If you’re craving a dish that’s bursting with rich flavor, comforting creaminess, and a little Italian flair, look no further than this Creamy Italian Sausage Pasta Recipe. It’s a perfect blend of spicy, cheesy, and savory all wrapped into tender penne pasta tossed in a luscious sauce made from heavy cream and parmesan. Whether it’s a weeknight dinner or a special treat, this recipe never fails to impress with its satisfying taste and straightforward preparation.

Creamy Italian Sausage Pasta Recipe - Recipe Image

Ingredients You’ll Need

This Creamy Italian Sausage Pasta Recipe relies on simple yet essential ingredients that each play a special role in building layers of taste, texture, and color. From the spicy kick of Italian sausage to the fresh brightness of baby spinach, every component shines.

  • 1 Pound Ground Italian Sausage: The star protein, bringing savory, herby, and mildly spicy flavors that form the heart of the dish.
  • 1 Pound Penne Pasta: A sturdy pasta shape that holds the creamy sauce perfectly for every bite.
  • 1 Tablespoon Olive Oil: Helps sauté the sausage and aromatics while adding a subtle richness.
  • 1/2 Yellow Onion (Minced): Adds a sweet and aromatic base layer that complements the sausage beautifully.
  • 2 Cloves Garlic (Minced): Brings depth and a wonderful fragrant warmth to the sauce.
  • 1/2 Teaspoon Red Pepper Flakes: Adds a gentle heat that lifts the entire dish without overwhelming it.
  • 1/2 Teaspoon Salt: Balances and enhances all the flavors throughout the recipe.
  • 2 Cups Heavy Cream: The creamy backbone that coats the pasta and melds all ingredients smoothly together.
  • 5 Ounces Baby Spinach: Adds a punch of bright green color and a fresh, slightly earthy note.
  • 1 Cup Shredded Parmesan Cheese: Provides a nutty, salty finish that thickens the sauce and makes it irresistible.

How to Make Creamy Italian Sausage Pasta Recipe

Step 1: Cook the pasta

Start by boiling a large pot of salted water and cook your penne pasta according to package directions. This ensures the pasta is perfectly al dente, providing the ideal texture to soak up the luxurious sauce later.

Step 2: Brown the sausage and aromatics

While the pasta is cooking, heat olive oil in a large skillet over medium-high heat. Add the ground Italian sausage, minced onion, garlic, red pepper flakes, and salt. Cook everything together until the sausage loses its pink color and the onions soften, creating a tantalizing aroma that signals you’re on the right track.

Step 3: Drain and prepare the sauce

If there’s excess fat in your skillet, drain it carefully and return the meat mixture to the pan. Lower the heat and pour in the heavy cream. Slowly bring this mixture to a gentle simmer, letting the cream absorb all those rich flavors.

Step 4: Add spinach and cheese

Stir in the baby spinach, cooking for about 3 minutes until it’s just wilted, adding a fresh, vibrant touch to the creamy sauce. Then, sprinkle in the shredded parmesan cheese and stir until it melts completely, thickening the sauce and adding a lovely nutty richness.

Step 5: Combine pasta with sauce

Drain your cooked pasta and toss it directly into the skillet with the sausage cream sauce. Mix well so every piece of penne is covered in the luscious sauce, making each bite a perfect balance of textures and flavors.

Step 6: Serve immediately

Enjoy this Creamy Italian Sausage Pasta Recipe hot off the stove for the best creamy texture and vibrant taste. It’s a dish that tastes like it took hours to prepare but is wonderfully quick.

How to Serve Creamy Italian Sausage Pasta Recipe

Creamy Italian Sausage Pasta Recipe - Recipe Image

Garnishes

A sprinkle of freshly chopped parsley or basil brings a pop of green freshness and an herbal aroma. A light dusting of extra parmesan adds a salty, nutty finish that makes it feel extra special. Drizzle a touch of good quality olive oil for that silky sheen and subtle richness.

Side Dishes

This pasta pairs beautifully with a crisp green salad tossed in a bright lemon vinaigrette to cut through the creaminess. Garlic bread or crusty Italian bread are perfect for scooping up every last drop of sauce. Roasted vegetables like asparagus or cherry tomatoes add a burst of color and lighten the meal.

Creative Ways to Present

For a cozy dinner party, serve the pasta in individual shallow bowls and garnish with colorful microgreens or edible flowers. For a casual family meal, mound it high on a large serving platter for everyone to dig in together. You can also bake the pasta briefly with extra cheese on top for a bubbly, golden crust variation that’s always a hit.

Make Ahead and Storage

Storing Leftovers

Place leftover Creamy Italian Sausage Pasta Recipe in an airtight container and refrigerate for up to 3 days. The flavors actually improve as they meld, making for a delicious meal the next day. Just be aware the pasta may absorb some sauce and firm up slightly.

Freezing

This dish freezes well, making it a great option for meal prep. Cool the pasta completely before transferring it into freezer-safe containers or bags. It can be frozen for up to 2 months. When ready to eat, thaw overnight in the fridge for best results.

Reheating

Reheat gently on the stovetop over low heat, adding a splash of cream or milk to revive the sauce’s creaminess without drying it out. Alternatively, microwave in short intervals, stirring occasionally to heat everything evenly and maintain that irresistible texture.

FAQs

Can I use other types of pasta?

Absolutely! While penne is ideal for holding the creamy sauce, other short pasta shapes like rigatoni, fusilli, or farfalle also work wonderfully for this recipe.

Is it okay to use turkey Italian sausage instead of pork?

Yes, turkey Italian sausage is a leaner alternative that still delivers great flavor. Just keep an eye on cooking time as it may cook a bit faster due to lower fat content.

How can I make this recipe less spicy?

Simply reduce or omit the red pepper flakes for a milder flavor and use a sweet Italian sausage instead of spicy if preferred.

Can I make this recipe vegetarian?

Definitely! Swap the Italian sausage with crumbled cooked mushrooms or a plant-based sausage alternative and keep all other ingredients the same for a delicious meat-free version.

What wine pairs well with this creamy pasta?

A glass of crisp Pinot Grigio or a light Chardonnay complements the richness of the sauce beautifully without overpowering the delicate flavors.

Final Thoughts

This Creamy Italian Sausage Pasta Recipe is a guaranteed crowd-pleaser that brings warmth and comfort to the dinner table in under 30 minutes. Its rich, flavorful sauce paired with tender pasta and fresh spinach creates a perfect harmony of tastes that I know you’ll love sharing with your family and friends. Don’t hesitate to give it a try — it might just become your new go-to weeknight favorite!

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Creamy Italian Sausage Pasta Recipe

5 Stars 4 Stars 3 Stars 2 Stars 1 Star 4.4 from 72 reviews
  • Author: admin
  • Prep Time: 10 minutes
  • Cook Time: 10 minutes
  • Total Time: 20 minutes
  • Yield: 4 servings
  • Category: Main Dish
  • Method: Stovetop
  • Cuisine: Italian

Description

This Creamy Italian Sausage Pasta combines savory ground Italian sausage with tender penne pasta in a rich and luscious heavy cream sauce, infused with garlic, onions, and spicy red pepper flakes. Baby spinach adds a fresh touch of color and nutrients, while parmesan cheese melts in for a delightful cheesy finish. Ready in just 20 minutes, this comforting dish is perfect for a quick weeknight meal.


Ingredients

Scale

Meat and Pasta

  • 1 Pound Ground Italian Sausage
  • 1 Pound Penne Pasta

Vegetables and Aromatics

  • 1/2 Yellow Onion, minced
  • 2 Cloves Garlic, minced
  • 5 Ounces Baby Spinach

Seasonings and Dairy

  • 1 Tablespoon Olive Oil
  • 1/2 Teaspoon Red Pepper Flakes
  • 1/2 Teaspoon Salt
  • 2 Cups Heavy Cream
  • 1 Cup Shredded Parmesan Cheese


Instructions

  1. Cook the Pasta. Bring a large pot of salted water to a boil and cook the penne pasta according to the package directions until al dente. Drain and set aside.
  2. Sauté Aromatics and Sausage. While the pasta cooks, heat olive oil in a large skillet over medium-high heat. Add the ground Italian sausage, minced onion, garlic, red pepper flakes, and salt. Cook thoroughly until the sausage is no longer pink, stirring occasionally to break up the meat.
  3. Drain Excess Fat. If there is excess fat in the skillet, carefully drain it off and return the sausage mixture back to the pan.
  4. Add Cream and Simmer. Reduce the heat to low and pour in the heavy cream. Bring the mixture to a gentle simmer.
  5. Incorporate Spinach. Add the baby spinach to the skillet and cook, stirring occasionally, for about 3 minutes until the spinach is wilted and incorporated into the sauce.
  6. Melt in Cheese. Stir in the shredded parmesan cheese until it melts completely, creating a smooth and creamy sauce.
  7. Combine Pasta and Sauce. Add the cooked penne pasta to the skillet and toss gently to coat the pasta thoroughly with the creamy sausage sauce.
  8. Serve Immediately. Plate the pasta right away to enjoy the dish at its best creamy and flavorful state.

Notes

  • Use hot water for cooking pasta to ensure it cooks evenly.
  • If you prefer a spicier dish, increase the red pepper flakes to taste.
  • For a lighter version, substitute heavy cream with half-and-half or whole milk, noting that the sauce will be less rich.
  • Make sure to drain excess fat from the sausage to avoid a greasy sauce.
  • Freshly grated parmesan cheese offers better melting quality and flavor compared to pre-grated cheese.
  • You can add chopped sun-dried tomatoes or mushrooms for additional flavor and texture.

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