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Creamy Sausage Pasta

Creamy Sausage Pasta

This 30-minute creamy sausage pasta combines spicy Italian sausage, sweet bell peppers, and fresh spinach in a silky Parmesan cream sauce. It's a versatile one-pan dinner that's perfect for busy weeknights when you need comfort food without spending hours in the kitchen or creating a sink full of dishes.
Prep Time 10 minutes
Cook Time 20 minutes
Course Dinner, Main Course
Cuisine American-inspired, Fusion, Italian-inspired
Servings 4

Ingredients
  

  • 1 pound Italian sausage sweet, hot, or a mix depending on your spice preference
  • 1 tablespoon olive oil
  • 1 medium onion diced
  • 1 red bell pepper sliced
  • 3-4 cloves garlic minced
  • 1 teaspoon Italian seasoning
  • ¼ teaspoon red pepper flakes optional, for extra heat
  • ½ cup dry white wine or chicken broth
  • 1 cup heavy cream
  • ½ cup chicken broth
  • ½ cup grated Parmesan cheese plus more for serving
  • 12 ounces pasta penne, rigatoni, or fettuccine work best
  • 3 cups fresh spinach roughly chopped
  • Salt and freshly ground black pepper to taste
  • Fresh basil or parsley chopped, for garnish

Instructions
 

  • Bring a large pot of salted water to a boil for the pasta. Cook according to package directions until al dente. Reserve ½ cup of pasta water before draining.
  • While the water is coming to a boil, heat a large skillet over medium-high heat. Add the olive oil and Italian sausage, removing it from the casings if necessary. Break it into chunks with a wooden spoon as it cooks.
  • Once the sausage is browned (about 5-7 minutes), transfer it to a plate using a slotted spoon, leaving the flavorful fat in the pan. Don't rush this step—those caramelized bits are pure gold.
  • In the same pan, add the diced onion and red bell pepper. Sauté for about 4-5 minutes until they begin to soften.
  • Add the garlic, Italian seasoning, and red pepper flakes (if using). Cook for just 30 seconds until fragrant. Don't let the garlic burn, or it'll get bitter.
  • Pour in the white wine or chicken broth, scraping up all the browned bits from the bottom of the pan. Let it reduce by half, about 2 minutes.
  • Reduce heat to medium-low and add the heavy cream and chicken broth. Let it simmer gently for 2-3 minutes until it starts to thicken slightly.
  • Return the cooked sausage to the pan along with any accumulated juices. Stir to combine.
  • Add the Parmesan cheese and stir until melted and the sauce is smooth. If the sauce seems too thick, add a splash of the reserved pasta water.
  • Toss in the drained pasta and stir to coat in the sauce. Let it cook for a minute to absorb some of the flavor.
  • Add the chopped spinach and stir until it wilts, which should take just a minute or two.
  • Taste and adjust seasonings with salt and pepper. Remember that Parmesan and sausage are already salty, so go easy on the additional salt.
  • Serve immediately, garnished with extra Parmesan cheese and fresh herbs.

Notes

  • For a lighter version, use half & half instead of heavy cream, and turkey or chicken Italian sausage.
  • The sauce will continue to thicken as it sits, so if you're not serving immediately, make it a bit thinner than you want the final result to be.
  • If you like your pasta very saucy, reduce the pasta to 8-10 ounces or increase the sauce ingredients.
  • This reheats well, though you might need to add a splash of cream or milk when warming it up.