This gut-friendly pasta blends silky coconut milk with fragrant basil for a soothing, flavorful sauce. Fresh chives and scallion greens give a hint of onion without triggering histamine reactions. Perfect for busy weeknights, it’s fresh-cooked and ready in 15 minutes.
Ingredients Needed:
- 12 oz gluten-free spaghetti: fresh-cooked, avoid storing for long periods.
- 15 oz full-fat coconut milk: unsweetened, for creaminess.
- ¼ cup fresh basil: loosely packed.
- 2 tbsp fresh chives: chopped, mild onion flavor.
- 2 tbsp scallion greens: sliced thin.
- 1 tbsp extra virgin olive oil: fresh.
- ¼ tsp salt: Himalayan or sea salt, optional.
How To Make Low Histamine Basil Pasta:
Cook Pasta: Boil pasta according to package directions. Drain and set aside.
Blend Sauce: Blend coconut milk and basil until smooth. Set aside.
Cook Aromatics: In a skillet, heat olive oil over medium-low heat. Add chives and scallion greens. Cook 2 minutes until soft.
Heat Sauce: Pour in coconut-basil mixture. Stir and heat through for 2–3 minutes. Season lightly with salt.
Combine Pasta & Sauce: Toss cooked pasta in the sauce until fully coated. Serve warm.

Recipe Tips:
- Use fresh basil for best flavor and lowest histamine levels.
- Cook pasta fresh — avoid reheating multiple times.
- If sauce is too thick, thin with a splash of warm pasta water.
- Serve immediately after cooking to keep histamine levels low.
How to Store & Reheat:
- Room Temperature: Eat within 30 minutes.
- Fridge: Store up to 24 hours in airtight container.
- Freezer: Not recommended — coconut milk may separate. Reheat gently on stove with a splash of water.
Nutrition Facts (per serving):
- Calories: ~360
- Sodium: ~210 mg
- Protein: ~7 g
- Fat: ~15 g
- Carbs: ~50 g
- Fibre: ~3 g
- Sugar: ~2 g
FAQs:
1. Can I use dairy milk instead of coconut milk?
Yes, as long as it’s fresh and not aged or UHT-treated.
2. Is basil safe for histamine intolerance?
Most people tolerate fresh basil well, but start with small amounts if unsure.
3. Can I make this without a blender?
Yes, just finely chop basil and stir directly into coconut milk.
4. Which pasta is best for low histamine diets?
Freshly cooked wheat or gluten-free pasta is fine — avoid long storage.
5. Can I add protein to this dish?
Yes, fresh-cooked chicken or turkey works well. Cook separately and add before serving.
Try More Recipes:
Low Histamine Basil Pasta
Course: DinnerCuisine: AmericanDifficulty: Easy4
servings5
minutes10
minutes360
kcalA creamy, gut-friendly pasta with fresh basil and coconut milk for a histamine-safe dinner in 15 minutes.
Ingredients
12 oz gluten-free spaghetti
15 oz full-fat coconut milk
¼ cup fresh basil
2 tbsp fresh chives
2 tbsp scallion greens
1 tbsp olive oil
¼ tsp salt (optional)
Directions
- Cook pasta, drain, set aside.
- Blend coconut milk and basil until smooth.
- Heat olive oil in skillet, sauté chives and scallion greens 2 min.
- Add basil-coconut mixture, heat 2–3 min.
- Toss pasta with sauce, serve warm.
