Creamy Italian Sausage Pasta

Category: Cozy, Hearty Recipes That Feel Like Home

A hearty main featuring al dente pasta gently coated in a luscious sauce of tomato, garlic, and herbs. Italian sausage delivers rich flavor, balanced by a splash of cream and two types of cheese—Parmesan and mozzarella—melted until irresistibly gooey. Onions and a hint of pepper round out the sauce, while reserved pasta water ensures a velvety texture. Finished by tossing everything together in the skillet for an even coating, each bite delivers a delicious blend of savory sausage and decadent, creamy goodness. Perfect with garlic bread and a fresh salad for a complete, satisfying meal.

A woman with a smile on her face.
Created By Melanie Carter
Updated on Tue, 29 Jul 2025 20:41:55 GMT
A plate of pasta with meat and cheese. Pin
A plate of pasta with meat and cheese. | mellierecipes.com

Creamy Italian sausage pasta is the ultimate comfort food dinner that always brings everyone to the table quickly The combination of savory sausage silky sauce and perfectly cooked pasta makes every bite irresistible This dish comes together fast and is loaded with cheese and herbs so it feels special without any fuss

I made this for my husband’s birthday dinner and now he requests it every time he wants a cozy evening at home Watching everyone dive in before I’m even at the table always makes me laugh

Ingredients

  • Pasta: like penne or fusilli You want pasta with grooves to catch the sauce Choose a sturdy brand for best results
  • Olive oil: Use a good quality extra virgin for deep flavor
  • Ground Italian sausage: Mild or spicy depending on your preference Choose freshly ground if you can for juiciness
  • Yellow onion, diced: Adds sweet savoriness Look for firm onions with papery skins
  • Garlic, minced: Essential for the foundation of flavor Buy firm cloves with no green shoots
  • Tomato paste: Delivers rich umami Try to find one in a tube for easy measuring
  • Chicken broth: Balances the richness Use low sodium to control salt levels
  • Canned diced tomatoes: Unites sauce with chunky texture San Marzano or fire roasted can boost flavor
  • Dried oregano: Helps layer the classic Italian herb taste Go for a fresh smelling jar
  • Dried basil: Lifts the dish with sweet peppery notes Rub between your fingers for extra aroma
  • Dried parsley: Adds an earthy punch Look for bright green flakes
  • Salt and pepper: A must for balance Use fresh cracked black pepper if possible
  • Half and half or heavy cream: For that luxurious creamy touch Heavy cream gives richer texture
  • Parmesan cheese, grated: Salty nutty kick Always grate yourself if possible for ultimate melt
  • Mozzarella cheese, shredded: Gives you gooey stretchy pulls Use a moisture rich block for best melt

Step-by-Step Instructions

Boil the Pasta:
Bring a large pot of well salted water to a rolling boil Add the pasta and cook until just al dente according to package directions Scoop out about one quarter cup of pasta water Set pasta aside after draining
Brown the Sausage:
While the pasta bubbles away heat olive oil in a big deep skillet over medium Add the ground Italian sausage breaking it up with a spoon Let it brown fully and cook until no pink remains Remove sausage with a slotted spoon and put it on a plate
Sauté Onion and Garlic:
Toss the diced onion into the skillet with the sausage drippings Cook gently for around five minutes until soft and translucent Add minced garlic and tomato paste Stir and let cook for one to two minutes until the mixture is jammy and aromatic
Deglaze and Simmer Sauce:
Pour chicken broth directly into the skillet Using a wooden spoon scrape the bottom to loosen the browned flavor bits Let the liquid reduce for three to five minutes Stir in the canned tomatoes with juice plus oregano basil parsley salt and pepper Let everything simmer together for five to seven minutes until sauce thickens
Add Cream and Adjust Consistency:
Stir in the half and half or heavy cream Let it bubble very gently for two to three minutes Splash in a little reserved pasta water at a time until the sauce is velvety and clings to a spoon
Finish with Sausage and Cheese:
Return the browned sausage to the skillet along with cooked pasta Use tongs to toss everything well so every piece gets drenched in sauce Fold in Parmesan and mozzarella cheese letting the mixture melt into a gooey silky finish
Serve:
Plate immediately with hot bread and salad Dig in while the cheese is still stretchy
A bowl of creamy Italian sausage pasta. Pin
A bowl of creamy Italian sausage pasta. | mellierecipes.com

Parmesan is always my favorite for its sharp salty flavor I remember my dad slipping extra cheese into his bowl every single time and getting caught by my mom who would laugh and do the same It is those silly table moments that make this dish feel like home

Storage tips

Store leftovers in an airtight container in the refrigerator for up to three days To reheat add a splash of milk or broth before microwaving or warming on the stove to bring back creaminess If you are planning make ahead keep the cheeses separate until ready to serve so the sauce does not dry out

Ingredient substitutions

If you do not have Italian sausage use ground turkey or chicken with extra herbs and a pinch of fennel seed for similar flavor You can swap half and half for all heavy cream for richer sauce or even evaporated milk in a pinch Gluten free pasta works just as well if cooked slightly under to avoid mushiness

Serving suggestions

Pair this creamy pasta with garlicky green beans or a bright Caesar salad for a balancing fresh contrast Crusty bread is perfect for mopping up the sauce and if you want a bigger spread add simple roasted vegetables like zucchini or bell pepper

A plate of creamy Italian sausage pasta. Pin
A plate of creamy Italian sausage pasta. | mellierecipes.com

Cultural historical context

This type of creamy tomato sausage pasta is inspired by classic Italian American cooking that mixes the Italian love for robust tomato sauces with the American tradition of hearty one pan dinners The layering of cheese and meat over quick cooked pasta is what made it popular at weeknight family meals all over

Recipe FAQs

→ Can I use a different pasta shape?

Yes, penne or fusilli work well, but most short pasta like rigatoni or rotini will absorb the creamy sauce beautifully.

→ How can I make the sauce thicker?

If the sauce is too thin, let it simmer uncovered a few minutes longer or add extra cheese to achieve the desired consistency.

→ What type of sausage works best?

Use mild or spicy Italian sausage according to your preference; both blend well with creamy, herbed sauces.

→ Can I substitute half and half for heavy cream?

Yes, either half and half or heavy cream will give a rich texture, so feel free to use what you have on hand.

→ How should leftovers be stored?

Refrigerate in an airtight container for up to three days. Reheat gently with a splash of milk or cream to revive the sauce.

Creamy Italian Sausage Pasta

Silky pasta paired with savory sausage, rich tomato, fresh herbs, and creamy cheeses for an easy comfort dish.

Prep Time
10 minutes
Cooking Duration
30 minutes
Overall Cooking Time
40 minutes
Created By: Melanie Carter

Recipe Category: Comfort Food Classics

Skill Level: Beginner-Friendly

Cuisine Style: American

Result Amount: 4 Portions

Diet Preferences: ~

What You’ll Need to Make This

→ Pasta

01 340 grams penne or fusilli pasta

→ Meat

02 450 grams ground Italian sausage

→ Aromatics and Base

03 1 small yellow onion, diced
04 3 cloves garlic, minced

→ Sauce Ingredients

05 1 tablespoon olive oil
06 2 tablespoons tomato paste
07 120 millilitres chicken broth
08 1 can (410 grams) diced tomatoes, undrained
09 0.75 teaspoon dried oregano
10 0.75 teaspoon dried basil
11 0.75 teaspoon dried parsley
12 Salt, to taste
13 Black pepper, to taste

→ Dairy

14 120 millilitres half and half or heavy cream
15 50 grams grated Parmesan cheese
16 30 grams shredded mozzarella cheese

How to Prepare

Step 01

Bring a large pot of well-salted water to a boil. Add pasta and cook until al dente according to package instructions. Reserve 60 millilitres of the cooking water, then drain the pasta and set aside.

Step 02

Heat olive oil in a large skillet over medium heat. Add ground Italian sausage and cook, breaking it up, until fully browned and no pink remains. Use a slotted spoon to transfer the cooked sausage to a plate.

Step 03

Add diced onion to the same skillet. Sauté for about 5 minutes until softened. Stir in the minced garlic and tomato paste, cooking for 1 to 2 minutes until fragrant.

Step 04

Pour chicken broth into the skillet. Scrape any caramelized bits from the bottom using a wooden spoon. Allow the broth to reduce for 3 to 5 minutes.

Step 05

Add undrained diced tomatoes, dried oregano, dried basil, dried parsley, salt, and pepper. Mix well and simmer for 5 to 7 minutes until the sauce thickens.

Step 06

Stir in the half and half or heavy cream. Simmer for an additional 2 to 3 minutes. Add some reserved pasta water as needed to reach your preferred sauce consistency.

Step 07

Return the cooked sausage and drained pasta to the skillet. Toss together until all ingredients are well coated by the sauce.

Step 08

Reduce heat to low. Stir in the grated Parmesan and shredded mozzarella until melted and the sauce is creamy.

Step 09

Divide among plates and serve immediately. Pair with toasted garlic bread and salad if desired.

Extra Tips

  1. Reserve a portion of the pasta cooking water to adjust the sauce consistency at the end.

Tools Required

  • Large pot
  • Large skillet
  • Wooden spoon
  • Slotted spoon
  • Colander

Allergen Info

Review ingredients carefully for allergens. Reach out to your healthcare provider if you’ve got specific concerns.
  • Contains milk and dairy products
  • Contains gluten