Zesty Sausage Pasta Supper

Creamy Italian Sausage Pasta: Your Ultimate Comfort Food Recipe

Indulge in the rich, comforting flavors of this incredible Creamy Italian Sausage Pasta recipe! It masterfully combines savory crumbled Italian sausage, perfectly cooked pasta, a robust and flavorful tomato sauce, a touch of luxurious cream, grated Parmesan cheese, and fragrant fresh basil. This easy-to-follow recipe is not only perfect for a satisfying weeknight dinner but also makes fantastic leftovers that you’ll look forward to enjoying again.

Creamy Italian Sausage Pasta in a white bowl, garnished with fresh basil

Why This Italian Sausage Pasta is a Must-Try for Comfort & Flavor

As the depths of winter bring brutally cold temperatures, especially here in Ohio, there’s an undeniable craving for hearty, warming meals. While many of us strive for low-carb and healthy eating habits in January, sometimes a big, comforting bowl of pasta is exactly what’s needed to soothe the soul and warm you from the inside out. This Creamy Italian Sausage Pasta is one of those dishes – an all-time favorite that’s both incredibly easy to make and profoundly satisfying.

Prepare yourself for a culinary experience that rivals your favorite Italian restaurant. This rich and creamy Italian sausage pasta recipe was a highlight for my husband Mike and me on New Year’s Eve. With three little ones, our New Year’s Eve traditions often involve a cozy night in, cooking together after the kids are tucked into bed. It’s a wonderful way to connect, share a bottle of wine, and enjoy each other’s company over a delicious homemade meal. Italian cuisine, with its emphasis on fresh ingredients and robust flavors, always feels perfectly suited for these special, intimate occasions. While we sometimes opt for lighter options like a Lemon Garlic Shrimp Pasta or a simple Lemon Pasta with grilled chicken or salmon, the indulgence of this creamy sausage pasta brings a different kind of joy and deep satisfaction.

Italian Sausage Pasta simmering in a large pot, showing the rich tomato sauce and crumbled sausage

The Secret to Restaurant-Quality Italian Sausage Pasta at Home

What sets this Italian Sausage Pasta apart and makes it an instant classic? It’s a harmonious blend of simple ingredients transformed into an extraordinary dish:

  • Unmatched Flavor Profile: The star of the show is the combination of savory Italian sausage and a rich, deeply flavored tomato sauce. The trio of diced tomatoes, tomato paste, and tomato sauce builds layers of umami, while aromatic garlic, oregano, and thyme create an authentic Italian base.
  • Luxurious Creaminess: A generous splash of heavy cream is folded in, giving the sauce a silky, smooth texture that coats every piece of pasta and crumbles of sausage. It adds a touch of indulgence without making the dish overly heavy.
  • Perfectly Balanced Ingredients: Each component plays a crucial role – from the tender, al dente pasta that provides the ideal foundation, to the fresh spinach that adds a vibrant touch and a hint of freshness, and finally, the finishing touches of fresh basil, parsley, and salty Parmesan cheese that brighten the entire dish.
  • Effortless Preparation: Don’t let the gourmet taste fool you; this recipe is incredibly straightforward. With a prep time of just 10 minutes and a cook time of 30 minutes, it’s the ideal meal for busy weeknights when you still want to serve something spectacular.
  • A Leftover Dream: If there’s one thing better than a freshly made bowl of this pasta, it’s the leftovers. The flavors deepen and meld overnight, making it an excellent candidate for meal prepping or enjoying for lunch the next day.
  • Highly Customizable: This recipe is a fantastic canvas for your culinary creativity. Whether you want to add more vegetables, adjust the spice level, or experiment with different cheeses, it’s incredibly forgiving and versatile.

Essential Ingredients for Your Creamy Italian Sausage Pasta

To create this irresistible pasta dish, you’ll need a selection of fresh and flavorful ingredients. Here’s a closer look at what makes this recipe sing:

  • Pasta: My go-to is 8 ounces of rigatoni pasta. Its ridged tubes are perfect for capturing and holding onto the creamy sauce. However, feel free to use other medium-sized pasta shapes like penne, ziti, cavatappi, or even farfalle (bow-tie pasta). For a twist, some enjoy this with long pasta like fettuccine or spaghetti. Remember to cook it al dente!
  • Italian Sausage: You’ll need 1 pound of sweet Italian sausage, crumbled. The sweet variety offers a mild, herb-infused flavor that balances the tomato and cream perfectly. If you crave a bit of heat, you can easily substitute with spicy Italian sausage or even use a combination of both for a nuanced kick.
  • Olive Oil: 2 tablespoons of olive oil for sautéing. A good quality extra virgin olive oil adds a lovely base note.
  • Garlic: 4 cloves of fresh garlic, minced. Fresh garlic is absolutely key to building the aromatic foundation of the sauce.
  • Tomato Sauce: 15 ounces of tomato sauce provides the main liquid base for our rich sauce.
  • Tomato Paste: 6 ounces of tomato paste adds a concentrated burst of tomato flavor and helps thicken the sauce, contributing to its depth.
  • Diced Tomatoes: 1 can of diced tomatoes (about 14-15 ounces, undrained) adds chunks of fresh tomato texture and a brighter tomato flavor to the sauce.
  • Fresh Greens: 1 cup of fresh spinach or kale, chopped. These greens wilt beautifully into the warm pasta, adding a touch of color, freshness, and nutrients.
  • Dried Oregano: 1 teaspoon of dried oregano for that classic Italian herbal essence.
  • Dried Thyme: 1/2 teaspoon of dried thyme complements the oregano, adding another layer of earthy flavor.
  • Crushed Red Pepper (Optional): 1/2 teaspoon of crushed red pepper flakes. This is optional but highly recommended if you enjoy a pleasant warmth and a slight kick in your pasta. Adjust to your personal preference.
  • Cream: 1/2 cup of heavy cream. This is the magic ingredient that transforms the tomato sauce into a rich, velvety, and utterly delicious creamy sauce.
  • Fresh Basil: 1/4 cup of fresh basil, chopped. Stirred in at the end and used as a garnish, fresh basil provides a bright, fragrant finish.
  • Fresh Parsley: 1/4 cup of fresh parsley, chopped. Adds another layer of freshness and a beautiful green garnish.
  • Parmesan Cheese: 1/4 cup of freshly grated Parmesan cheese, plus more for serving. Freshly grated Parmesan melts better and offers superior flavor compared to pre-grated varieties.

Step-by-Step: Crafting Your Creamy Italian Sausage Pasta to Perfection

Creating this delicious Italian Sausage Pasta is a straightforward process, breaking down into a few key steps. Follow these instructions to achieve a truly memorable dish:

  1. Prepare the Pasta: Start by bringing a large pot of generously salted water to a rolling boil. Add your chosen pasta (rigatoni is excellent for this) and cook according to the package directions until it reaches an al dente texture – firm to the bite. Once cooked, drain the pasta, making sure to reserve about a cup of the starchy pasta water. This liquid is a secret weapon that can be used later to adjust the sauce consistency and help it emulsify beautifully.
  2. Brown the Italian Sausage: While the pasta is cooking, heat a large, deep skillet or Dutch oven over medium-high heat. Add the ground Italian sausage and cook for approximately 5-7 minutes, using a spoon to break it apart into small, crumbles pieces. Continue cooking until the sausage is thoroughly browned and cooked through. Once done, carefully drain any excess fat from the skillet; this prevents the final sauce from becoming greasy.
  3. Sauté the Aromatics: Reduce the heat to medium. Add the 2 tablespoons of olive oil to the same skillet. Once the oil is shimmering, add the minced garlic and sauté for 2-3 minutes. Stir constantly to prevent the garlic from burning, as burnt garlic can impart a bitter taste to your sauce.
  4. Build the Rich Tomato Sauce: Return the browned sausage to the skillet with the sautéed garlic. Stir in the diced tomatoes (with their juices), tomato paste, tomato sauce, dried oregano, dried thyme, and the optional crushed red pepper. Mix all these ingredients thoroughly until they are well combined.
  5. Simmer for Depth of Flavor: Bring the sauce to a gentle simmer. Once simmering, reduce the heat to low, cover partially, and let it cook for at least 10 minutes, stirring occasionally. This crucial simmering period allows all the flavors to meld together, deepen, and create a truly cohesive and delicious sauce.
  6. Add Cream, Pasta, and Greens: Pour in the heavy cream and stir it gently into the simmering sauce. Let it simmer for another 5 minutes, allowing the sauce to thicken slightly and infuse with the creamy richness. Then, add the cooked, drained pasta and the fresh spinach (or kale) to the skillet. Toss everything together gently until the greens have fully wilted into the warm sauce and the pasta is evenly coated. If the sauce appears too thick, add a tablespoon or two of the reserved pasta water until it reaches your desired consistency.
  7. Garnish and Serve: Taste the pasta and adjust any seasonings if needed – a little more salt, pepper, or crushed red pepper can make a difference. Finish the dish by garnishing generously with the freshly chopped basil, parsley, and a final sprinkle of grated Parmesan cheese. Serve immediately while warm and enjoy every comforting bite!
Close-up of Creamy Italian Sausage Pasta with a serving spoon, highlighting the rich sauce and fresh herbs

Customize Your Italian Sausage Pasta: Tips & Delicious Variations

One of the many reasons to love this Italian Sausage Pasta recipe is its incredible adaptability. It’s a fantastic foundation that you can easily tailor to your personal tastes or what you have on hand. Here are some ideas for modifying your dish:

  • PASTA SHAPE VARIATIONS: While rigatoni is a favorite, feel free to use any pasta shape you prefer. Penne, ziti, cavatappi, orecchiette, fusilli, or even radiatore are excellent choices that hold the sauce well. For a healthier spin, opt for whole grain pasta, which offers more fiber and a nutty flavor. If you’re catering to dietary needs, gluten-free pasta works perfectly without compromising the taste.
  • ADD MORE VEGETABLES: Boost the nutritional content and add extra texture by incorporating more fresh vegetables. Finely diced onions, carrots, celery, or red bell peppers can be sautéed in olive oil for 5-6 minutes before adding the garlic. Sliced mushrooms, zucchini, or yellow squash can be added to the sauce during the simmering stage. Frozen peas or corn can be stirred in along with the spinach.
  • CHEESE EXPLORATION: While Parmesan is classic, don’t hesitate to experiment with other cheeses. For an even creamier, richer sauce, try stirring in ricotta cheese (as noted in the recipe tips) towards the end of cooking. Crumbled goat cheese or feta can add a delightful tanginess, while shredded provolone or smoked mozzarella would be fantastic, especially if you plan to turn this into a baked dish.
  • AMPLIFY THE SPICE: If you’re like me and love a little heat, it’s easy to make this dish spicier! Simply use spicy Italian sausage instead of sweet, or combine a mix of both. Increase the amount of crushed red pepper flakes to 1 teaspoon or more, or add a pinch of cayenne pepper to the tomato sauce. For more dedicated spicy inspiration, check out this Spicy Sausage Pasta recipe.
  • OTHER GREENS & HERBS: Beyond spinach and kale, consider stirring in fresh arugula at the very end for a peppery bite that contrasts wonderfully with the rich sauce. For a different herb profile, you could also experiment with a touch of fresh oregano or even finely chopped rosemary in the sauce.
  • LIGHTER ALTERNATIVES: To make this dish a bit lighter, opt for leaner ground chicken or turkey Italian sausage. You can also reduce the amount of heavy cream and substitute part of it with milk or even a dairy-free alternative for a less rich sauce, while still retaining a pleasing texture. Maximize vegetable additions to fill up on wholesome goodness.
Overhead shot of Italian Sausage Pasta with a white serving spoon, ready to be dished out

TURN THIS RECIPE INTO AN ITALIAN SAUSAGE PASTA BAKE

Pasta bakes are a beloved comfort food, and for good reason! This Italian Sausage Pasta recipe easily transforms into a delicious baked dish. After you’ve completed the simmering of the sauce and stirred in the cooked pasta and greens, simply transfer the entire mixture into a large, oven-safe baking dish. For an irresistible finish, sprinkle a generous amount of shredded mozzarella cheese and extra grated Parmesan cheese over the top. Bake it in a preheated oven at 350°F (175°C) for approximately 10-15 minutes, or until the cheese is beautifully melted, bubbly, and lightly golden brown. This variation adds a fantastic crust and makes for an impressive, make-ahead meal perfect for feeding a crowd or enjoying throughout the week.

WHAT SHOULD I SERVE WITH SAUSAGE PASTA

To complement the richness of this Italian Sausage Pasta, consider pairing it with a variety of simple yet delicious side dishes to create a well-rounded and satisfying meal:

  • Crisp Green Salads: A light and refreshing salad is the perfect counterpoint to a hearty pasta dish. I particularly love this Lemon Arugula Salad with Pine Nuts for its peppery bite, a classic Italian Style Salad with a tangy vinaigrette, or a vibrant Kale Salad with Lemon Dressing.
  • Simple Roasted or Steamed Vegetables: Keep it fresh and easy with a healthy vegetable side. Try these flavorful Simple Garlic Parmesan Green Beans, perfectly tender Roasted Broccoli, or quick Skillet Green Beans. Roasted asparagus, sautéed zucchini, or a medley of colorful bell peppers would also make excellent additions.
  • Warm, Crusty Bread: No Italian pasta meal is complete without a side of bread to soak up every last drop of that amazing sauce. Classic garlic bread is always a winner, or if you’re feeling ambitious and love baking, consider making your own! This Easy Perfect Yeast Bread or a rustic Homemade Artisan Bread Recipe would be fantastic choices.
  • Wine Pairing: For an adult dinner, a medium-bodied red wine would beautifully complement the rich flavors of this pasta. Think of a Sangiovese, Chianti, Merlot, or a Zinfandel to enhance the tomato and sausage notes.

Storage & Reheating Tips for Your Italian Sausage Pasta

This Italian Sausage Pasta is a dish that truly shines as leftovers, often tasting even better the next day as the flavors continue to meld. Here’s how to best store and reheat it:

  • Storage: Allow the pasta to cool completely to room temperature before transferring it to an airtight container. Stored properly in the refrigerator, it will keep fresh and delicious for 3 to 5 days.
  • Freezing: While you can freeze this pasta, be aware that cream-based sauces can sometimes separate or alter in texture upon thawing and reheating. If freezing, place cooled pasta in a freezer-safe container for up to 2-3 months. Thaw overnight in the refrigerator before reheating.
  • Reheating: For the best results, reheat individual portions in the microwave until warmed through. For larger quantities, gently reheat on the stovetop over medium-low heat. If the sauce has thickened significantly during storage, add a splash of milk, cream, or even a little chicken broth while reheating. Stir occasionally to help restore its creamy consistency and prevent it from drying out.

Expert Tips for Crafting the Best Italian Sausage Pasta Every Time

To ensure your creamy Italian Sausage Pasta turns out perfect and full of flavor every single time, keep these simple yet effective tips in mind:

  • Cook Pasta to Al Dente: Avoid overcooking your pasta. Al dente means it’s firm to the bite. Since it will continue to cook slightly when tossed with the hot sauce, it’s better to slightly undercook it than to have mushy pasta.
  • Properly Brown the Sausage: Don’t rush this step! Thoroughly browning the Italian sausage develops a deep, rich flavor that forms the foundation of your sauce. Ensure it’s nicely caramelized.
  • Drain Excess Fat: After browning the sausage, always drain off any rendered fat. This prevents your sauce from becoming greasy and keeps it rich but not heavy.
  • Mind the Garlic: Garlic burns quickly and can turn bitter. Sauté it just until fragrant, usually 1-2 minutes, before adding the other tomato products. Keep the heat at medium.
  • Let the Sauce Simmer: The 10-minute simmering time for the tomato sauce is crucial. It allows all the herbs and tomato flavors to meld and deepen, creating a much more complex and delicious base.
  • Use Fresh Ingredients: Whenever possible, opt for fresh garlic, fresh basil, fresh parsley, and freshly grated Parmesan cheese. The vibrant flavors of fresh ingredients make a noticeable difference in the final dish.
  • Reserve Pasta Water: That starchy pasta water is liquid gold! It helps to loosen the sauce to your desired consistency and aids in emulsifying the sauce, making it cling beautifully to the pasta.
  • Taste and Adjust Seasoning: Always taste your sauce before serving. Adjust salt, black pepper, or crushed red pepper as needed. A final pinch of salt can really make all the flavors pop.

Tried this recipe? Leave a star rating and comment below! Subscribe to my newsletter or follow me on
Facebook,
Instagram, or
Pinterest for the latest.

Tap to rate the recipe

No ratings yet

Italian Sausage Pasta

By Julia Jolliff
Prep: 10 minutes
Cook: 30 minutes
Total: 40 minutes
Servings: 6 servings
Classic Italian Sausage Pasta with fresh basil garnish
Save
Saved
Pin
Print
You will love this comforting Italian Sausage Pasta recipe! It combines crumbled sausage, pasta, a flavorful tomato sauce, cream, Parmesan cheese and fresh basil.

Ingredients

  • 8 ounce rigatoni pasta
  • 1 pound sweet Italian sausage, {you can use spicy sausage if you prefer}
  • 2 Tablespoons olive oil
  • 4 cloves garlic , minced
  • 15 ounce tomato sauce
  • 6 ounce tomato paste
  • 1 can diced tomatoes
  • 1 cup spinach, or kale, chopped
  • 1 teaspoon dried oregano
  • 1/2 teaspoon dried thyme
  • 1/2 teaspoon crushed red pepper, optional
  • 1/2 cup cream
  • 1/4 cup basil, chopped
  • 1/4 cup parsley, chopped
  • 1/4 cup Parmesan cheese, freshly grated

Instructions

  • Bring a large pot of water to a boil. Add the pasta and cook according to the package.
  • Heat a large skillet over medium-high heat. Add ground sausage and cook for 5 minutes, breaking apart with a spoon to crumble the sausage. Drain.
  • Add the 2 Tablespoons olive oil to the skillet and heat over medium heat.
  • Add the garlic and saute for 2-3 minutes.
  • Mix the sausage back in along with the diced tomatoes, tomato paste, tomato sauce, dried oregano, thyme and crushed red pepped {optional} and give it a good stir.
  • Simmer for 10 minutes, stirring occasionally.
  • Add the cream, stir and let simmer another 5 minutes. Stir in the pasta, spinach and let it wilt.
  • Add the fresh basil and parsley and the Parmesan cheese.

Notes

  • Leftovers will keep in the fridge for 3 to 5 days.
  • For a spicier dish use crusred red pepper and spicy sausage.
  • For an even creamier dish try stirring in ricotta while cooking.

Nutrition

Calories: 586kcal, Carbohydrates: 43g, Protein: 21g, Fat: 38g, Saturated Fat: 15g, Polyunsaturated Fat: 4g, Monounsaturated Fat: 17g, Cholesterol: 83mg, Sodium: 1202mg, Potassium: 986mg, Fiber: 5g, Sugar: 9g, Vitamin A: 1934IU, Vitamin C: 25mg, Calcium: 147mg, Iron: 4mg

Nutrition information is automatically calculated, so should only be used as an approximation.

Tried this recipe?Mention @acedarspoon or tag #acedarspoon!