Creamy Tomato Sausage Pasta

Featured in: Creamy Comfort Meals

This dish blends tender penne pasta with browned Italian sausage and a creamy tomato sauce enriched with herbs and garlic. Cook sausage with onions and garlic, simmer crushed tomatoes with Italian herbs and red pepper flakes, then stir in cream for a velvety finish. Combine pasta with the sauce, adding reserved pasta water for perfect texture. Garnish with Parmesan and fresh basil for a satisfying, weeknight-friendly meal bursting with savory and creamy flavors.

Updated on Thu, 20 Nov 2025 08:05:00 GMT
Creamy tomato and sausage pasta, served hot, with flavorful sauce and Parmesan cheese, perfect for dinner. Save
Creamy tomato and sausage pasta, served hot, with flavorful sauce and Parmesan cheese, perfect for dinner. | amberladle.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 creamy tomato and sausage pasta on a hectic Thursday night. It came together so fast that my kids barely had time to ask "what's for dinner?" before the house was filled with delicious aromas.

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

Boil 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.
Add 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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| amberladle.com

Whenever I serve this creamy pasta, everyone gathers around the table a little faster. It's become a favorite for cozy nights when we all want something comforting and special.

Required Tools

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

Nutritional Information (per serving)

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

Notes

For a lighter version, substitute half-and-half for heavy cream. Try with chicken or turkey sausage for a leaner option or add baby spinach or sun-dried tomatoes for extra nutrition. It pairs well with a crisp green salad and garlic bread.

This creamy tomato and sausage pasta boasts perfectly cooked penne; imagine the rich, savory flavors! Save
This creamy tomato and sausage pasta boasts perfectly cooked penne; imagine the rich, savory flavors! | amberladle.com

Enjoy this creamy tomato and sausage pasta hot, and savor every bite. There's comfort in every forkful.

Recipe FAQs

What type of pasta works best for this dish?

Penne pasta holds the sauce well due to its tube shape, providing a perfect balance of texture and flavor in every bite.

Can I substitute the Italian sausage?

Yes, try chicken or turkey sausage for a leaner option without sacrificing the savory flavor profile.

How can I make the sauce creamier without heavy cream?

Use half-and-half as a lighter alternative or add a splash of milk with a little flour to thicken the sauce gently.

Is it possible to add vegetables to this dish?

Absolutely, baby spinach or sun-dried tomatoes can be stirred in during the simmering phase for added nutrition and flavor complexity.

How do I prevent the sauce from being too thick?

Reserve some pasta cooking water and add as needed when mixing the pasta with the sauce to loosen it and achieve a silkier texture.

What herbs enhance the flavor best?

Dried Italian herbs like basil and oregano complement the tomato and sausage beautifully, adding aromatic depth to the sauce.

Creamy Tomato Sausage Pasta

Rich tomato sauce with sausage and penne pasta creates a hearty, satisfying Italian-inspired meal.

Prep time
5 min
Cook time
15 min
Overall time
20 min
Created by Rachel Hayes


Skill required Easy

Cuisine Italian-inspired

Makes 4 Serving size

Diet preferences None specified

What you need

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 1/2 cup heavy cream
03 1 tsp dried Italian herbs (basil, oregano, or mixed)
04 1/2 tsp red pepper flakes (optional)
05 Salt and freshly ground black pepper, to taste

Cheese & Garnish

01 1/3 cup grated Parmesan cheese
02 Fresh basil or parsley, chopped (optional)

How to make it

Step 01

Cook Pasta: Boil a large pot of salted water and cook penne pasta until al dente according to package directions. Reserve 1/2 cup pasta water and drain the pasta.

Step 02

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

Step 03

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

Step 04

Simmer Sauce Base: Pour crushed tomatoes into the skillet. Add dried Italian herbs and red pepper flakes if using. Allow to simmer gently for 3 minutes.

Step 05

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

Step 06

Combine Pasta and Sauce: Add drained pasta to the sauce, tossing to coat thoroughly. Add reserved pasta water as needed to adjust sauce consistency.

Step 07

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

Equipment needed

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

Allergy info

Always review ingredients for allergens. Talk to your healthcare provider if you're unsure.
  • Contains wheat (gluten), dairy (Parmesan cheese, heavy cream), and pork (Italian sausage). May contain traces of nuts if present in cheese.

Nutrition details (each serving)

Nutritional details are for reference and aren't a substitute for healthcare guidance.
  • Calorie Count: 620
  • Fat content: 29 g
  • Carbohydrate: 60 g
  • Protein amount: 28 g