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Creamy Sausage Pasta – Crunchy Creamy Sweet

This easy Creamy Sausage Pasta dish is made with Italian sausage, penne pasta, and creamy sauce that binds everything together! Pure comfort food at its best with simple ingredients that turn into one delicious meal.

Penne with sausage and creamy sauce on a gray plate with fork.
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Why You’ll Love This Recipe

Pasta dinners are some of the easiest to learn how to cook. The possibilities are endless, just ask the Italians! This pasta is inspired by the Italian pasta alla Norcina, made with truffles and sausage in a creamy sauce. Since truffles are not a common ingredient, I used mushrooms, for that similar umami flavor. They work so well with the sausage!

This creamy sausage pasta quickly became a family favorite in our home. It’s quick and easy to make, packed with flavor (thanks to the Italian sausage) and absolutely delicious! Easy pasta dinner is always a winner in my book! Enjoy!


Ingredients for creamy sausage pasta dish on a white tile board.
  • sausage: I used mild Italian ground sausage; ground or links can be used;
  • pasta: any bite-size pasta works, I used penne;
  • veggies: garlic, onion, and mushrooms; add flavor to the sausage sauce;
  • stock: needed to deglaze the pan after cooking sausage, you can use white wine, chicken stock, or broth;
  • cream and milk: also known as half and half, makes the sauce rich and creamy but not heavy;
  • Parmesan cheese: added at the end to make the sauce cheesy.

How to make creamy sausage pasta?

  • Start by cooking pasta until al dente.
  • In a Dutch oven or a deep skillet, saute garlic, onion and mushrooms in olive oil.
  • Add Italian sausage and cook until brown.
Sauteed mushrooms and onions in a Dutch oven and cooked sausage in a pot.
  • Add stock to the pan and deglaze the bottom, by scraping any cooked-on bits with a wooden spoon. Add milk and cream, season with salt and pepper, and simmer until thickened.
  • Add pasta to the sauce and toss to coat. Add Parmesan cheese and stir in to melt.
  • Garnish with chopped parsley and serve.
Sausage sauce in a Dutch oven and penne pasta in a pot.

What to serve with this pasta dinner?

When pasta is on the menu, I almost always make my skillet focaccia to go with it. It’s perfect for soaking up the last bits of the sauce!

When it comes to sides, a simple salad works every time. I go for my tomato feta salad or creamy cucumber salad. They will get your appetite going and ready for the delicious main dish!


  • pasta: I prefer bite-size pasta for this dish but you can use fettuccine or linguine too;
  • meat: you can use hot Italian sausage to add some kick to the dish; ground beef works great too but add Italian seasoning to browned meat;
  • veggies: you can skip the mushrooms, add spinach, diced tomatoes, peppers, etc.
  • sauce: add 2 ounces of cream cheese to make the sauce thicker and creamier.
Penne and sausage in an orange Dutch oven on a gray board.

Helpful Tips!

  • Remove sausage from the fridge before you start cooking. It will allow it to come to room temperature.
  • Add a mixture of cornstarch with milk to thicken the sauce to your preferences. Leftover pasta water is a great for thinning out the sauce.
  • Use a deep skillet or a Dutch oven to make this dish.

Recipe FAQs:

How to store and reheat this dish?

Any leftovers need to be stored in the fridge, preferably in a container with a lid. Store it for up to 3 days.
To reheat, place pasta in a skillet and add a splash of water, milk or chicken stock to get the sauce creamy again.

Can I make it in advance?

You can prepare the whole dish, cool it, chill it in the fridge and reheat later. You can make the sauce a day ahead, chill it in the fridge, then cook pasta and combine with sauce before serving.

Can I prepare this dish and bake it later?

That’s a great idea! Cook the pasta and make the sauce. Combine all in a large baking dish, like 13″ by 9″ casserole dish, sprinkle cheese on top and bake for 15 minutes or until bubbly on the sides.

Pasta with Italian ground sausage on a plate.

More pasta dinners:

If you like this recipe and make it, let me know in the comments below! Don’t forget to rate it if you enjoyed it!

Penne with sausage and creamy sauce on a gray plate with fork.

Creamy Sausage Pasta

This easy Creamy Sausage Pasta dish is made with Italian sausage, penne pasta, and creamy sauce that binds everything together! Pure comfort food at its best with simple ingredients that turn into one delicious meal.

Prep Time 10 mins

Cook Time 20 mins

Total Time 30 mins

Course Main Dish

Cuisine American, Italian

Servings 4 servings

Calories 991 kcal




  • Mince garlic, finely chop onion and slice mushrooms. Set aside.

  • If you are using sausage links, remove the casings.

  • Cook pasta according to instructions on the package. Reserve ½ cup of pasta water, drain pasta and set aside.

  • In a deep skillet or a Dutch oven, heat up oil over medium heat.

  • Add onion and saute for 3 to 4 minutes, stirring often.

  • Add garlic and mushrooms and sautee until fragrant.

  • Add sausage to the pan and sook until browned.

  • Mix cream and milk with cornstarch. Add to sausage in pan and stir in well. Simmer the sauce until it thickens.

  • Season sauce with salt and pepper.

  • Add pasta to the sausage sauce. Add Parmesan cheese and stir until melted.

  • Garnish with chopped parlsey and serve.


  • Any bite-size pasta works for this dish. Use hot or mild Italian sausage. Ground beef works great too!
  • Add spinach, diced tomatoes or peppers to the dish.
  • Prepare the pasta and sauce, pour into a casserole dish, top with mozzarella cheese and bake at 375 degrees F for 15 minutes or until bubbly.
  • Please note, that the nutrition value can vary depending on what product you use. The information below is an estimate. Always use calorie counter you are familiar with.


Calories: 991kcal | Carbohydrates: 74g | Protein: 34g | Fat: 62g | Saturated Fat: 27g | Polyunsaturated Fat: 6g | Monounsaturated Fat: 24g | Cholesterol: 153mg | Potassium: 674mg | Fiber: 3g | Sugar: 7g | Vitamin A: 840IU | Vitamin C: 5mg | Calcium: 246mg | Iron: 3mg

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