Creamy Italian Sausage Pasta

Pasta dishes are a staple in many households, but sometimes we need a break from the usual marinara or pesto. This Creamy Italian Sausage Pasta offers that perfect mix of creamy and savory, with a deep flavor profile that will have you coming back for seconds. The best part? It’s easy to make, and you likely have most of the ingredients in your pantry already.

The combination of sausage, garlic, and parmesan cheese mixed into a smooth cream sauce makes for a dish that’s both rich and satisfying. Whether you're looking for a quick dinner for the whole family on busy weeknights, or something special to serve at a dinner party, this recipe fits the bill.

Check out also this easy recipe for Spicy Italian Sausage Pasta and these Tuscan Crostini with Sausage and Stracchino Cheese. Want more? Check also 20 Best Pasta Recipes with Italian Sausage.

🧾 Ingredients

• Pasta: Penne pasta or rigatoni work best because their ridges hold onto the creamy sauce well, but feel free to use any pasta shape you have on hand.
• Sausage: Mild Italian sausage is ideal for this recipe. Opt for spicy sausage if you like a bit of heat, or choose a milder version if you prefer a gentler flavor. I recommend sausage without fennel seeds for this recipe. Remove the casings before cooking.
• Heavy Cream: This is what gives the dish its creamy texture. You can use half-and-half if you're looking to reduce the richness slightly.
• Parmesan Cheese: Freshly grated Parmesan will add a depth of flavor and a slight nutty undertone to the dish. Pre-grated cheese can work in a pinch, but it won't melt as smoothly.
• Garlic: Garlic adds a robust, aromatic flavor that pairs beautifully with the sausage.
• Onion: A small onion adds sweetness and depth to the sauce. Yellow or white onions are both great choices.
• Tomato Paste: Adds a concentrated tomato flavor and helps balance the creaminess of the sauce.
• Seasonings: Salt and black pepper are essential for seasoning the dish to your liking. Add some dried sage, thyme and oregano for an extra flavorful taste, or use Italian Seasoning.

See the recipe card for quantities.

🍳 Substitutions

• Sausage: You can use any kind of sausage meat, like fennel sausages or spicy sausage. If you don’t have Italian sausage, you can substitute with ground beef, turkey, or chicken. For a vegetarian option, try using a plant-based sausage or even mushrooms for a similar texture and umami flavor.
• Heavy Cream: You can swap heavy cream for half-and-half or even a non-dairy alternative like coconut cream or almond milk. Keep in mind that non-dairy substitutes may slightly alter the flavor and thickness of the sauce.
• Parmesan Cheese: If you’re out of Parmesan, Pecorino Romano or Grana Padano can be excellent alternatives. For a dairy-free version, use a vegan cheese or nutritional yeast.
• Pasta: Any pasta shape will work in this recipe. If you’re gluten-free, opt for a gluten-free pasta made from rice, corn, or quinoa.
• Chicken Broth: Vegetable broth can be used for a vegetarian version of this dish. If you don’t have broth, water mixed with a bouillon cube will do the trick.

🥣 Variations

• Spicy Creamy Sausage Pasta: Use hot Italian sausage and add a pinch of red pepper flakes to the sauce for an extra kick.
• Mushroom and Sausage Pasta: Sauté sliced mushrooms along with the onion and garlic for a heartier, earthier flavor.
• Tomato Cream Sauce: Increase the amount of tomato paste to 4 tablespoons and add a can of diced tomatoes for a more tomato-forward sauce. You can also omit the cream and make this Spicy Tomato Sausage Pasta.
• Spinach and Sausage Pasta: Add a couple of handfuls of fresh spinach to the sauce just before tossing with the pasta. The heat will wilt the spinach perfectly.
• Cheesy Sausage Pasta: Stir in some shredded mozzarella or cheddar cheese before serving for an even richer, cheesier sauce.
• Pumpkin and Sausage Pasta: Pumpkin and sausage are a fantastic match, like this Creamy Pumpkin Sausage Soup or this Butternut Squash Lasagna with Italian Sausage. Add cubed pumpkin or a few tablespoons of pumpkin puree to the sauce.

📋 Instructions with Photos

​This creamy sausage pasta recipe is very quick and easy to make. 

Step 1. Finely mince the garlic and onion and add them to a large skillet with a drizzle of olive oil and the tomato paste. Remove the sausages from the casings and add them to the pan.

Step 2. Cook at medium-high heat, breaking the ground sausage with a spoon, until the sausage starts to brown.

❄️ Storage & Reheating

This pasta dish stores beautifully, making it ideal for meal prep or leftovers.

In the Refrigerator: Store any leftover pasta in an airtight container for up to 3-4 days. When reheating, you may need to add a splash of cream or broth to revive the sauce's creamy consistency. Reheat on the stovetop over low heat, stirring occasionally, or in the microwave at 50% power in 30-second intervals until heated through.

In the Freezer: If you’d like to freeze this creamy pasta, it’s best to do so before mixing the pasta with the sauce. Store the sauce in a freezer-safe container for up to 2 months. When ready to serve, thaw the sauce in the refrigerator overnight and then reheat on the stovetop, adding a splash of broth if necessary. Cook fresh pasta and combine with the reheated sauce for the best texture.

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