Creamy Tomato Sausage Pasta

Featured in: Asian-Inspired Dishes

This dish combines al dente penne with browned Italian sausage, sautéed onions, and garlic. A creamy tomato sauce enriched with herbs and a touch of red pepper flakes creates a comforting flavor. Parmesan cheese and fresh basil add richness and aroma. Ready in 20 minutes, it’s perfect for a quick yet hearty dinner. Variations include lighter cream substitutes and added greens for extra nutrition.

Updated on Thu, 20 Nov 2025 12:57:00 GMT
Creamy tomato and sausage pasta with penne, a luscious dish ready for your dinner table. Save
Creamy tomato and sausage pasta with penne, a luscious dish ready for your dinner table. | gingertaste.com

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

The first time I made this creamy tomato and sausage pasta, my family was amazed how delicious and satisfying such a simple meal could be. Now it's a weeknight staple whenever we crave comfort food but need dinner on the table fast.

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.
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 & Season:
Reduce heat to low. Stir in heavy cream, season with salt and black pepper, and let the sauce simmer gently for 2 minutes.
Toss Pasta:
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.
Sizzling Italian sausage blended with creamy tomato sauce atop the delicious pasta dish. Save
Sizzling Italian sausage blended with creamy tomato sauce atop the delicious pasta dish. | gingertaste.com

This meal brings back memories of Sunday dinners when everyone would gather around the table and the pasta was always the star. Creamy tomato and sausage pasta quickly became a favorite in our home.

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. Check all labels for specific allergens.

Nutritional Information

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

This Creamy Tomato and Sausage Pasta features a rich, savory aroma, perfect for feeding a crowd. Save
This Creamy Tomato and Sausage Pasta features a rich, savory aroma, perfect for feeding a crowd. | gingertaste.com

This pasta is best enjoyed hot right after cooking. It's comfort food that's sure to make everyone ask for seconds!

Recipe Questions & Answers

What type of pasta works best for this dish?

Penne is ideal as its ridges hold the creamy tomato sauce well, but rigatoni or ziti can also be good alternatives.

Can I substitute the Italian sausage with other meats?

Yes, chicken or turkey sausage can be used for a leaner option without compromising flavor.

How can I adjust the spice level?

Red pepper flakes are optional; adding or reducing them adjusts heat according to your preference.

Is there a way to make the sauce lighter?

Substituting half-and-half for heavy cream reduces richness while keeping a creamy texture.

What herbs enhance the flavor profile?

Dried Italian herbs such as basil and oregano bring a traditional taste that complements the tomato and sausage.

Can I add vegetables to this dish?

Yes, baby spinach or sun-dried tomatoes can be added during sauce preparation to boost flavor and nutrition.

Creamy Tomato Sausage Pasta

Rich tomato and sausage pasta with creamy sauce, herbs, and Parmesan for a satisfying meal.

Setup duration
5 min
Heat application time
15 min
Complete duration
20 min
Created by Olivia Harper

Classification Asian-Inspired Dishes

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 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)

Preparation steps

Phase 01

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

Phase 02

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

Phase 04

Simmer Sauce: Pour in crushed tomatoes, dried Italian herbs, and red pepper flakes if desired. Let the mixture simmer for 3 minutes.

Phase 05

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

Phase 06

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

Phase 07

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

Necessary tools

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

Potential allergens

Review each component for potential allergens and seek professional healthcare advice if you're uncertain about ingredients.
  • Contains wheat (gluten) and dairy (Parmesan cheese, heavy cream).
  • Contains pork if traditional Italian sausage is used.
  • May contain traces of nuts depending on cheese source.

Nutrient breakdown (per portion)

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