Creamy Italian Sausage Pasta Recipe

Italian Sausage Pasta Recipe for Creamiest Indulgence

Comfort meets culinary magic in this creamy italian sausage pasta that promises pure deliciousness.

Spicy sausage intertwines with velvety sauce, creating a meal that feels like a warm embrace.

Rich flavors dance across your palate with each perfectly twirled bite.

Hearty ingredients blend seamlessly, turning an ordinary dinner into an extraordinary experience.

Weeknight cooking becomes a breeze with this simple yet sophisticated dish.

Fragrant herbs and robust seasonings elevate every forkful into something memorable.

You’ll want to savor every single bite of this irresistible pasta creation.

What Makes Italian Sausage Pasta Satisfying

  • This recipe delivers delicious, hearty comfort food with minimal effort, perfect for busy weeknights when you want something satisfying and quick.
  • Packed with creamy sauce and savory Italian sausage, this pasta dish appeals to both kids and adults, making it an ideal meal for family dinners.
  • The recipe offers flexibility to add extra vegetables, swap sausage types, or adjust spice levels, allowing home cooks to personalize the dish to their taste preferences.
  • Minimal cooking equipment and straightforward preparation mean less cleanup and more time enjoying a delicious meal with loved ones.

Everything You Need for a Savory Kick

Pasta:
  • Pasta: Base of the dish, holds all the delicious flavors. Choose a shape like penne or rigatoni that catches the creamy sauce well. Short pasta works best for this recipe.
Meat:
  • Italian Sausage: Rich and flavorful protein that adds depth to the dish. Opt for mild or spicy based on preference. Fresh sausage provides the best taste and texture.
Dairy and Cream Components:
  • Heavy Cream, Cream Cheese: Creates a luxurious and smooth sauce. Full-fat versions provide the richest consistency. Cream cheese helps thicken and add tanginess to the sauce.
  • Parmesan Cheese: Adds salty, nutty depth to the sauce. Freshly grated gives the best flavor. Aged Parmesan has more intense taste.
Aromatics and Seasoning:
  • Garlic, Red Pepper Flakes: Provides warmth and spice to the dish. Fresh garlic offers the most robust flavor. Adjust red pepper flakes for desired heat level.
  • Salt, Black Pepper: Enhances overall seasoning and balances flavors. Kosher or sea salt recommended for better taste.
Herbs and Finishing Touches:
  • Fresh Basil: Adds bright, fresh flavor as a garnish. Freshly chopped right before serving maintains maximum aroma.

How to Build This Pasta in Layers

Step 1: Heat the Pan

Warm a large skillet over medium-high heat. Add olive oil and break Italian sausage into the pan. Cook the sausage, breaking it into small crumbles with a wooden spoon until it’s golden brown and fully cooked.

Step 2: Bloom Aromatic Ingredients

Reduce heat to medium. Add:
  • Minced garlic
  • Diced onions

Add these ingredients to the sausage and sauté until the onions become translucent and fragrant.

Step 3: Create Creamy Sauce Base

Sprinkle flour over the sausage mixture and stir to coat. Pour in:
  • Heavy cream
  • Chicken broth

Whisk continuously to prevent lumps and create a smooth sauce.

Step 4: Enhance Flavor Profile

Stir in:
  • Dried Italian herbs
  • Red pepper flakes
  • Grated parmesan cheese

Let the sauce simmer and thicken for a few minutes.

Step 5: Combine Pasta and Sauce

Add cooked pasta to the skillet. If the sauce seems too thick, splash in some reserved pasta water to reach desired consistency. Toss everything together until pasta is evenly coated.

Step 6: Garnish and Serve

Sprinkle chopped fresh basil on top. Serve hot with additional parmesan cheese if desired.

Tips That Help with Texture and Timing

  • Choose the Right Sausage: Select fresh Italian sausage with good flavor, removing casings for better texture and even distribution throughout the dish.
  • Prevent Pasta Sticking: Stir the pasta occasionally while cooking and rinse with cold water immediately after draining to stop the cooking process and prevent clumping.
  • Boost Cream Sauce Richness: Use full-fat heavy cream or half-and-half for a more luxurious and velvety sauce that coats the pasta perfectly.
  • Control Sauce Consistency: Add reserved pasta water gradually to thin out the sauce if it becomes too thick, helping create a silky, smooth texture that clings to the pasta.
  • Customize for Dietary Needs: Swap regular pasta with gluten-free options or use plant-based sausage for vegetarian versions without compromising the dish's authentic Italian flavor profile.

How to Reheat Pasta Without Overcooking

  • Store leftover pasta in an airtight container within 2 hours of cooking. Properly sealed, it will keep fresh in the refrigerator for 3-4 days.
  • Warm the pasta in a skillet over medium heat, adding a splash of reserved pasta water or cream to restore moisture and prevent drying out. Stir gently until heated through.
  • Place pasta in a microwave-safe dish, cover with a damp paper towel, and heat in 30-second intervals, stirring between each interval to distribute heat evenly.
  • For longer storage, freeze the pasta in a freezer-safe container for up to 2 months. Thaw overnight in the refrigerator before reheating.

Pair It with Bread, Salad, or Wine

  • Pair this creamy sausage pasta with a medium-bodied Chianti wine that cuts through the richness and complements the Italian sausage's robust flavors.
  • Serve a fresh arugula salad with lemon vinaigrette on the side to provide a zesty, light contrast to the heavy, creamy pasta dish.
  • Complement the pasta with warm, crispy garlic bread that helps soak up the delicious creamy sauce and adds a crunchy texture to the meal.
  • Add roasted bell peppers and zucchini as a side dish to introduce a healthy, colorful element that balances the richness of the creamy sausage pasta.

Flavor Switches for Future Batches

  • Vegetarian Sausage Swap: Replace Italian sausage with plant-based sausage or crumbled extra-firm tofu seasoned with Italian herbs for a meat-free version.
  • Gluten-Free Adaptation: Use gluten-free pasta and ensure all ingredients like sausage and seasonings are certified gluten-free for those with wheat sensitivities.
  • Low-Carb Alternative: Substitute traditional pasta with zucchini noodles or spaghetti squash to reduce carbohydrate content while maintaining the creamy sauce's rich flavor.
  • Dairy-Free Option: Replace heavy cream with coconut cream or unsweetened almond milk mixed with nutritional yeast for a similar creamy texture without dairy products.

Sausage Pasta Q&A

  • What type of pasta works best for this recipe?

Penne, rigatoni, or fusilli are ideal because their shape helps capture the creamy sauce and sausage pieces perfectly.

  • Can I use a different type of meat instead of Italian sausage?

Ground beef or chicken can be substituted, but Italian sausage provides the most authentic flavor and traditional taste profile.

  • How can I make this dish spicier?

Add red pepper flakes during cooking or use spicy Italian sausage to increase the heat level and give the pasta more kick.

  • Is this recipe suitable for meal prep?

Yes, this pasta dish reheats well and can be stored in the refrigerator for 3-4 days, making it excellent for preparing in advance for quick meals during the week.

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Creamy Italian Sausage Pasta Recipe

Creamy Italian Sausage Pasta Recipe


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4.8 from 17 reviews

  • Total Time: 25 minutes
  • Yield: 4 1x

Description

Indulgent creamy Italian sausage pasta delivers hearty Mediterranean flavors in one comforting skillet. Rich layers of spicy sausage, tender noodles, and silky sauce promise a delightful meal you’ll savor with pure culinary pleasure.


Ingredients

Scale

Main Ingredients:

  • 300 g (10 ounces) pasta (penne, rigatoni, or your choice)
  • 300 g (10 ounces) Italian sausage (mild or spicy), casings removed
  • 1 cup (240 milliliters) heavy cream
  • ½ cup (50 grams) grated Parmesan cheese

Cooking Base and Seasonings:

  • 1 tablespoon olive oil
  • 1 small onion, finely chopped
  • 3 cloves garlic, minced
  • ½ teaspoon red pepper flakes (optional, for spice)
  • ½ teaspoon Italian seasoning
  • Salt (for boiling water)
  • Salt and pepper, to taste

Liquid Component:

  • ½ cup (120 milliliters) chicken broth

Garnish:

  • Fresh parsley, chopped
  • Extra Parmesan cheese

Instructions

  1. Fill a generously sized pot with water, add a pinch of salt, and bring to a rolling boil over high heat.
  2. Submerge the pasta and cook precisely according to package recommendations, aiming for a tender yet firm texture.
  3. Before draining, carefully extract and preserve 1/2 cup of the starchy cooking liquid, which will help emulsify the sauce later.
  4. Strain the pasta in a colander, then transfer to a waiting serving dish, ensuring it remains warm and accessible.

Notes

  • Opt for fresh Italian sausage from a local butcher for the most authentic and rich flavor profile.
  • Remove sausage casings before cooking to help the meat blend seamlessly into the creamy sauce and distribute evenly throughout the dish.
  • Create a lighter version by using turkey sausage or plant-based sausage alternatives for a healthier twist without compromising taste.
  • Adjust pasta water quantity based on sauce thickness; the starchy liquid helps bind ingredients and creates a silkier, more cohesive sauce texture.
  • Prep Time: 5 minutes
  • Cook Time: 20 minutes
  • Category: Dinner, Lunch
  • Method: Boiling
  • Cuisine: Italian

Nutrition

  • Serving Size: 4
  • Calories: 600
  • Sugar: 2 g
  • Sodium: 850 mg
  • Fat: 32 g
  • Saturated Fat: 15 g
  • Unsaturated Fat: 14 g
  • Trans Fat: 0 g
  • Carbohydrates: 54 g
  • Fiber: 3 g
  • Protein: 22 g
  • Cholesterol: 80 mg
Jamie Granger

Jamie Granger

Recipe Developer & Food Writer

Expertise

  • Fusion Cuisine Development
  • Recipe Development and Food Styling
  • Culinary Writing and Content Creation
  • Nutrition and Healthy Cooking​

Education

Culinary Institute of America

  • Degree: Associate in Culinary Arts
  • Focus: Emphasis on flavor development, classic and contemporary culinary techniques, menu design, and global cuisine preparation; combined with food-service management, communication, and finance training; and immersive hands‑on restaurant operations through paid industry internships.

Jamie Granger turns ingredients into memories. With her recipes, she brings a fusion-forward flair to every creation. 

Her dishes reflect the places she’s explored, the chefs she’s learned from, and the deep connection she has to food as a form of expression. 

At Pass and Provision, Jamie develops recipes that balance flavor, health, and beauty, meals that don’t just satisfy your appetite but speak to your curiosity.

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