Cone-beam CT imaging using non-circular orbits has been demonstrated to be effective in reducing artifacts around metal. With the increasing interest in spectral imaging in the interventional suite, there are potential advantages to combine both technologies to yield further image quality benefits. We simulated a neuro-interventional application where imaging around the embolization is challenged by metal artifacts and the differentiation of bleeds and contrast extravasation is difficult with single-energy imaging. The imaging system was simulated with a dual-layer detector and different sinusoidal orbits. Material decomposition used a projection-domain approach followed by a model-based reconstruction of the density line integrals of each basis. The spectral non-circular orbits acquisitions were compared with single-energy circular, single-energy non-circular, and spectral circular orbits. Results using spectral non-circular orbit contain minimal metal artifacts and allow the differentiation of bleeds and contrast extravasation, demonstrating the potential of the combined technologies.