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Easy cheesy Italian sausage pasta is creamy, delicious, and perfectly spiced. It’s a family favorite ready in only 20 minutes!

Italian sausage adds the perfect flavor to any pasta dish. We also love Italian sausage in soups like our Tortellini Soup or Sausage Soup!

Italian Sausage Pasta on a white plate topped with shredded parmesan.

We Love Pasta!

Our family has always been long-time fans of pasta, as well as long-time fans of sausage. It’s only natural to combine the two in this tasty dinner idea to make Italian Sausage Pasta. It was an instant hit and is on our rotation of easy dinner ideas.

We usually make Pasta or a similar Italian dish on Tuesdays each week, and this one that is never missed. The whole family loves it!

Why we love it:

  • Quick. It only takes about 20 minutes to throw everything together. A quick prep time is perfect for busy weeknights!
  • Easy. There are few ingredients and just a few steps.
  • Tasty. This is a hit with both kids and adults alike – it’s packed with flavor!
Bow tie pasta draining in a yellow colander.

Simple Ingredients

  • bow tie pasta Substitute pasta with a bed of White Rice, Cauliflower Rice, Mashed Potatoes, or Baked Potatoes.
  • mild Italian sausage – or use spicy pork sausage, chicken sausage, or turkey sausage. You can even exchange the sausage for ground beef or ground chicken.
  • onion 
  • minced garlic or garlic cloves
  • crushed red pepper flakes  optional to taste
  • Italian stewed tomatoes  – canned Diced tomatoes work too, but we usually will add extra seasonings
  • heavy cream
  • salt
  • dried basil
  • Parmesan cheese – Substitute the Parmesan with mozzarella, or a blend of provolone, fontina, Romano, and asiago. 
Mixing sausage and sauce together in a skillet on the stove.

Ready in 20 minutes

  1. PASTA. Cook pasta according to package directions in a large pot. Drain and set aside.
  2. SAUSAGE. Meanwhile, in a large skillet over medium heat, cook sausage, onion, garlic, and pepper flakes, stirring, for 4–5 minutes, or until meat is no longer pink. Drain excess fat.
  3. SAUCE. Stir in tomatoes, cream, salt, basil, and ½ cup Parmesan and bring to a boil.
    • Reduce heat and simmer, uncovered and stirring occasionally, for 6–8 minutes or until thickened.
  4. SERVE. Add pasta to the sausage mixture and toss. Garnish with remaining ½ cup Parmesan before serving.

Recipe Tips

Italian Sausage and Pasta recipe in skillet with bowtie pasta mixed in.

Storing Info

  • STORE leftovers in an airtight container in the refrigerator for 3-4 days.
    • Reheat in the microwave, oven, or a pan 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. 
  • FREEZE. Whether you’re freezing this ahead of time or wish to save any leftovers. Cool and pour into an airtight freezer-safe container for up to 4 months.
    • Thaw and heat on the stovetop over LOW heat stirring constantly. Add a small amount of cream as needed to revitalize the sauce.
Italian Sausage Pasta topped with shredded parmesan cheese on a white plate.

For More Pasta Dishes:

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4.99 from 252 votes

Italian Sausage Pasta Recipe

By: Lil’ Luna
Easy cheesy Italian sausage pasta is creamy, delicious, and perfectly spiced. It's a family favorite ready in only 20 minutes!
Servings: 5
Prep: 5 minutes
Cook: 15 minutes
Total: 20 minutes

Ingredients 

  • 1 (16-ounce) package bow tie pasta
  • 1 pound mild Italian sausage
  • ½ cup chopped onion optional
  • teaspoons minced garlic
  • ½ teaspoon crushed red pepper flakes optional
  • 2 (14.5-ounce) cans Italian stewed tomatoes drained and chopped
  • cups heavy cream
  • ½ teaspoon salt
  • ¼ teaspoon dried basil
  • 1 cup shredded Parmesan cheese divided
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Instructions 

  • Cook pasta according to package directions. Drain and set aside.
  • Meanwhile, in a large skillet over medium heat, cook sausage, onion, garlic, and pepper flakes, stirring, for 4–5 minutes, or until meat is no longer pink. Drain excess fat.
  • Stir in tomatoes, cream, salt, basil, and ½ cup Parmesan and bring to a boil.
  • Reduce heat and simmer, uncovered and stirring occasionally, for 6–8 minutes or until thickened.
  • Add pasta to sausage mixture and toss.
  • Garnish with remaining ½ cup Parmesan before serving.

Video

Notes

Variations: Swap out the mild Italian sausage for chicken sausage, turkey sausage or spicy sausage, or substitute mozzarella or a blend of provolone, fontina, Romano, and Asiago cheeses for the Parmesan. You can also add vegetables such as zucchini, bell peppers, mushrooms or spinach in Step 3.

Nutrition

Serving: 1g, Calories: 650kcal, Carbohydrates: 7g, Protein: 21g, Fat: 60g, Saturated Fat: 30g, Polyunsaturated Fat: 5g, Monounsaturated Fat: 21g, Cholesterol: 167mg, Sodium: 1269mg, Potassium: 368mg, Fiber: 0.4g, Sugar: 3g, Vitamin A: 1286IU, Vitamin C: 4mg, Calcium: 248mg, Iron: 1mg

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

Additional Info

Course: Main Course
Cuisine: American, Italian
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Share it with us on Instagram using the hashtag #lilluna, so we can see what you’re creating in the kitchen!

About Kristyn

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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4.99 from 252 votes (179 ratings without comment)

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Recipe Rating




166 Comments

  1. Leticia says:

    5 stars
    What else could be used instead of the Italian stewed tomatoes. They were kind of big in the dish.

    1. Kristyn Merkley says:

      You could just use regular canned tomatoes or even fresh tomatoes, chopped. Really whatever you like 🙂

  2. Alison says:

    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!!

    1. Kristyn Merkley says:

      I’m sure it would be just great 🙂

  3. Ariel says:

    5 stars
    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. Kristyn Merkley says:

      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!

  4. Faith Brockoff says:

    Absolutely delish! I make a pretty good pasta sauce, but this is so light and tasty. Thank you for sharing.

    1. Kristyn Merkley says:

      You are so welcome!! Glad you like it! Thank you!

  5. Shelby says:

    5 stars
    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!!!

    1. Lil' Luna says:

      Love hearing that!! I’m glad your family liked it! Thank you for giving it a try!

  6. Patty says:

    Wish I could pin this recipe. Why is there no button to pin just the recipe?

  7. glenda says:

    5 stars
    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!

    1. Lil' Luna says:

      You are too sweet!! I’m so glad you found it and tried it! Thanks so much for letting me know!

  8. Kathryn says:

    5 stars
    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!

    1. Lil' Luna says:

      Those are great ideas!! It’s an easy recipe to change up 🙂 Thanks for sharing and so happy that you guys liked it!

  9. Leina says:

    5 stars
    I made this last night, and it was amazing! I made two dishes from your site, and both were fabulous!

    1. Lil' Luna says:

      So glad you liked this Leina!! Curious what the other recipe was that you liked?