Creamy Italian Sausage Pasta

User Reviews

5

48 reviews
Excellent
  • Prep Time

    10 mins

  • Cook Time

    20 mins

  • Total Time

    30 mins

  • Servings

    6

  • Calories

    794 kcal

  • Course

    Lunch, Dinner

  • Cuisine

    Italian, American

Creamy Italian Sausage Pasta

Creamy Italian Sausage Pasta combines browned Italian sausage with a rich, cheesy cream sauce that coats penne or rotini pasta. The dish offers a balanced texture between the tender pasta and the savory sausage bits, enhanced by garlic and optional red pepper flakes for subtle heat. Fresh basil added at the end provides a bright herbal note, making this pasta a filling and comforting meal option for family dinners or casual gatherings.

Description

Creamy Italian Sausage Pasta features cooked pasta tossed in a smooth sauce made from heavy cream and melted Parmesan cheese. The Italian sausage is browned in olive oil and cooked with onions, garlic, and optional red pepper flakes, providing a flavorful base. The sauce comes together by simmering the cream and folding in cheese for a velvety finish. Fresh basil added off the heat brightens the dish with herbal freshness. The pasta water is reserved to adjust the sauce consistency as needed, ensuring the dish stays moist and creamy.

This pasta works well as a main course on its own, pairing nicely with a simple green salad or steamed vegetables for a meal with a variety of textures and colors. Its richness and sausage flavor make it a suitable dish for casual dinners or weekends when a satisfying meal is desired.

To tailor the dish's heat level, select mild or hot Italian sausage and add red pepper flakes accordingly. If heavy cream is unavailable, alternatives such as half-and-half or milk with butter can substitute, though the sauce’s richness may be slightly lighter. Freshly grated Parmesan yields the best flavor, and reserving pasta water before draining is important to maintain sauce texture.

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Ingredients

Servings
  • 1 pound Italian sausage mild or hot
  • 1 pound pasta such as penne or rotini
  • 2 tablespoons olive oil
  • 1 medium onion diced
  • 3 cloves garlic minced
  • red pepper flakes optional
  • 1 cup heavy cream
  • 1 cup Parmesan Cheese grated
  • salt to taste
  • black pepper to taste
  • ½ cup basil chopped for garnish, fresh

Instructions

  1. Cook the pasta according to package instructions until al dente. Reserve about 1 cup of the pasta water before draining. Set the pasta aside.
  2. While the pasta is cooking, heat the olive oil in a large skillet over medium-high heat. Add the Italian sausage and cook, breaking it up with a spoon, until it is browned and cooked through.
  3. Next, add the diced onion, garlic, salt, pepper and red pepper flakes to the skillet. Cook until the onion is softened and translucent, about 5 minutes.
  4. Lower the heat to medium and stir in the heavy cream. Allow the cream to heat up and then stir in the Parmesan cheese. Continue stirring until the cheese has melted into the cream, creating a smooth sauce.
  5. Add the cooked pasta to the skillet and toss until the pasta is fully coated in the sauce. Add in some reserved pasta water if the sauce is too thick. Cook for an additional 2-3 minutes, until everything is heated through.
  6. Serve the pasta hot, garnished with the chopped fresh basil or parsley.

Notes

  • Reserve pasta water before draining to adjust sauce thickness as needed.
  • Choose either mild or hot Italian sausage depending on preferred spice level.
  • Replace heavy cream with half-and-half or milk plus butter if necessary.
  • Fresh Parmesan cheese is best but pre-grated can be used in a pinch.
  • Fresh basil garnishes the dish, but parsley is a suitable alternative.

Nutrition Information

Show Details
Serving 1serving Calories 794kcal (40%) Carbohydrates 61g (20%) Protein 28g (56%) Fat 48g (74%) Saturated Fat 21g (105%) Polyunsaturated Fat 5g (29%) Monounsaturated Fat 19g (95%) Cholesterol 114mg (38%) Sodium 836mg (35%) Potassium 452mg (10%) Fiber 3g (12%) Sugar 4g (8%) Vitamin A 819IU (16%) Vitamin C 4mg (4%) Calcium 264mg (26%) Iron 2mg (11%)

Nutrition Facts

Serving: 6Serving

Amount Per Serving

Calories 794 kcal

% Daily Value*

Serving 1serving
Calories 794kcal 40%
Carbohydrates 61g 20%
Protein 28g 56%
Fat 48g 74%
Saturated Fat 21g 105%
Polyunsaturated Fat 5g 29%
Monounsaturated Fat 19g 95%
Cholesterol 114mg 38%
Sodium 836mg 35%
Potassium 452mg 10%
Fiber 3g 12%
Sugar 4g 8%
Vitamin A 819IU 16%
Vitamin C 4mg 4%
Calcium 264mg 26%
Iron 2mg 11%

* Percent Daily Values are based on a 2,000 calorie diet.

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Overall Rating

5

48 reviews
Excellent

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