There’s something truly comforting about a big bowl of Italian Sausage Pasta — tender noodles tossed in a rich, creamy tomato sauce with savory sausage and a sprinkle of Parmesan. It’s the kind of dish that fills your kitchen with mouthwatering aromas and makes everyone gather around the table a little faster.

This recipe is quick enough for a weeknight but flavorful enough to feel special. With just a handful of simple ingredients, you’ll have a hearty, satisfying pasta that tastes like it came straight from your favorite Italian restaurant.
Recipe Info
| Field | Info |
|---|---|
| Category | Dinner / Pasta |
| Prep Time | 10 minutes |
| Cook Time | 25 minutes |
| Servings | 4 servings |
| Calories | ~520 kcal per serving |
Ingredients You’ll Need
- 12 oz (340g) penne or rigatoni pasta
- 1 lb (450g) Italian sausage (mild or spicy, casing removed)
- 1 tbsp olive oil
- 1 small onion, finely chopped
- 3 cloves garlic, minced
- 1 can (14.5 oz) diced tomatoes
- 1 cup heavy cream (or half-and-half for lighter version)
- ½ cup grated Parmesan cheese
- 1 tsp Italian seasoning
- Salt and black pepper, to taste
- Fresh basil or parsley, for garnish
Step-By-Step Instructions
- Cook the Pasta:
Bring a large pot of salted water to a boil. Add pasta and cook until al dente according to package directions. Drain and set aside, reserving about ½ cup of pasta water. - Brown the Sausage:
In a large skillet, heat olive oil over medium heat. Add the Italian sausage, breaking it apart with a spoon as it cooks. Cook until browned and fully cooked through. Remove and set aside. - Sauté the Aromatics:
In the same skillet, add chopped onion and cook for 3–4 minutes until softened. Add garlic and cook another 30 seconds until fragrant. - Make the Sauce:
Stir in diced tomatoes and Italian seasoning. Simmer for 5 minutes, then add the heavy cream. Stir well and let the sauce thicken slightly — about 3–4 minutes. - Combine Everything:
Add the cooked sausage back to the skillet, followed by the drained pasta. Toss well to coat. If the sauce seems too thick, add a splash of the reserved pasta water until it reaches your desired consistency. - Finish with Cheese & Herbs:
Stir in grated Parmesan cheese and season with salt and black pepper to taste. Serve warm, garnished with fresh basil or parsley.
Helpful Notes & Tips
- Spice it up: Use spicy Italian sausage or add a pinch of red pepper flakes for a kick.
- Creaminess control: Substitute half-and-half or whole milk for a lighter sauce.
- Storage: Store leftovers in an airtight container in the fridge for up to 3 days. Reheat gently on the stove with a splash of milk or water to loosen the sauce.
- Make ahead: Cook the sauce in advance and store separately — just add pasta before serving.
Recipe Variations
- Chicken Sausage Pasta: Swap pork sausage for chicken or turkey sausage for a leaner option.
- Vegetable Boost: Add sautéed mushrooms, spinach, or roasted red peppers for extra color and nutrition.
- Tomato-Free Cream Sauce: Skip the diced tomatoes and use more cream and cheese for a luscious white sauce version.
Serving Suggestions
This Italian Sausage Pasta pairs beautifully with:
- A crisp green salad tossed in balsamic vinaigrette
- Garlic bread or warm focaccia for soaking up the sauce
Conclusion
This Italian Sausage Pasta is comfort in a bowl — creamy, savory, and full of flavor. Whether you’re cooking for family dinner, a cozy date night, or just craving something hearty and homemade, this dish hits the spot every time.