Italian Sausage in Tomato Cream Sauce Pasta

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Italian Sausage in Tomato Cream Sauce Pasta is quick, easy, and satisfying. This hearty pasta takes less than 30 minutes to make!

Italian Sausage in Tomato Cream Sauce Pasta


Italian Sausage in Tomato Cream Sauce Pasta Tips

I’ve been really craving pasta lately, partially because it’s versatile and economical. Mostly, though, it’s because it’s quick. Most pasta recipes I share on are ready in less than 30 minutes. Because really, who has much more time than to spend on dinner?

This pasta has a creamy tomato sauce that I’m particularly fond of. It’s creamy and tangy all at once. Add spicy Italian sausage, and this Italian Sausage Recipe is a very popular one. It’s easy enough for weeknight dinners but impressive enough for a supper club or entertaining!

Italian Sausage in Tomato Cream Sauce Pasta via quick, easy, satisfying


The full recipe with ingredient amounts and instructions is at the bottom of this post. You can save a tree and the recipe to your personal and private recipe box here on Call Me PMc. This way, you’ll never misplace it.

  • Italian sausage mild
  • Onion, diced
  • garlic, minced
  • pasta uncooked
  • dry white wine or chicken broth
  • diced tomatoes with juice
  • heavy cream
  • dried parsley
  • salt and pepper to taste
  • Parmesan cheese, grated

Italian Sausage Cooking Tips

I used a mild Italian sausage in this recipe; you can get it hot if you prefer, but I don’t recommend the sweet Italian sausage.

You can also use gluten-free pasta, whole wheat pasta, or any shape pasta.

If you’re not a wine drinker or don’t want to open a bottle just for half a cup in this recipe, you can substitute chicken broth.

Grate parmesan cheese yourself. I don’t recommend the pre-shredded kind. Freshly grated parmesan is so much more flavorful and worth the extra effort.

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Italian Sausage in Tomato Cream Sauce Pasta

Italian Sausage in Tomato Cream Sauce Pasta

Italian Sausage in Tomato Cream Sauce Pasta quick, easy, hearty & ready in less than 30 minutes. This flavorful pasta recipe will become a family favorite.
Author: Paula
5 from 13 votes
Print Pin Rate

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Prep Time: 12 minutes
Cook Time: 15 minutes
Total Time: 27 minutes
Servings: 6 servings
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  • 1 pound Italian sausage mild
  • 1 medium onion about 3/4 cup, diced
  • 3 cloves garlic minced
  • 1 pound pasta uncooked
  • 2/3 cup dry white wine or chicken broth
  • 14.5 ounces diced tomatoes with juice
  • 1 cup *heavy cream
  • 1 tablespoon dried parsley
  • salt and pepper to taste
  • 1 cup Parmesan cheese grated


  • Boil pasta to al dente stage. Drain.
  • In a large sauce pan or skillet, brown sausage, onion and garlic about 7 minutes.
  • Transfer sausage to a tray with a slotted spoon.
  • Add wine to skillet and bring to a boil.
  • Cook for 2 minutes or until most of the liquid evaporates.
  • Reduce heat and add tomatoes with juice and simmer 3minutes.
  • Stir in cream and cook 5 minutes until sauce thickens.
  • Stir in parsley.
  • Season with salt and pepper to taste.
  • Remove from heat.
  • Add sausage, pasta and 1/2 Parmesan cheese. Stir.
  • Top with remaining cheese. Allow to sit 5 minutes before serving.


*half and half may be substituted for heavy cream


Calories: 777kcal | Carbohydrates: 62g | Protein: 28g | Fat: 44g | Saturated Fat: 21g | Cholesterol: 123mg | Sodium: 843mg | Potassium: 466mg | Fiber: 3g | Sugar: 3g | Vitamin A: 713IU | Vitamin C: 4mg | Calcium: 266mg | Iron: 2mg
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  1. 5 stars
    I make sausage pasta often and have used quite a few different recipes. I have my favorites, but this one is now a favorite !!! The taste of this pasta is absolutely addicting. The white wine is what gives it that incredible taste “ I think.” Definitely going in my rotation of recipes.

  2. I assume you mean ‘mild’ Italian sausage, not ‘milk’…and we are to take sausage meat out of casing, correct?

  3. This looks so fresh and delicious! Truly! The photo is absolutely stunning and I am all about a creamy sauce with pasta. I will definitely be making this! 🙂 Pinning, Stumbling and Yumming!

  4. Question on the instructions. It says to add wine to the skillet, but never instructs to remove the cooked sausage, yet later says to add the sausage.
    Could you clarify if the wine is to be boiled in an otherwise empty skillet?
    Otherwise I can’t wait to try this, thanks!

  5. This is one of those pasta dishes that I could eat every week! Anything with Italian sausage is a winner in my house!

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