Creamy Italian Sausage Pasta

Creamy Italian Sausage Pasta pairs tender pasta with a flavorful sauce or filling for a satisfying main dish.
About This Recipe
Creamy Italian Sausage Pasta works best when the pasta and sauce finish together.
Save a little cooking water or sauce to loosen the texture before serving.
Ingredients
- ✓1 Pound Ground Italian Sausage
- ✓1 Pound Penne Pasta
- ✓1 Tablespoon Olive Oil
- ✓1/2 Yellow Onion (Minced)
- ✓2 Cloves Garlic (Minced)
- ✓1/2 Teaspoon Red Pepper Flakes
- ✓1/2 Teaspoon Salt
- ✓2 Cups Heavy Cream
- ✓5 Ounces Baby Spinach
- ✓1 Cup Shredded Parmesan Cheese
Ingredient Notes
- Pasta: Cook until just tender so it holds sauce.
- Sauce: Keep sauce loose enough to coat every piece.
- Cheese or seasoning: Add gradually and taste before serving.
- Reserved liquid: A splash of pasta water can help the sauce turn glossy.
Instructions
- 1
Cook the penne pasta in a large pot of salted boiling water according to package directions.
- 2
While the pasta is cooking, heat the olive oil in a large skillet over medium-high heat.
- 3
Cook the Italian sausage along with the onion, garlic, red pepper flakes, and salt until the sausage is no longer pink.
- 4
Drain excess fat from the skillet if necessary and return the meat mixture to the pan.
- 5
Turn the heat to low and add the cream to the skillet. Bring to a simmer and add in the spinach.
- 6
Cook, stirring for about 3 minutes until the spinach is wilted.
- 7
Stir in the parmesan cheese until melted. Stir the pasta into the sauce.
Katy’s Kitchen Tips
- Salt the pasta water.
- Cook pasta just until tender.
- Reserve some cooking water.
- Toss pasta and sauce together before serving.
Variations and Substitutions
- Herb finish: Add parsley, cilantro, basil, dill, or chives.
- Spicier version: Increase chili, cayenne, black pepper, or hot sauce.
- Saucy version: Serve with gravy, salsa, pan sauce, or yogurt sauce.
- Meal prep: Use leftovers in bowls, wraps, salads, or sandwiches.
What to Serve With Creamy Italian Sausage Pasta
Serve Creamy Italian Sausage Pasta with garlic bread, salad, roasted vegetables, or extra grated cheese.
Storage and Reheating
Refrigerate leftovers in an airtight container for up to 4 days.
Reheat covered with a splash of water, broth, or sauce to restore moisture.
Common Mistakes to Avoid
- Overcooked pasta: Soft pasta can break and feel heavy.
- Dry sauce: Keep a little water or sauce to loosen the dish.
- Rinsing pasta: Rinsing removes starch that helps sauce cling.
- Serving too late: Pasta thickens as it sits.
FAQ
Can I make Creamy Italian Sausage Pasta ahead?
Yes. Reheat with a little extra liquid or sauce if needed.
How do I avoid mushy texture?
Stop cooking when just tender and let carryover heat finish the job.
Can I add vegetables or protein?
Yes, as long as extra moisture is controlled.
How should I reheat leftovers?
Reheat covered with a splash of liquid to restore moisture.
Nutrition Facts
- Calories: 600 kcal