Italian Sausage Pasta

Everyone loves this Italian Sausage Pasta recipe! Not only is it easy, cheesy, and delicious, but it is a hit with the entire family and can be made mild or spicy depending on your preferences.

Italian sausage adds the perfect flavor to any pasta dish. We like this recipe so much, we’ve tried it with penne pasta, and even with tortellini in a soup!

Italian Sausage Pasta on a white plate

Sausage pasta is delish!

This next recipe is one I have loved for a loooong time. It was made by one of my best friends, Desiree. She had made it for us just after I had my first baby. It was so delicious and the exact comfort food I needed!

I LOVED this Italian Sausage Pasta so much and was so excited to give it a try myself.

We have been long-time fans of pasta, as well as long-time fans of sausage. Not sure why we didn’t think of combining the two for some dinner ideas, but love that this simple recipe incorporates two of our favorite ingredients. We also love that it is really simple and doesn’t require a ton of work, which is perfect for busy families.

We are usually making some sort of Pasta dish each week, so we’ve added this into the rotation and it’s one the whole family will eat! 😀

Sausage pasta recipe

Ready in 20 minutes

Like I said – this recipe is SO EASY!! If you cook the pasta and the sausage at the same time, it really only takes about 20 minutes to throw everything together. Perfect for busy weeknights!

PASTA. Cook pasta according to package directions.

SAUSAGE. In a separate pan, cook the sausage, garlic, onion, and pepper flakes over medium heat for 4-5 minutes or until meat is no longer pink; drain.

REMAINING INGREDIENTS. Stir in the tomatoes, cream, salt, basil and ½ cup shredded Parmesan cheese. Bring to a boil over medium heat.

SIMMER & MIX. Reduce heat; simmer, uncovered, for 6-8 minutes or until thickened, stirring occasionally. Drain pasta; toss with sausage mixture. Garnish with parmesan cheese. And ENJOY!

We have never tried this without the sausage, but we think it would be great on its own without the meat. Here are some more variations.

italian sausage pasta Variations and Additions:

  • Instead of using mild Italian sausage you can use ground sausage, chicken sausage, turkey sausage, spicy sausage
  • Add veggies such as Zucchini, bell peppers, mushrooms, spinach
  • Substitute the Parmesan with Mozzarella, or a blend of provolone, fontina, romano, and asiago
  • Substitute pasta with white rice, cauliflower rice, mashed potatoes or baked 
  • Add cubed potatoes

Italian sausage with bowtie pasta

Storage tips + side ideas

How do I store and reheat leftovers? Store leftovers in an airtight container in the fridge for 3-4 days. Reheat in the microwave, oven or in a skillet on the stove. The pasta may have absorbed some of the liquid leaving it dried out. Feel free to add a bit more cream before heating. 

Can I freeze Italian Sausage Pasta? I would recommend freezing the sauce without the pasta. Once the sauce has thickened allow it to cool before pouring it in an airtight freezer safe container. Freeze for up to 4 months.

Thaw and heat on the stove top over LOW heat stirring constantly. Add a small amount of cream as needed to revitalize the sauce. Cook noodles and serve.

What to serve with your pasta? So many options, but here are some of our favs…

Sausage Pasta topped with shredded parmesan cheese on a white plate

For more pasta dishes, check out:

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Italian Sausage Pasta Recipe

4.91 from 43 votes
Everyone loves this Italian Sausage Pasta recipe! Not only is it easy, cheesy, and delicious, but it is a hit with the entire family and can be made mild or spicy depending on your preferences.
Course Main Course
Cuisine American, Italian
Prep Time 5 minutes
Cook Time 15 minutes
Total Time 20 minutes
Servings 5
Calories 991 kcal
Author Lil' Luna

Ingredients

  • 16 oz bow tie pasta
  • 1 lb milk bulk italian sausage
  • 1 1/2 tsp minced garlic
  • 1 1/2-2 cans Italian stewed tomatoes drained and chopped
  • 1 1/2 cup heavy whipping cream
  • 1/2 tsp salt
  • 1/4 tsp dried basil
  • 1 cup shredded parmesan cheese
  • 1/2 tsp crushed red pepper flakes (optional)
  • 1/2 cup chopped onion (optional)

Instructions
 

  • Cook pasta according to package directions.
  • In a separate pan, cook the sausage, garlic, onion, and pepper flakes over medium heat for 4-5 minutes or until meat is no longer pink; drain.
  • Stir in the tomatoes, cream, salt, basil and ½ cup shredded Parmesan cheese. Bring to a boil over medium heat.
  • Reduce heat; simmer, uncovered, for 6-8 minutes or until thickened, stirring occasionally. Drain pasta; toss with sausage mixture.
  • Garnish with parmesan cheese.

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About the Author

Kristyn Merkley

My name is Kristyn and I’m the mom of SIX stinkin’ cute kids and the wife to my smokin’ hot hubby, Lo. My mom’s maiden name is Luna, and I’m one of the many crafty “Lil’ Lunas” 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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Comments:

  1. 5 stars
    Italian sausage pasta is one of the quickest penne pasta recipes that you’ll find. You mix it, cook it, and serve it in less than 20 minutes.

  2. 4 stars
    This has a nice flavor but if I make it again I will reduce the pasta by about half. There wasn’t nearly enough sauce for that much pasta! Thanks for sharing your recipe!

  3. 5 stars
    This was really good! i used canned diced tomatoes, undrained, and just cooked off most of the liquid with the herbs in before i added the cream (I used half and half) I also added 5 oz package of fresh baby spinach, chopped, at the end and let it cook in. I did miss the richness of the full cream, but it was an outstanding dish even without it. thanks so much for sharing.

  4. Whats milk bulk italian sausage? And is the heavy whipping cream a necessary? Can I sub Reg milk or half and half? Just because we don’t use it enough so i hate that it goes bad for 1 recipe

    1. Milk bulk Italian sausage is a combination of chicken & pork meats & bulk is the meat without the casing. I have only used the heavy whipping cream, but you can sub whatever you like. It might change it a little, with consistency. Hope you like it!

  5. 5 stars
    This meal was delicious and so easy to make. My whole family loved it! This has been added to the rotation.

  6. 5 stars
    Wow this was such a winner in my house! Truly so comforting, DELICIOUS, and best of all soooo easy! My only chanGe was that I used one can of tomatoes and about 3 or 4 tablespoons of tomato Paste. The sauce was perfectly thick And coated the noodles beaUtifully. A hungry husband, and my 4 and 2 year old boys all loved it. Thank you for a new recipe to add to the rotation 🙂

  7. 5 stars
    If I want to add a layer of cheese on top and bake this, would it need extra sauce or pasta water added? How, if at all would you modify this? I’ve made a few times as directed and it’s delicious! Thank you.

    1. Glad you like it! I have not added a layer of cheese on top, but I would maybe add just a little more pasta water & stick under the broiler until cheese is nice & melted.

  8. 5 stars
    Seriously so delicious!!! My mouth waters just thinking about it. Can’t wait to make it again.

  9. 5 stars
    I absolutely love this recipe. it is easy, delicious, and very filling… I have a very picky teenager and a four year old. they both thoroughly enjoy it!

  10. 5 stars
    This is quick and easy and delicious. I use fire roasted tomatoes and spicy Italian sausage and add hot pepper flakes. We have this at least once a week.

  11. 5 stars
    This is amazing and also kid friendly. It was so good and easy to make. We had this two times in a week we enjoyed it so much.

  12. 5 stars
    Kristen, I make this about once a month for me and the hubby. It’s quick, easy, and delicious. I think anyone could make any small alterations or additions and it would still be delicious! We are loving your site!

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