Creamy Italian Sausage Pasta Recipe

There’s something deeply comforting about a bowl of creamy pasta that carries the bold flavors of Italian sausage, balanced with a silky sauce that clings to every bite. This recipe transforms simple ingredients into a dish that feels restaurant-worthy, yet it’s easy enough for a weeknight dinner. With layers of flavor, a touch of richness, and the rustic charm of Italian cooking, this creamy Italian sausage pasta will quickly become a favorite at your table.

italian sausage pasta

Ingredients List

  • 12 oz (340 g) pasta (rigatoni, penne, or fusilli work best)
  • 1 lb (450 g) Italian sausage, casings removed
  • 1 medium yellow onion, finely diced
  • 3 cloves garlic, minced
  • 1 cup heavy cream
  • 1 cup chicken broth
  • 1 cup grated Parmesan cheese
  • 1 can (14 oz) diced tomatoes, drained
  • 2 tbsp tomato paste
  • 2 tbsp olive oil
  • 1 tsp dried oregano
  • ½ tsp red pepper flakes (optional, for heat)
  • Salt and freshly cracked black pepper, to taste
  • Fresh basil or parsley, chopped (for garnish)

Step-by-Step Instructions

Step 1: Cook the Pasta

Bring a large pot of salted water to a boil. Cook pasta until just al dente, as it will continue cooking in the sauce. Reserve ½ cup of pasta water, then drain and set aside.

Step 2: Brown the Sausage

In a large skillet, heat olive oil over medium heat. Add the Italian sausage, breaking it apart with a wooden spoon. Cook until browned and slightly crispy at the edges for maximum flavor. Remove excess fat if needed.

Step 3: Build the Flavor Base

Add diced onion to the skillet and sauté until translucent. Stir in garlic, tomato paste, oregano, and red pepper flakes. Cook for 1–2 minutes until fragrant.

Step 4: Create the Sauce

Pour in chicken broth and diced tomatoes, scraping up any browned bits from the pan. Let simmer for 5 minutes, allowing flavors to meld. Reduce heat to low, then stir in heavy cream and Parmesan cheese until the sauce turns silky and smooth.

Step 5: Combine and Finish

Add the cooked pasta to the sauce, tossing gently to coat. If the sauce feels too thick, use reserved pasta water, a little at a time, to reach your desired consistency. Adjust seasoning with salt and pepper.

Step 6: Garnish and Serve

Top with fresh basil or parsley and extra Parmesan. Serve hot for a rich, satisfying meal.

Cook Time

  • Prep Time: 10 minutes
  • Cook Time: 25 minutes
  • Total Time: 35 minutes

Servings

4 generous portions

Nutritional Information (approx. per serving)

  • Calories: 620
  • Protein: 26 g
  • Fat: 36 g
  • Carbohydrates: 45 g
  • Fiber: 4 g
  • Sodium: 980 mg

Storage Instructions

  • Store leftovers in an airtight container in the refrigerator for up to 3 days.
  • Reheat gently on the stovetop with a splash of cream or broth to bring back the sauce’s creamy texture.
  • Not ideal for freezing, as the cream can separate.

Suggestions

  • For a lighter version, substitute half-and-half for heavy cream.
  • Try spinach or sun-dried tomatoes for added depth and freshness.
  • Pair with a crisp green salad and crusty bread to round out the meal.
  • A glass of Chianti or Pinot Grigio elevates this dish to a true Italian experience.

Seasonal Relevance

This pasta works beautifully year-round. In colder months, it’s hearty and warming; in summer, swap in fresh cherry tomatoes and basil for a lighter, garden-fresh twist.

Conclusion

Creamy Italian Sausage Pasta is the perfect blend of rustic Italian flavors and everyday comfort. It’s indulgent yet balanced, quick to make, and endlessly versatile. Whether you’re serving it for family dinner or entertaining guests, this dish is sure to impress with its bold flavors and velvety sauce.

Creamy Italian Sausage Pasta Recipe

Recipe by Soha
Servings

4

servings
Prep time

10

minutes
Cooking time

25

minutes
Calories

620

kcal
Total time

35

minutes

A rich and comforting pasta dish featuring savory Italian sausage, a velvety cream sauce, and perfectly cooked pasta. This recipe comes together in under 40 minutes, making it ideal for both weeknight dinners and special occasions.

Ingredients

  • 12 oz (340 g) pasta (rigatoni, penne, or fusilli)

  • 1 lb (450 g) Italian sausage, casings removed

  • 1 medium yellow onion, finely diced

  • 3 cloves garlic, minced

  • 1 cup heavy cream

  • 1 cup chicken broth

  • 1 cup grated Parmesan cheese

  • 1 can (14 oz) diced tomatoes, drained

  • 2 tbsp tomato paste

  • 2 tbsp olive oil

  • 1 tsp dried oregano

  • ½ tsp red pepper flakes (optional)

  • Salt and freshly cracked black pepper, to taste

  • Fresh basil or parsley, chopped (for garnish)

Directions

  • Cook pasta in salted water until al dente. Reserve ½ cup pasta water, then drain.
  • Heat olive oil in a large skillet over medium heat. Brown sausage, breaking it apart as it cooks. Remove excess fat if needed.
  • Add onion and sauté until softened. Stir in garlic, tomato paste, oregano, and red pepper flakes. Cook for 1–2 minutes.
  • Pour in chicken broth and diced tomatoes. Simmer for 5 minutes.
  • Reduce heat, stir in heavy cream and Parmesan until smooth.
  • Toss pasta in sauce, adding reserved pasta water as needed. Season with salt and pepper.
  • Garnish with fresh basil or parsley and serve hot.

Recipe Video

Notes

  • Swap in spicy sausage for extra heat, or chicken sausage for a lighter version.
  • Add spinach, mushrooms, or sun-dried tomatoes for variation.
  • Not freezer-friendly due to cream separation, but keeps well in the fridge for 3 days.

FAQs

Q1: Can I make this recipe gluten-free?
Yes, simply swap regular pasta for a gluten-free variety such as brown rice or lentil pasta. Make sure your sausage is labeled gluten-free as well.

Q2: What type of sausage works best?
Sweet Italian sausage is the most common, but spicy sausage can add a bold kick. You can also use chicken or turkey sausage for a leaner option.

Q3: Can I prepare this dish ahead of time?
You can cook the sausage and sauce base in advance and store it in the refrigerator for up to 24 hours. Reheat gently, then add freshly cooked pasta before serving for the best texture.

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