients that offer the same cozy satisfaction with a fraction of the fat and calories. The use of reduced-fat condensed cream of mushroom soup provides that familiar creamy base, while unsweetened flax milk is a smart choice for those who are dairy-sensitive or trying to cut down on animal products and saturated fats. Ground chicken breast replaces more fatty cuts of meat, and Parmesan cheese adds a sharp, savory note without needing to use a large quantity. The omission of butter, plus the inclusion of simple spices like garlic powder and cumin, brings flavor and depth without the caloric baggage.
The story behind this version of Chicken Tetrazzini is very personal. Born out of a craving for comfort food during a time of dietary mindfulness, it reflects the ongoing tension—and eventual harmony—between nourishment and indulgence. With clean eating and regular exercise as part of a renewed health approach, enjoying traditional comfort food again, made more intentionally, became a rewarding experience. The original inspiration came from a turkey tetrazzini casserole in a cookbook, but tweaks such as increasing the pasta ratio, swapping in ground chicken, and changing the dairy components made the recipe the ultimate healthy comfort dish.
This Easy and Healthy Chicken Tetrazzini isn’t just lower in calories; it’s also customizable for various dietary needs. A few simple swaps—such as gluten-free pasta and soup or using nutritional yeast for a dairy-free version—make it inclusive while retaining its soul-satisfying taste. It’s a shining example of how the feel-good magic of comfort food doesn’t need to be compromised for health goals. Perfect for busy weeknights, shared family dinners, or meal prepping, this recipe proves that with a little creativity, you really can have it all—flavor, comfort, and nutrition.

Easy and Healthy Chicken Tetrazzini
Ingredients
1 pound spaghetti
1 tablespoon Canola oil
1 pound ground chicken (minced chicken) - chicken breasts
1 pinch salt - to taste
1 pinch ground black pepper - to taste- 2 cans condensed cream of mushroom soup - reduced-fat
1 cup milk - I used unsweetened flax milk
⅓ cup Parmesan cheese
½ teaspoon garlic powder
½ teaspoon cumin
¼ teaspoon ground black pepper
¼ cup breadcrumbs - dried
Instructions
- Preheat the oven to 375°F. Spray a 9×13 baking dish with nonstick spray.
- Cook spaghetti according to package directions, then drain and set aside.
- While spaghetti is cooking, add oil to a medium-sized skillet. Turn the burner to medium-high heat and heat oil until it starts to shimmer, then add chicken to the pan and season with salt and pepper. Cook chicken, stirring periodically, until chicken is no longer pink.
- In a large bowl, add the soup, milk, cheese, spices, cooked chicken, and spaghetti. Stir thoroughly to combine. Pour the mixture into your prepared baking dish, then top with the bread crumbs.
- Bake for 15-20 minutes, or until the top is golden. Serve hot. Enjoy!















