Creamy Tomato Sausage Pasta

Featured in: Comfort Food

This dish features penne tossed in a rich, creamy tomato sauce enhanced with Italian sausage and fragrant herbs. The sausage is browned to release savory flavors before simmering with crushed tomatoes and cream, creating a luscious coating for the pasta. Aromatics like onion and garlic build depth, while Parmesan cheese adds a finishing touch. It's a straightforward yet flavorful option ideal for busy evenings.

Updated on Thu, 20 Nov 2025 09:27:00 GMT
Creamy tomato and sausage pasta, served hot, with a sprinkle of fresh herbs. Save
Creamy tomato and sausage pasta, served hot, with a sprinkle of fresh herbs. | bakozy.com

A rich and comforting pasta dish featuring savory sausage, a creamy tomato sauce, and al dente penne perfect for busy weeknights.

I first made this pasta for my family when we needed something hearty and quick on a busy Thursday night. Everyone loved how the sausage flavors melded with the creamy tomato sauce.

Ingredients

  • Pasta: 350 g (12 oz) penne pasta
  • Meats: 300 g (10 oz) Italian sausage, casings removed; 1 tbsp olive oil
  • Vegetables & Aromatics: 1 small onion, finely chopped; 2 garlic cloves, minced
  • Sauce: 400 g (14 oz) canned crushed tomatoes; 120 ml (1/2 cup) heavy cream; 1 tsp dried Italian herbs (basil, oregano, or mixed); 1/2 tsp red pepper flakes (optional); Salt and freshly ground black pepper, to taste
  • Cheese & Garnish: 40 g (1/3 cup) grated Parmesan cheese; Fresh basil or parsley, chopped (optional)

Instructions

Cook Pasta:
Cook the penne pasta in a large pot of salted boiling water according to package instructions until al dente. Reserve 1/2 cup pasta water then drain.
Brown Sausage:
While pasta cooks, heat olive oil in a large skillet over medium-high heat. Add sausage, breaking it up with a spoon, and cook until browned about 4 minutes.
Sauté Aromatics:
Add chopped onion to the skillet and sauté until softened about 2 minutes. Stir in garlic and cook for 30 seconds until fragrant.
Simmer Sauce:
Pour in the crushed tomatoes, Italian herbs, and red pepper flakes (if using). Simmer for 3 minutes.
Add Cream:
Reduce heat to low. Stir in heavy cream, season with salt and black pepper, and let the sauce simmer gently for 2 minutes.
Combine Pasta & Sauce:
Add the drained pasta to the sauce, tossing to coat. Add some reserved pasta water if needed to loosen the sauce.
Finish & Serve:
Stir in Parmesan cheese and adjust seasoning if necessary. Serve hot garnished with fresh basil or parsley.
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This recipe is now a weeknight staple at our house, especially when we want a comfort meal everyone will actually finish.

Required Tools

Large pot, large skillet, wooden spoon or spatula, knife and cutting board, cheese grater

Allergen Information

Contains wheat (gluten), dairy (Parmesan, cream) and may contain traces of nuts if present in cheese. Contains pork if using traditional Italian sausage. Always check sausage and cheese labels for specific allergens.

Nutritional Information

Calories: 620, Total Fat: 29 g, Carbohydrates: 60 g, Protein: 28 g per serving

A steaming bowl of creamy tomato and sausage pasta, highlighting the rich sauce and penne. Save
A steaming bowl of creamy tomato and sausage pasta, highlighting the rich sauce and penne. | bakozy.com

Enjoy creamy tomato and sausage pasta hot out of the skillet for maximum flavor. Leftovers reheat well for lunch the next day.

Recipe FAQ

What type of sausage works best in this dish?

Italian sausage with the casing removed provides the perfect savory flavor and texture, but chicken or turkey sausage can be used for a leaner option.

Can I use a different pasta shape?

Penne works well because it holds the creamy sauce nicely, but other short pasta like rigatoni or fusilli are good alternatives.

How can I make the sauce creamier or lighter?

For a creamier sauce, add a bit more heavy cream or substitute half-and-half for a lighter texture without losing richness.

Is it possible to add vegetables to this preparation?

Yes, adding baby spinach or sun-dried tomatoes during sauce simmering boosts flavor and nutrition without overpowering the dish.

How should I adjust seasoning for spice preferences?

Red pepper flakes add a mild heat but can be omitted or increased to tailor spiciness according to your liking.

Creamy Tomato Sausage Pasta

Savory sausage melded with creamy tomato sauce and al dente penne in a quick, satisfying dish.

Prep duration
5 min
Heat time
15 min
Complete duration
20 min
Created by Natalie Harris


Complexity Easy

Heritage Italian-inspired

Output 4 Portions

Nutrition specifications None specified

Components

Pasta

01 12 oz penne pasta

Meats

01 10 oz Italian sausage, casings removed
02 1 tbsp olive oil

Vegetables & Aromatics

01 1 small onion, finely chopped
02 2 garlic cloves, minced

Sauce

01 14 oz canned crushed tomatoes
02 ½ cup heavy cream
03 1 tsp dried Italian herbs (basil, oregano, or mixed)
04 ½ tsp red pepper flakes (optional)
05 Salt and freshly ground black pepper, to taste

Cheese & Garnish

01 ⅓ cup grated Parmesan cheese
02 Fresh basil or parsley, chopped (optional)

Directions

Phase 01

Boil Pasta: Cook penne pasta in a large pot of salted boiling water according to package instructions until al dente. Reserve ½ cup pasta water, then drain.

Phase 02

Brown Sausage: Heat olive oil in a large skillet over medium-high heat. Add Italian sausage, breaking it apart with a spoon, and cook until browned, about 4 minutes.

Phase 03

Sauté Vegetables: Add chopped onion to the skillet and sauté until softened, about 2 minutes. Stir in minced garlic and cook for 30 seconds until fragrant.

Phase 04

Simmer Sauce: Pour in crushed tomatoes, dried Italian herbs, and red pepper flakes if using. Simmer for 3 minutes to meld flavors.

Phase 05

Incorporate Cream: Reduce heat to low. Stir in heavy cream, season with salt and black pepper, then let sauce simmer gently for 2 minutes.

Phase 06

Combine Pasta and Sauce: Add drained pasta to the sauce, tossing to coat evenly. Add reserved pasta water as needed to loosen the sauce.

Phase 07

Finish and Serve: Stir in grated Parmesan cheese and adjust seasoning if necessary. Serve immediately, garnished with fresh basil or parsley if desired.

Tools needed

  • Large pot
  • Large skillet
  • Wooden spoon or spatula
  • Knife and cutting board
  • Cheese grater

Allergy details

Review each component for potential allergens and if uncertain, we recommend consulting with a healthcare provider.
  • Contains wheat (gluten) and dairy products (Parmesan cheese, heavy cream).
  • May contain pork if traditional Italian sausage is used.
  • Check labels for potential nut traces in cheese.

Nutrient breakdown (per portion)

These values are estimates only and shouldn't replace professional medical guidance.
  • Energy: 620
  • Fats: 29 g
  • Carbohydrates: 60 g
  • Proteins: 28 g