Creamy Tomato Sausage Pasta

Featured in: Quick Comfort Dinners

This dish combines tender penne pasta with browned Italian sausage and a creamy tomato sauce enriched with herbs and Parmesan. Onions and garlic add depth, while a touch of red pepper flakes offers optional warmth. The sauce is gently simmered with cream for smoothness, then tossed with pasta to absorb flavors perfectly. Fresh basil or parsley finishes the plate, making it an ideal, satisfying Italian-inspired meal for busy evenings.

Updated on Thu, 20 Nov 2025 08:21:00 GMT
Creamy tomato and sausage pasta, served hot with fresh basil, smells incredibly savory and delicious. Save
Creamy tomato and sausage pasta, served hot with fresh basil, smells incredibly savory and delicious. | forkta.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 after a long day at work, and it quickly became my go-to meal for its simplicity and how satisfying it is. The combination of silky sauce and hearty sausage won over my family instantly.

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 vegetables:
Add chopped onion to the skillet and sauté until softened, about 2 minutes. Stir in garlic and cook for 30 seconds until fragrant.
Make the sauce:
Pour in the crushed tomatoes, Italian herbs, and red pepper flakes (if using). Simmer for 3 minutes.
Finish the sauce:
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 and sauce:
Add the drained pasta to the sauce, tossing to coat. Add some reserved pasta water if needed to loosen the sauce.
Add cheese and serve:
Stir in Parmesan cheese and adjust seasoning if necessary. Serve hot, garnished with fresh basil or parsley.
Save
| forkta.com

My kids always ask for seconds whenever I serve this, and it has become a dinner we all look forward to sharing together on chilly evenings.

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 pork (if using traditional Italian sausage). Some cheeses may contain traces of nuts, so always check the labels for possible allergens.

Nutritional Information (per serving)

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

A steaming bowl of creamy tomato and sausage pasta, ready to eat for a comforting Italian dinner. Save
A steaming bowl of creamy tomato and sausage pasta, ready to eat for a comforting Italian dinner. | forkta.com

This pasta is sure to become a staple in your kitchen. Enjoy every creamy, comforting bite!

Recipe FAQs

Can I use other types of pasta for this dish?

Yes, fusilli, rigatoni, or farfalle work well as they hold the sauce nicely.

How can I make the sauce less rich?

Substitute heavy cream with half-and-half or milk for a lighter texture without losing creaminess.

Is it possible to add vegetables to this dish?

Absolutely. Baby spinach or sun-dried tomatoes can be stirred into the sauce for extra flavor and nutrition.

What is the best way to brown the sausage evenly?

Cook sausage in olive oil over medium-high heat, breaking it up and stirring frequently until browned all over.

Can I prepare this dish in advance?

You can prepare the sauce ahead and toss with freshly cooked pasta when ready to serve for best texture.

Creamy Tomato Sausage Pasta

Savory Italian sausage and creamy tomato sauce blend with penne pasta for a rich, hearty dish.

Prep Time
5 min
Cook Time
15 min
Total Time
20 min
Created by Mia Parker


Skill Level Easy

Cuisine Italian-inspired

Makes 4 Portions

Diet Preferences None specified

What You'll 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 penne pasta in salted water according to package directions until al dente. Reserve 1/2 cup pasta water, then drain.

Step 02

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

Step 03

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

Step 04

Simmer tomato sauce: Stir in crushed tomatoes, dried Italian herbs, and red pepper flakes if using. Simmer the mixture for 3 minutes.

Step 05

Add cream and season: Reduce heat to low, stir in heavy cream, season with salt and black pepper, and allow sauce to simmer gently for 2 minutes.

Step 06

Combine pasta and sauce: Add drained pasta to the sauce and toss to combine, adding reserved pasta water as needed to loosen the sauce.

Step 07

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

Equipment Needed

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

Allergy Details

Check every item for allergens, and check with your doctor if you’re unsure.
  • Contains wheat (gluten), dairy (Parmesan cheese, heavy cream), and may contain traces of nuts. Contains pork if traditional Italian sausage is used.

Nutrition Per Serving

For informational purposes; please consult your healthcare professional.
  • Calories: 620
  • Total Fat: 29 g
  • Carbohydrates: 60 g
  • Protein: 28 g