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Creamy Sausage Alfredo packed with smoky sausage is a family favorite. This delicious meal is on the table in only 30 minutes!!

Chicken Alfredo is a delicious classic, but this version spices things up a bit and uses sausage instead of chicken. Plus, whipping homemade Alfredo Sauce is easy, and so worth it! This just may be your new favorite pasta dish!

Peppered sausage alfredo served in a white bowl
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EASY SAUSAGE ALFREDO PASTA

It’s no secret that I love me some pasta!

Next to Mexican food, Italian is probably our next go-to in this house. It’s easy, filling, and just so comforting!

What is better than a bowl full of warm and creamy pasta? An easy recipe for warm and creamy pasta with smoked sausage! These mild Italian sausages add texture, flavor, and make it that much more filling.

Filling Sausage Alfredo needs no pairings, but if you do need a bit more, we love to whip up a side of Fried Zucchini, Olive Garden  Breadsticks, or a fresh Wedge Salad.

Ingredients for sausage alfredo

How to Make Sausage Alfredo

PASTA. Cook pasta as directed on package. Drain and keep warm. (We used penne pasta, but you could use any noodlesโ€”fettuccine, bowtie, angel hair, etc.)

SAUCE. While pasta is cooking, make Alfredo sauce by adding milk, broth and garlic to a large skillet on LOW-MEDIUM heat. Add salt and pepper.

SIMMER. Add heavy cream and Parmesan to the sauce and whisk until combined. Simmer for a few additional minutes until the sauce thickens.

SAUSAGE. Add sausage slices and simmer for a few additional minutes (or until sausage is heated through).

COMBINE. Add cooked pasta noodles to the skillet and mix until combined.

GARNISH + SERVE. Garnish with fresh, chopped parsley and or additional Parmesan cheese to taste.

Creamy Sausage Alfredo sauce in a bowl

How to thicken

Alfredo sauce will naturally thicken as it simmers, but if you still think it needs to be thicker the easiest thing to do is add a bit more cheese. You can also use flour or cornstarch: 

  • Flour: Scoop ยผ cup of Alfredo sauce into a separate bowl. Add 1-2 tbsp of flour and whisk until smooth. Return the sauce to the pan and stir it into the rest of the sauce. Repeat if needed. 
  • Cornstarch: In a small bowl, whisk together an equal amount (about 1 tbsp) of cornstarch with COLD water. Once smooth, slowly whisk the slurry into the simmering sauce.
bowl of sauce for sausage alfredo

Recipe Tips

Alfredo Tips:

  • Avoid pre shredded parmesan and definitely do not use the powder kind from a shaker. Instead grate the parmesan fresh from the block.
  • The higher fat content makes for the creamiest sauce. Heavy whipping cream works best, but you can also use half and half or whole milk, but it won’t be quite as creamy.
  • To help make sure the sauce combines completely and wonโ€™t separate, whisk the sauce together as opposed to stirring it. 
  • Easily adjust the amount of spice or heat by the type of sausage you pick. For extra heat sprinkle on red chili flakes.
  • Pasta I love using is penne for alfredo. The sauce clings to every nook and cranny and even fills up the center. However, any similar sized pasta will work such as bow tie, rigatoni or ziti.
Mixing sausage alfredo in a bowl

Storing Info

STORE leftovers in an airtight container in the fridge for 4-5 days.

FREEZE for up to 3 months, though it may alter the texture of the dish.

In either case it’s best to reheat the pasta on the stove top over low heat. Stir occasionally. If needed, add a bit of extra cream to help smooth out the sauce.

Sausage alfredo pasta served in a white bowl

More Italian Main Dishes:

4.93 from 14 votes

Sausage Alfredo Recipe

By: Lil’ Luna
Creamy Sausage Alfredo packed with smoky sausage is a family favorite. It's on the table in only 30 minutes!!
Servings: 4
Prep: 5 minutes
Cook: 25 minutes
Total: 30 minutes

Ingredients 

  • 12 oz. penne pasta, (about 3 cups)
  • 1 1/2 cups whole milk
  • 1 1/2 cups chicken broth, low-sodium
  • 2 tsp minced garlic
  • salt and pepper to taste (I prefer to use Garlic Salt with Parsley Flakes)
  • 1/2 cup heavy whipping cream
  • 1 cup Parmesan cheese, freshly grated
  • 12 oz. smoked sausage, fully cooked (any variety), sliced
  • parsley, chopped (optional)

Instructions 

  • Cook pasta as directed on package.
  • While pasta is cooking, make Alfredo sauce by adding milk, broth and garlic to the skillet on LOW-MEDIUM heat. Add salt and pepper.
  • Add heavy cream and Parmesan to the sauce and whisk until combined. Simmer for a few additional minutes until the sauce thickens.
  • Add sausage slices and simmer for a few additional minutes (or until sausage is heated through).
  • Add cooked noodles to the skillet and mix until combined.
  • Garnish with fresh, chopped parsley and or additional Parmesan cheese.

Nutrition

Calories: 835kcal, Carbohydrates: 72g, Protein: 34g, Fat: 45g, Saturated Fat: 21g, Polyunsaturated Fat: 4g, Monounsaturated Fat: 16g, Cholesterol: 127mg, Sodium: 1500mg, Potassium: 593mg, Fiber: 3g, Sugar: 7g, Vitamin A: 783IU, Vitamin C: 7mg, Calcium: 451mg, Iron: 2mg

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

About Kristyn

My name is Kristyn and Iโ€™m the mom of SIX stinkinโ€™ cute kids and the wife to my smokinโ€™ hot hubby, Lo. My momโ€™s maiden name is Luna, and Iโ€™m one of the many crafty โ€œLilโ€™ Lunasโ€ in the fam. On this site I like to share all things creative - from recipes to home decor to gifts and home decor ideas. Welcome!

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4.93 from 14 votes (10 ratings without comment)

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Recipe Rating




6 Comments

  1. Leone says:

    4 stars
    Delicious, tasty recipe. My only issue is the sauce never thickened at all. Nevertheless the family enjoyed it very much.

  2. Jane Doe says:

    Sauce never thickened. Too much liquid. Would give 0 stars if I could.

    1. Lil'Luna Team says:

      Sorry to hear you didn’t enjoy the recipe. Thanks for the feedback and for giving the recipe a try. Adding flour (1 Tbsp at a time) to the sauce while it’s cooking can help thicken it a bit too.

  3. Kristina says:

    5 stars
    Another great lil Luna dish. We didn’t eat the whole pan so I froze the rest for another dinner.

  4. Olivia says:

    5 stars
    Sausage and Alfredo. Cant think of anything better. Creamy and comforting!

  5. Joy says:

    5 stars
    Ok, we love alfredo, but adding the sausage takes it to a whole new level! So yummy & hearty!