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It happens every year: as soon as the Thanksgiving desserts make their way to the dining table, all thoughts of cutting back this holiday season go out the window. Between custard-filled pies, fruit-filled pastries and rich chocolate indulgences, it can be tough to stick to a heart healthy diet. But instead of choosing between eating healthy and enjoying a sweet nibble, you can make one of Health eCooks’ healthy Thanksgiving desserts that still bring the scrumptious, seasonal vibes you love without ruining your diet.
Whether you're cooking for someone with dietary restrictions or just want to make smarter food choices this holiday season, these Thanksgiving desserts are full of flavor, fiber, and feel good ingredients. Think creamy pumpkin custards, warm apple crumbles, and even gooey, chocolate brownies—all made with heart friendly tweaks like reduced sugar, less saturated fat, and more nutrient-dense ingredients to keep them low calorie and good for you.
If you’re looking for easy, delicious ways to keep your holiday menu on track, these heart healthy desserts are just the thing. These healthy Thanksgiving recipes are festive, family friendly and dietitian approved.
Why make healthy desserts for Thanksgiving? Because dessert should be something you enjoy–and still feel good about. Traditional Thanksgiving treats are often loaded with sugar, saturated fat, and heavy creams, which can be tough on your heart and your waistline. By choosing healthy Thanksgiving desserts, you're still celebrating the holiday flavors you love, but with smarter ingredients that support a heart healthy diet. It’s a simple, delicious way to care for your loved ones—and yourself—while still enjoying every bite on your plate.
The best Thanksgiving desserts for a heart healthy diet are those that are lower in saturated fat and added sugars, while still being rich in flavor and nutrients. Desserts made with pumpkin, sweet potatoes, or apples—like a light pumpkin custard or a fruit-forward apple crumble—are excellent choices. These treats often use ingredients like oats, almond flour, or fat-free dairy, and are naturally sweetened with fruit or a touch of maple syrup. They offer fiber, antioxidants, and plenty of fall flavor without the heavy cream or butter that typically leave you feeling full and bloated. If you're aiming for a heart healthy Thanksgiving, desserts like these strike the perfect balance between indulgent and nourishing.
For sweet treats that won’t derail your heart healthy goals, make one of these low-calorie Thanksgiving desserts that deliver all the comforting flavors of fall without the extra sugar or saturated fat. These healthy Thanksgiving dessert recipes use smart ingredient swaps like applesauce instead of oil, Greek yogurt instead of heavy cream, and nut-based crusts in place of buttery pastry. Find your favorite from the list and get baking!
Instead of a buttery crust, this healthy apple pie recipe uses a nut-based blend of almond and hazelnut flours with a hearty oat–pecan crumble. Naturally sweet apples and spices complete this sweet treat, making it the perfect dessert to add to your list of healthy Thanksgiving recipes.
This layered pumpkin dish trades heavy cream for fat-free cheesecake pudding and almond flour cookie crumbs, cutting down on saturated fat without losing richness. Pumpkin purée adds natural sweetness and fiber, making this an indulgent yet smart choice for your healthy Thanksgiving desserts lineup.
A lighter twist on the holiday favorite, this pie uses reduced-fat cream cheese, skim milk, and egg whites instead of heavier dairy ingredients. Warm spices like cinnamon and nutmeg deliver all the classic flavor you love in a heart healthy Thanksgiving pie.
Classic apple crumble gets a smart makeover by swapping butter for a light pecan topping that uses minimal added sugar. With just 136 calories per serving, this cozy crumble lets the natural sweetness of apples shine while keeping it light and heart friendly for the holiday.
This pie swaps traditional filling for naturally sweet potatoes, paired with fat-free evaporated milk and egg whites for a lighter, custard-like texture. At just 146 calories per slice, it’s a smart way to enjoy a holiday classic without the extra sugar or fat.
For those who don’t love pumpkin and apple desserts, there’s always room for chocolate on the dessert table. These fudgy brownies swap much of the sugar and fat for mashed sweet potatoes, unsweetened applesauce and cocoa powder. At only 106 calories each, they’re a light alternative to the traditional chocolate desserts you find around the holidays.
This fuss-free dessert skips heavy pie crust and sugary fillings by baking whole apples stuffed with oats, walnuts, and a touch of brown sugar. The nutty topping adds heart healthy fats, while warm spices like cinnamon, ginger, and nutmeg deliver cozy fall flavor—making it a smart swap for traditional apple pie.
This playful dessert layers pumpkin with instant pudding, skim milk and a light whipped topping instead of a heavy pastry crust. At only 123 calories per serving, it’s an easy way to enjoy pumpkin pie flavor in a lighter, portion-controlled Thanksgiving treat.
The holidays don’t have to mean heavy, sugar-packed sweets. With a few simple swaps in your traditional recipes, you can enjoy healthy Thanksgiving desserts that taste just as good as the classics. These are not “diet” desserts—they’re celebratory, comforting, and just smarter for heart health.
Whether you’re hosting a big holiday meal or just want a light, satisfyingly sweet finish, these desserts make it simple to enjoy a heart healthy Thanksgiving with the family.
Here are more ideas for making a healthier Thanksgiving dinner this year:
7 Healthy Thanksgiving Desserts You Can’t Help But Love
12 Classic Thanksgiving Side Dishes with a Healthy Twist
Quick and Healthy Fall Recipes Using Apples and Pumpkin