
This hearty Paleo Shrimp Pad Thai transforms the beloved Thai classic into a gluten-free, low-carb delight by swapping traditional rice noodles with spiralized carrots. The combination of succulent shrimp, crunchy vegetables, and authentic Thai flavors creates a guilt-free version that doesn't sacrifice any of the original's charm.
I discovered this recipe during my 30-day paleo challenge and it quickly became my family's favorite "healthy takeout" alternative. Even my carb-loving husband requests this version over traditional pad Thai now!
Ingredients
- Raw peeled and deveined shrimp: preferably wild caught for best flavor and sustainable choice
- Green Giant Veggie Spirals Carrot: or fresh spiralized carrots as your noodle replacement
- Almonds: for that essential crunch traditionally provided by peanuts in classic pad Thai
- Fish sauce: provides the unmistakable umami flavor crucial to authentic Thai cooking
- Lime juice: adds brightness and balances the savory elements
- Honey: offers a touch of sweetness that complements the tangy sauce
- Coconut aminos: provides the salty element with less sodium than soy sauce
- Birds eye chili pepper: for authentic Thai heat adjust based on your spice preference
Step-by-Step Instructions
- Toast the Almonds:
- Place almonds in a dry skillet over medium low heat and toast for 4 to 5 minutes until golden brown and fragrant. Stir frequently to prevent burning as they can quickly go from perfect to burnt. This step adds incredible depth of flavor and creates the crunchy element that makes pad Thai so satisfying.
- Cook the Protein:
- Heat coconut oil in a large skillet over medium high heat until shimmering. Add shrimp and onions together and stir fry for exactly 3 minutes until shrimp turn opaque and pink while onions become slightly translucent. Be careful not to overcook the shrimp or they will become rubbery. Remove from pan and set aside.
- Prepare the Noodles:
- Add remaining coconut oil to the same skillet and add the carrot spirals. Cover and cook for 8 minutes stirring occasionally to ensure even cooking. The steam created under the lid helps soften the carrots to a perfect al dente texture similar to traditional rice noodles.
- Add the Eggs:
- Create a well in the center of your carrot spirals and pour in the whisked eggs along with green onions. Stir the egg mixture until almost fully cooked about 1 minute. The residual heat will finish cooking the eggs while keeping them tender.
- Combine and Finish:
- Return the shrimp and onions to the pan and add mung bean sprouts and prepared pad Thai sauce. Stir everything together for just 30 seconds allowing the flavors to meld without overcooking any components. Remove from heat immediately to preserve the perfect texture of all ingredients.

The secret ingredient that truly makes this dish special is the fish sauce. I remember the first time I made this recipe without it trying to make it more palatable for my kids. The difference was remarkable. Fish sauce provides that distinctive umami flavor that makes Thai food so addictive. Now my whole family agrees no shortcuts on the fish sauce!
Make Ahead and Storage
This paleo pad Thai keeps remarkably well in the refrigerator for up to three days in an airtight container. I actually find the flavors meld together beautifully overnight making leftovers sometimes even better than the fresh version. To reheat simply warm gently in a skillet with a splash of water to prevent drying out. I do not recommend freezing this dish as the texture of the carrots and shrimp changes significantly when thawed.
Perfect Substitutions
This recipe is incredibly adaptable to what you have on hand. Chicken thighs cut into small pieces work beautifully in place of shrimp just cook for 5 to 6 minutes instead of 3. For a vegetarian version replace the shrimp with extra firm tofu pressed and cubed and substitute coconut aminos for the fish sauce. If carrot spirals are unavailable zucchini noodles make an excellent alternative though they require much less cooking time just 2 to 3 minutes to prevent becoming soggy.
Serving Suggestions
While delicious on its own this paleo pad Thai reaches new heights with thoughtful accompaniments. Serve with lime wedges for squeezing over individual portions to brighten the flavors. A side of cooling cucumber salad provides refreshing contrast to the complex flavors of the main dish. For guests who enjoy extra heat offer a small dish of red pepper flakes or sriracha at the table. I like to serve this family style on a large platter garnished generously with cilantro and extra bean sprouts for a beautiful presentation.
The Cultural Context
Traditional pad Thai became popular in Thailand during World War II when the government promoted rice noodles to reduce domestic rice consumption. This paleo version honors the vibrant flavor profile while adapting to modern dietary preferences. The authentic balance of sweet sour salty and spicy remains intact even without the traditional rice noodles and peanuts. This adaptation demonstrates how classic dishes can evolve while respecting their cultural roots.
Frequently Asked Questions
- → What makes this dish Paleo-friendly?
This dish uses spiralized carrots instead of traditional noodles and includes natural ingredients like shrimp, coconut oil, and honey, aligning with Paleo guidelines.
- → Can I make this dish spicier?
Yes, you can add extra bird's eye chili peppers or use chili flakes to increase the spice level to your liking.
- → Can I use fresh carrots instead of packaged spirals?
Yes, you can spiralize fresh carrots yourself and use them in this recipe. Adjust cooking time to 2 minutes for freshly spiralized carrots.
- → Are there substitutes for mung bean sprouts?
You can substitute mung bean sprouts with zucchini noodles, thinly sliced cabbage, or omit them altogether.
- → Can I make this dish Whole30 compliant?
Yes, omit the honey in the Pad Thai sauce and ensure all other ingredients used comply with Whole30 guidelines.
- → How do I store leftovers?
Store any leftovers in an airtight container in the refrigerator for up to 3 days. Reheat thoroughly before serving.