If you’re craving a comforting, rich meal that feels like a warm embrace, this Creamy Italian Sausage Pasta Recipe is exactly what you need. Featuring tender pasta coated in a luscious, cheesy sauce with savory Italian sausage and just the right hint of spice, this dish is a guaranteed crowd-pleaser. The combination of fresh herbs, garlic, and a touch of spinach adds layers of flavor and color, making every bite as delightful as the last. Whether it’s a busy weeknight or a cozy weekend dinner, this recipe strikes the perfect balance between ease and indulgence.

Ingredients You’ll Need
Gathering these straightforward yet vital ingredients will set you up for success in creating a pasta dish bursting with flavor. Each component plays a key role—whether it’s the hearty sausage providing a savory backbone or the creamy Parmesan enriching every mouthful.
- 12 ounces pasta (penne or rigatoni): Choose shapes that hold sauce beautifully for maximum flavor with each bite.
- 1 tablespoon olive oil: Adds a subtle fruitiness and helps brown the sausage perfectly.
- 1 pound Italian sausage (casings removed): The star protein, infusing the dish with robust, seasoned goodness.
- 1 small yellow onion (diced): Offers sweetness and soft texture once sautéed.
- 3 cloves garlic (minced): Injects a fragrant, savory aroma that elevates every spoonful.
- 1 teaspoon Italian seasoning: A blend of herbs that ties the flavors together beautifully.
- ½ teaspoon red pepper flakes (optional): Adds a gentle kick to brighten the richness.
- ½ cup chicken broth: Helps deglaze the pan and build a flavorful sauce base.
- 1 cup heavy cream: Creates the silky, indulgent sauce that makes this pasta irresistible.
- ½ cup grated Parmesan cheese: Brings a nutty, salty depth that perfectly complements the sausage.
- 1 cup baby spinach (optional): Adds freshness and a burst of vibrant green color.
- Salt and black pepper to taste: Essential seasonings to balance and enhance the overall flavors.
- Chopped parsley for garnish: Adds a fresh, herbal finish and visual appeal.
How to Make Creamy Italian Sausage Pasta Recipe
Step 1: Cook the Pasta
Start by boiling your pasta until it’s perfectly al dente for that satisfying bite. Remember to reserve half a cup of the pasta water before draining—that starchy liquid will become your secret weapon for loosening the sauce later, ensuring every noodle is beautifully coated.
Step 2: Brown the Sausage
Heat the olive oil in a large skillet over medium-high heat, then add the Italian sausage. Use a spoon to break it up into crumbly pieces as it cooks, letting it brown evenly. This caramelization step is crucial—it develops those rich, savory flavors that make this dish crave-worthy.
Step 3: Sauté the Onion
Once the sausage has cooked through, toss in the diced onion. Sauté for a few minutes until the onion softens and becomes translucent. This step adds a natural sweetness that balances the bold earthiness of the sausage.
Step 4: Add Garlic and Seasonings
Stir in the minced garlic along with the Italian seasoning and red pepper flakes if you’re using them. Cook everything together for about 30 seconds, letting those aromatics bloom and fill your kitchen with a heavenly scent.
Step 5: Build the Sauce
Pour in the chicken broth and bring the mixture to a simmer. Use your spoon to scrape up any browned bits clinging to the bottom of the pan—those bits are pure flavor gold! Then reduce the heat to medium-low and stir in the heavy cream and Parmesan cheese. Let the sauce gently thicken for a couple of minutes, becoming creamy and luscious.
Step 6: Combine Pasta and Sauce
Add the cooked pasta directly into the sauce pan and toss until each piece is enveloped in the creamy goodness. If the sauce feels too thick, add a splash of the reserved pasta water to achieve the perfect consistency. For a burst of color and added nutrition, stir in the baby spinach and cook just until it wilts.
Step 7: Final Seasoning and Garnish
Season the dish to your liking with salt and black pepper. To finish, sprinkle chopped parsley and extra Parmesan on top for a fresh, flavorful, and visually appealing touch that makes this Creamy Italian Sausage Pasta Recipe truly shine.
How to Serve Creamy Italian Sausage Pasta Recipe

Garnishes
Fresh chopped parsley adds a lovely herbal brightness while some extra Parmesan cheese takes the cheesiness up a notch. You can even sprinkle a few red pepper flakes on top if you want to remind everyone of that subtle spicy kick.
Side Dishes
This creamy pasta pairs wonderfully with crunchy garlic bread that’s perfect for mopping up every last bit of sauce. A crisp green salad dressed lightly with lemon vinaigrette makes a perfect refreshing counterpoint to the richness of the dish.
Creative Ways to Present
For a more elegant touch, plate the pasta twirled neatly using tongs and garnish with a sprig of fresh basil. You can also serve the sauce on the side in a gravy boat for a fun, interactive meal where everyone can add just the right amount.
Make Ahead and Storage
Storing Leftovers
Store any leftover Creamy Italian Sausage Pasta Recipe in an airtight container in the refrigerator for up to 3 days. The flavors deepen over time, making next-day meals even more satisfying.
Freezing
This pasta freezes well, making it a convenient option for meal prep. Freeze in a freezer-safe container, but be aware that the texture of the spinach may change slightly once thawed.
Reheating
Reheat gently on the stove over low heat, stirring occasionally, or microwave in short bursts, adding a splash of milk or broth to restore the creamy texture. Avoid overheating, which can cause the sauce to separate.
FAQs
Can I use turkey sausage instead of Italian sausage?
Absolutely! Ground turkey sausage is a leaner alternative that still works well in this recipe. Just be mindful that cooking times may be slightly shorter since turkey cooks faster.
Is it possible to make this dish dairy-free?
Yes! Substitute the heavy cream with coconut milk or a dairy-free cream alternative, and use a nutritional yeast in place of Parmesan to keep the cheesy flavor while making it dairy-free.
What pasta shapes work best for this recipe?
Penne and rigatoni are excellent choices as their tubular shape holds the sauce wonderfully, but feel free to use any pasta you have on hand, like fusilli or farfalle.
Can I add vegetables to this pasta?
Definitely! Baby spinach is already included, but you can toss in mushrooms, bell peppers, or sun-dried tomatoes for extra flavor and texture.
How spicy is this dish with red pepper flakes?
The red pepper flakes add a gentle heat that complements the richness without overpowering it. You can easily adjust the amount to suit your spice preference or omit it entirely.
Final Thoughts
I can’t recommend this Creamy Italian Sausage Pasta Recipe enough for anyone looking to bring comforting, rich flavors to the table with minimal fuss. It’s a dish that manages to feel both indulgent and approachable, perfect for family dinners or impressing guests. Give it a try and watch how it quickly becomes one of your favorite go-to recipes.
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Creamy Italian Sausage Pasta Recipe
- Prep Time: 10 minutes
- Cook Time: 25 minutes
- Total Time: 35 minutes
- Yield: 4 servings
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian-American
- Diet: Gluten Free
Description
A rich and creamy Italian sausage pasta recipe that combines perfectly cooked pasta with a savory sausage cream sauce, enhanced by garlic, onion, spinach, and Parmesan cheese. This comforting dish is ideal for an easy weeknight dinner and can be customized with spicy or sweet sausage and paired beautifully with garlic bread or a crisp salad.
Ingredients
For the Pasta
- 12 ounces pasta (such as penne or rigatoni)
For the Sauce
- 1 tablespoon olive oil
- 1 pound Italian sausage (casings removed)
- 1 small yellow onion (diced)
- 3 cloves garlic (minced)
- 1 teaspoon Italian seasoning
- ½ teaspoon red pepper flakes (optional)
- ½ cup chicken broth
- 1 cup heavy cream
- ½ cup grated Parmesan cheese
- 1 cup baby spinach (optional)
- Salt and black pepper to taste
- Chopped parsley for garnish
Instructions
- Cook the Pasta: Bring a large pot of salted water to a boil and cook the pasta according to package directions until al dente. Reserve ½ cup of pasta water, then drain the pasta and set it aside.
- Brown the Sausage: In a large skillet, heat the olive oil over medium-high heat. Add the Italian sausage and cook, breaking it into small pieces with a spoon, until browned and fully cooked through, about 6 to 8 minutes.
- Sauté Onion and Garlic: Add the diced onion to the skillet and sauté for 3 to 4 minutes until softened and translucent. Stir in the minced garlic, Italian seasoning, and red pepper flakes, cooking for another 30 seconds until fragrant.
- Create the Sauce Base: Pour in the chicken broth and bring the mixture to a simmer, scraping up any browned bits from the bottom of the skillet to add flavor.
- Add Cream and Cheese: Reduce the heat to medium-low and stir in the heavy cream and grated Parmesan cheese. Let the sauce simmer gently for 2 to 3 minutes, allowing it to thicken slightly.
- Combine Pasta and Sauce: Add the cooked pasta to the skillet and toss thoroughly to coat it in the sauce. If the sauce is too thick, add a splash of the reserved pasta water to loosen it to your desired consistency.
- Add Spinach: Stir in the baby spinach (if using) and cook just until wilted, about 1 minute.
- Season and Garnish: Taste the dish and season with salt and black pepper as needed. Garnish with chopped parsley and extra Parmesan cheese before serving.
Notes
- You can use either spicy or sweet Italian sausage depending on your flavor preference.
- For a lighter version, substitute heavy cream with half-and-half.
- This pasta pairs wonderfully with garlic bread and a crisp green salad for a complete meal.
- To make this dish gluten-free, use gluten-free pasta.

