Creamy Tuscan Sausage Pasta Recipe

Tuscan Sausage Pasta Recipe with Creamy Dream Delight

My kitchen recently discovered a creamy tuscan sausage pasta that completely changed my weeknight dinner game.

Italian ingredients danced together in a surprisingly simple yet luxurious dish.

Robust sausage gives incredible depth to each delectable bite.

Hearty herbs and rich cream create magic in mere minutes.

Parmesan cheese melts into a silky sauce that hugs every pasta curve.

Weeknight cooking never felt so elegant or effortless.

Come experience this restaurant-quality meal you can whip up faster than ordering takeout.

Reasons to Love Creamy Tuscan Sausage Pasta

  • This pasta dish comes together in just 30 minutes, making it perfect for busy families craving a delicious meal without spending hours in the kitchen.
  • The recipe allows simple ingredient swaps like using different types of sausage, adding extra vegetables, or adjusting spice levels to suit individual tastes and dietary preferences.
  • The creamy, rich sauce combined with hearty sausage creates a satisfying meal that appeals to both kids and adults, ensuring everyone at the table will be happy and well-fed.
  • Using accessible ingredients and creating a restaurant-quality dish at home means you can enjoy a luxurious meal without the expensive restaurant price tag.

Ingredients You Need for Creamy Tuscan Sausage Pasta

Pasta:
  • Penne Pasta, Rigatoni: Classic pasta shapes with ridges that help sauce cling perfectly, great for catching creamy sauces and holding ingredients.
Meat:
  • Italian Sausage: Rich, flavorful base that adds depth and hearty texture to the pasta dish, preferably mild or spicy variety.
Dairy and Cream Components:
  • Heavy Cream, Parmesan Cheese: Creates luxurious, silky sauce with a rich, tangy cheese flavor, adds ultimate creaminess and depth.
  • Cream Cheese: Provides extra smoothness and helps thicken the sauce with a subtle tanginess.
Aromatics and Vegetables:
  • Garlic, Spinach: Adds fresh, aromatic flavor and nutritional green element to balance the rich sauce.
  • Sun-Dried Tomatoes: Brings sweet, concentrated tomato flavor with a slightly chewy texture.
Liquid and Seasoning:
  • Chicken Broth: Helps create a balanced sauce consistency and adds underlying savory notes.
  • Salt, Black Pepper: Essential seasonings to enhance and balance all other flavors in the dish.
  • Red Pepper Flakes: Optional ingredient for those who enjoy a subtle spicy kick.
Cooking Liquid:
  • Pasta Water: Starchy reserve helps bind sauce and adjust consistency if needed.

Cooking Instructions for Creamy Tuscan Sausage Pasta

Boil The Pasta

Fill a large pot with water and add a generous pinch of salt. Bring the water to a rolling boil over high heat. Add pasta and cook until it reaches the perfect al dente texture, following the package instructions. Once cooked, carefully drain the pasta in a colander, but save a half cup of pasta water for later- this starchy liquid will help create a silky sauce.

Sizzle The Sausage

Heat a large skillet over medium-high heat. Remove sausage from its casing and break into bite-sized crumbles directly into the pan. Cook the sausage, stirring occasionally, until it develops a rich golden-brown color and releases its savory oils. The meat should be fully cooked and crispy around the edges.

Sauté The Aromatics

In the same skillet with sausage drippings, add:
  • Minced garlic
  • Finely chopped onions

Stir and cook until the vegetables become translucent and fragrant, releasing their sweet and sharp flavors into the pan.

Create The Creamy Sauce

Lower the heat and pour in:
  • Heavy cream
  • Chicken broth
  • Grated parmesan cheese

Stir continuously until the ingredients blend into a smooth, velvety sauce. The mixture will start to thicken and coat the back of your spoon.

Combine And Finish

Add the cooked pasta to the skillet, tossing gently to ensure every strand is generously coated with the creamy sauce. If the sauce seems too thick, splash in some reserved pasta water to reach your desired consistency. Fold in fresh baby spinach and sun-dried tomatoes for extra color and flavor.

Garnish And Serve

Sprinkle with:
  • Additional parmesan cheese
  • Chopped fresh basil

Serve immediately in warmed pasta bowls, allowing the aroma to entice everyone to the table.

Pro Tips to Get Tuscan Pasta Just Right

  • Choose High-Quality Sausage: Select fresh Italian sausage with rich flavors like mild or spicy varieties to enhance the overall taste of the dish.
  • Control Pasta Texture: Cook pasta just until al dente to prevent mushiness and ensure a perfect bite that holds up in the creamy sauce.
  • Manage Sauce Consistency: Use reserved pasta water to thin or thicken the sauce, creating a silky smooth texture that coats the pasta evenly.
  • Balance Flavors Wisely: Add sun-dried tomatoes and spinach for brightness and nutrition, complementing the rich and creamy sausage base.
  • Customize Dietary Needs: Swap regular pasta with gluten-free options and use plant-based sausage for vegetarian versions without compromising taste.

How to Store and Warm Up Creamy Tuscan Sausage Pasta

  • Transfer leftover pasta to an airtight container and store in the refrigerator for up to 3-4 days. Cool completely before sealing to prevent bacterial growth.
  • Place pasta in a microwave-safe dish, sprinkle a few tablespoons of water or extra pasta sauce to prevent drying. Heat in 30-second intervals, stirring between each to ensure even warming.
  • Warm pasta in a skillet over medium-low heat, adding a splash of water or cream to restore moisture and creaminess. Stir gently to prevent sticking and maintain texture.
  • Sprinkle some fresh parmesan or chopped herbs before serving to revive the flavors and make leftovers taste almost like freshly cooked pasta.

Great Pairings for Tuscan Sausage Pasta

  • Pair this creamy Tuscan sausage pasta with a crisp, medium-bodied white wine like Pinot Grigio, which cuts through the richness and complements the savory sausage.
  • Add a fresh arugula salad with lemon vinaigrette to balance the pasta's creamy texture and provide a zesty contrast to the rich sauce.
  • Serve warm, crusty garlic bread to soak up the delicious sauce and add a delightful crunch that enhances the overall dining experience.
  • Finish with a light, tangy dessert like lemon sorbet to cleanse the palate and provide a refreshing end to the hearty pasta dish.

Spin-Offs of Creamy Tuscan Sausage Pasta

  • Vegetarian Swap: Replace Italian sausage with plant-based crumbles or seasoned mushroom mixture for a meat-free version that maintains rich, hearty flavors.
  • Gluten-Free Option: Use gluten-free pasta and ensure all ingredients like heavy cream and broth are certified gluten-free to accommodate sensitive diets.
  • Low-Carb Alternative: Substitute traditional pasta with zucchini noodles or spaghetti squash strands for a lighter, lower-carbohydrate meal that still delivers satisfying taste.
  • Dairy-Free Modification: Swap heavy cream with coconut milk or cashew cream and use nutritional yeast instead of parmesan cheese for a creamy texture without dairy.

Tuscan Sausage Pasta: Frequently Asked Questions

  • What kind of sausage works best in this recipe?

Italian sausage, either mild or spicy, is ideal for this Tuscan pasta dish. Removing the casings and crumbling the meat ensures even cooking and great flavor distribution.

  • Can I make this recipe vegetarian?

Yes, substitute the sausage with plant-based ground meat alternatives or use cremini mushrooms for a similar rich, meaty texture. Ensure you season well to maintain depth of flavor.

  • How do I prevent the cream sauce from separating?

Keep the heat low and stir constantly when adding cream. Use full-fat cream and add it gradually, allowing it to incorporate smoothly without curdling. Remove the pan from direct heat if needed.

  • What type of pasta is recommended?

Penne, rigatoni, or fusilli work best because their shape helps hold the creamy sauce. These pasta shapes have ridges and curves that trap the sauce, ensuring every bite is flavorful.

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Creamy Tuscan Sausage Pasta Recipe

Creamy Tuscan Sausage Pasta Recipe


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4.6 from 29 reviews

  • Total Time: 30 minutes
  • Yield: 4 1x

Description

Hearty “Creamy Tuscan Sausage Pasta” delivers Mediterranean comfort in one skillet, blending rich Italian sausage with silky sauce and tender pasta. Savory ingredients dance together, promising a delicious journey through rustic Tuscany that satisfies deep hunger and culinary curiosity.


Ingredients

Scale

Protein:

  • 1 lb (450g) Italian sausage (mild or spicy, casing removed)

Pasta and Pasta Seasoning:

  • 12 oz (340g) pasta (penne, fettuccine, or rigatoni)
  • 1 tablespoon salt (for boiling water)

Sauce and Flavor Enhancers:

  • 1 cup heavy cream (or half-and-half for a lighter version)
  • ½ cup chicken broth (for extra flavor and silkiness)
  • ½ cup sun-dried tomatoes (chopped, oil-packed is best)
  • ½ cup grated Parmesan cheese
  • 4 cloves garlic (minced)
  • 1 tablespoon olive oil (if needed, for browning sausage)
  • 1 teaspoon red pepper flakes (optional, for spice)
  • ½ teaspoon Italian seasoning
  • ½ teaspoon salt (adjust to taste)
  • ¼ teaspoon black pepper
  • 2 cups fresh spinach (or kale, chopped)
  • Extra Parmesan cheese
  • Fresh basil or parsley

Instructions

  1. Fill a generously sized pot with water, season with salt, and bring to a vigorous boil.
  2. Submerge pasta into the bubbling water, stirring occasionally, and cook until reaching a perfectly tender yet slightly firm texture as recommended on the packaging.
  3. Once cooked, carefully strain the pasta using a colander, preserving a portion of the starchy cooking liquid for later sauce enhancement.
  4. Transfer the drained pasta to a waiting serving dish, ensuring it remains warm and ready for the upcoming sauce preparation.

Notes

  • Swap pork sausage with chicken or turkey sausage for a leaner protein option that still packs incredible flavor.
  • Add extra spinach or kale to boost the nutritional value and create a more vibrant, vegetable-rich dish.
  • Use gluten-free pasta to make this recipe completely gluten-free without compromising the creamy, comforting texture.
  • For a dairy-free version, replace heavy cream with coconut cream and use nutritional yeast instead of parmesan cheese to maintain the rich, savory profile.
  • Prep Time: 10 minutes
  • Cook Time: 20 minutes
  • Category: Dinner, Lunch
  • Method: Boiling
  • Cuisine: Italian

Nutrition

  • Serving Size: 4
  • Calories: 678
  • Sugar: 3 g
  • Sodium: 1095 mg
  • Fat: 39 g
  • Saturated Fat: 18 g
  • Unsaturated Fat: 16 g
  • Trans Fat: 0 g
  • Carbohydrates: 53 g
  • Fiber: 2 g
  • Protein: 29 g
  • Cholesterol: 107 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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