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Preheat the oven to 375°F.
Arrange squash in a large baking dish, cut-side down.
Pour 1/2 cup water into the dish and bake until just tender, 30 to 35 minutes.
Rake with a fork to remove flesh in strands.
Meanwhile, heat a skillet over medium heat and cook sausage, until almost cooked, breaking into smaller pieces, about 5 minutes.
Add onion and cook until soft, 6 to 8 minutes more.
Add sauce and simmer to combine flavors, 2 to 3 minutes. Keep warm.
Combine butter, garlic and basil; spread onto one side of bread; place on a baking sheet and bake about 10 minutes.
Portion squash into bowls, top with sauce and serve with garlic bread.