Italian Sausage Pasta

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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

Pasta + sausage

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! 😀

Bowtie pasta in strainer

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 1/2 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.

Variations and Additives:

  • 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

Sausage Pasta topped with shredded parmesan cheese on a white plate

Storage tips

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

For more pasta dishes, check out:

Italian Sausage Pasta Recipe

4.89 from 17 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

  1. Cook pasta according to package directions.

  2. 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.
  3. Stir in the tomatoes, cream, salt, basil and ½ cup shredded Parmesan cheese. Bring to a boil over medium heat.
  4. Reduce heat; simmer, uncovered, for 6-8 minutes or until thickened, stirring occasionally. Drain pasta; toss with sausage mixture.
  5. Garnish with parmesan cheese.

Recipe Video

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!

More by Kristyn

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Comments

  1. Second time ive made this recipe everyone loves it even my two little. Makes ALOT but it tastes even better the next day 🙂 Thank you!

  2. I made this for my dad tonight for Fathers Day dinner. It was a huge hit! So yummy and so easy to make! A perfect blend of flavors. Will definitely be making this again! Thank you!

  3. Made this twice and it’s delicious! Super easy! Did it with fresh basil at the end the first time, dried the second time, and definitely prefer the fresh garnish at the end. Great recipe!


  4. This was delicious and super easy! I think it would be even easier putting the pasta in when you add the liquid and make it a one pot meal! I used Italian chicken sausage and will probably add zucchini next time. Even my 8 month old loved it!


  5. Wow, wow, wow, wow, wow! Where has this recipe been all my life recipe and how come I never knew about it?! It was insanely good! Added mushrooms and kept everything else as stated. The sauce is so good I could just dip crusted bread in it and be happy 🙂 Next time I will double it!


  6. This recipe was amazing! Only thing I adjusted was the dried basil to fresh. Delicious! I doubled the recipe so me and my family of 5 will get to enjoy this dish for at least 4 more days haha! It makes a ton! Yum yum yum and so super easy! Thank you!!!


  7. This recipe was delicious!! Thanx for sharing. The only problem that I had was that adding the Parmesan cheese to the cream sauce and boiling it, caused it to clump up badly and stick to the bottom of the pan and the spatula. Is it better to stir in the Parmesan once the sauce has been off the burner for a few minutes and cooled slightly?

    1. If you want, you could. I didn’t have an issue with it clumping, as long as you stir it in & the heat isn’t boiling at that point. I’m glad you liked it though! Thanks & I hope that helps!

  8. How do you think this recipe would turn out if I used crushed tomatoes instead of diced? My husband hates chunks of tomatoes. This recipie looks delicious!!

  9. I made this today but used Italian sausage links grilled then added to skillet with the other ingredients for that step. I also didn’t have grated Parmesan so used grated mozzarella instead. It turned out great… restaurant quality. I may try with ground Italian sausage next time but I do like the slices of sausage with the bow tie pasta.


  10. Instead of bowtie pasta i used tri-coloured rotini. It tasted great used spicy italian sasuage for extra heat and kept them whole and cut them in circles. Can’t wait to make this again.


  11. very tasty! Next time I will use the italian blend of DICED tomatoes… the stewed tomatoes were just too big and chunky for my liking


  12. This recipe was AMAZING, I’ll definitely be adding it to my book of recipes. My only issue is…it wasn’t enough (Family of 5)!! LOL, I will for sure be doubling the recipe next time.


  13. Kristyn, my husband and i had the italian sasusage pasta and it was awesome! My husband really did like he had three helpings. Thank you so for a great meal that was easy to make after a long day at work.
    Cindy


  14. This looked so delicious, i almost doubled the recipe, for leftovers. ThaNk good ess i didnt. This made so much, and was so delicious. I put it into our “definitely make again” dinner rotation.


  15. This is such an easy And deliCious meal for any day of the week! Plus you will have a yummy lunch for the next day as well!

  16. Just had it this evening. We loved it! Definitely a keeper! Thank you for sharing. P.S. Only confusion was with what size canned tomatoes your recipe called for. I used a 26.5 oz. box of Italian tomatoes and it was perfect.