Comforting Creamy Italian Sausage Pasta
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This cozy indulgent Creamy Sausage Pasta is what you should make for dinner. It’s not complicated at all and is oh so delicious. It’s the perfect comforting dinner recipe for a cold night with a glass of your favorite red wine!

It’s now October and all I want to cook is comfort food. Comfort food to me is pasta…all day long! You can’t go wrong with a creamy tomato sauce and then adding crumbled Italian sausage just makes everyone happy. This recipe is salty, a little spicy, and packed full of warm herby Italian flavors.
And it doesn’t take long to make. It comes together pretty quick and before you know it, dinner is on the table!
Why I love this Creamy Italian Sausage Pasta:
- It’s simple – this not a complicated recipe.
- It’s fast! This dish does not take too long to make. Dinner can be ready in 30 minutes if you are prepared and organized!
- It’s feeds a crowd! This is a wonderful meal to make for your family or guests. Simply double or triple the recipe as needed.
- It’s delicious! We often enjoy more indulgent recipes on the weekend or Friday nights. This is Creamy Italian sausage Pasta is a wonderful Friday night meal to cozy up with.

The Ingredients:
- Olive oil: A little olive oil is used to help sauté the onions, garlic and brown the sausage.
- Yellow onion: You can use white, yellow or a sweet onion.
- Italian sausage: The star of the dish! Italian sausage adds so much flavor to recipes. I use mild, but if you like spice, go ahead and use spicy Italian sausage.
- Garlic: Garlic is used to add flavor. Never can have too much garlic!
- Tomato paste: Tomato paste has so much flavor because it’s super concentrated. I decided to make the sauce with tomato paste and beef stock then aadd some diced tomatoes instead of using tomato sauce. I find that it has a richer flavor.
- Can of diced tomatoes: I love chunks of sweet tomatoes in my sauce.
- Dried basil, parsley, and oregano: These are the spices I used to season the recipe. You can also use a few teaspoons of Italian seasoning.
- Salt and pepper: Salt and pepper help flavor the dish. Although, you won’t need much due to the Italian sausage.
- Beef stock: A little beef stock is used to create the sauce.
- Heavy cream: You can use as much or as a little heavy cream as you would like. The heavy cream helps create a rich and indulgent sauce.
- Pasta: Any type of pasta would work in this recipe!
- Reserved pasta water: I always reserve some pasta water (before draining the noodles, ladle some of the pasta water in a bowl.) Pasta water helps thin out pasta recipes if the sauce is too thick.
- Parmesan cheese: A good sprinkle of parmesan cheese is the perfect touch before diving into this cream Italian sausage pasta!
How to make this recipe:
- Cook sausage in a large pot with onions and garlic until browned, about 10 minutes.
- Add spices and tomato paste, stir and let cook for a few minutes.
- Next, add diced tomatoes and beef broth. Stir and let simmer for 20 minutes.
- While the sauce is simmering, boil the pasta.
- When the pasta is done, reserve pasta water then drain the pasta.
- Add a little heavy cream to the sauce, add the pasta, stir and enjoy!
I am not a complicated cook when it comes to making a meal for my family. This is a cheap yet filling meal that my entire family enjoys…even kiddos! Italian sausage is a secret ingredient because it’s already seasoned and full of flavor. Cooking it down with tomatoes is a wonderful way to use it and this pasta proves it!

Substitutions:
- Don’t like Italian sausage? Feel free to use ground beef, turkey or chicken. More salt and pepper will most likely be needed.
- Don’t want to use heavy cream? Feel free to leave it out, use a little full fat coconut cream, or cream cheese to create a creamier sauce.
- Can this be made gluten free? Absolutely! Just use GF noodles.
- Trying to add more vegetable to your diet? Serve this over roasted broccoli, Brussels sprouts or potatoes. Zucchini noodles would also be delicious!
Tips for success:
- Always read through the recipe before starting.
- Prepare all of your ingredients ahead of time – chop, measure, etc.
- Get out all of the utensils you will need before starting. This helps speed up the cooking process and prevents mistakes.
Cooking with Italian sausage is typically very easy and delicious! Check out these recipes for more inspiration! Italian Sausage Soup, Sausage and Peppers, Italian Sausage Stuffed Mushrooms.
I sure hope you enjoy this wonderful comfort meal as much as we do!
Creamy Sausage Pasta

A simple yet indulgent pasta recipe comprising of creamy tomato sauce and crumbled sausage. This is a great weeknight meal that everyone loves!
Ingredients
- 2 tablespoons olive oil
- 1 small yellow onion, diced
- 1 pound mild Italian sausage
- 3 large garlic cloves, minced (about 1 tablespoon)
- 2 tablespoons tomato paste
- 1, 14 ounce can diced tomatoes (don't drain)
- 1/2 teaspoon each of dried basil, oregano, and parsley
- 1/2 teaspoon salt
- 1/4 teaspoon crushed red pepper (optional)
- 1/4 teaspoon black pepper
- 1 cup beef stock
- 1/2 cup heavy cream, room temperature (just take out once you begin the cooking process)
- 1 pound favorite pasta
- 1/2 - 1 cup reserved pasta water (after noodles boil, reserve about 1 cup)
- parmesan cheese for serving
Instructions
- In a large pot, add olive oil and set over medium heat. Add crumbled sausage and diced onion and cook until sausage is cooked through, about 10 minutes.
- Next, add garlic and saute for 2 additional minutes.
- Add all the spices and tomato paste - basil, oregano, parsley, salt, pepper, crushed red pepper. Stir well and cook for a few additional minutes, scraping the bottom of the pot.
- Finally, add the diced tomatoes and beef stock. Stir everything together and let simmer for 20-30 minutes.
- While it's simmering with the lid off, prepare pasta according to package directions.
- Once sauce is done cooking, slowly pour in heavy cream. Add pasta and stir everthing together. If the sauce seems to thick, add 1/4 cup of reserved pasta water to thin it out - you can add more if necessary. Sprinkle with parmesan cheese and enjoy!







I just made this recipe do about half a cup of cream, slowly add it in and stir!!! A whole cup is waaaay to much and I thought I ruined my food so I had to bring it all to a boil to make it cook out.
Hi Hannah! Thank you for the comment! The recipe calls for 1/2 cup as I also found that more than that is overwhelmingly creamy. Glad you enjoyed it!
Great dish! I used half and half instead and it was delicious. Easy to prepare too!
HI Laura! So glad you liked it! I really appreciate the comment!
Made this recipe for my family and they all really enjoyed it! Super flavorful and rich! Next time I would probably add a little less cream and only 1/2 cup pasta water instead of the full cup. I also added some Parmesan Rhine and let it sit in the sauce for 10 min before taking it out, this added so much flavor. Overall, good recipe, will be making again.
Glad you liked it!