Pasta with Sausage Cream Sauce- Pasta coated in a rich, creamy sauce with Parmesan cheese and nicely browned and crusted Italian sausage equals comfort food in a bowl. This meal is irresistible and perfect for enjoying by the fire on a cold autumn night.

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Pasta with Sausage Cream Sauce in a pasta bowl.

Type Of Pasta To Use

I used cavatappi, but you could also use penne, fusilli, or orecchiette (which is the one I really wanted to use but couldn’t find.)

How To Cook The Sausage

I used a pound of bulk mild Italian sausage, but you could use hot Italian sausage instead. For cooking the sausage I used a method I learned from Cook’s Illustrated. Ordinarily if you sauté Italian sausage and break it apart as it cooks, by the time you develop some nice browning on it, the sausage becomes a little dry and chewy.

But if you sprinkle some baking soda on it, let it sit for a few minutes, then cook it in a big patty so you can get a nice sear on each side without overcooking it, it stays fabulously tender. Take it out of the pan while still undercooked, chop it into bite-sized pieces and let it finish cooking in the cream sauce. Delicious!

Pasta dished up in a pasta bowl.

Equipment Needed For Pasta With Sausage Cream Sauce

  • Pasta Pot- I really recommend using a pasta pot like this with a lid strainer. I was badly burned on my arm a few years ago carrying a pot of boiling water to the sink. Now I always use a pot like this one so the water can’t spill out on my way to the sink.
  • Large Skillet
Pasta with Sausage Cream Sauce in a bowl.

More Easy Pasta Recipes

Pasta with Sausage Cream Sauce

By Christin Mahrlig

Prep: 10 minutes
Cook: 20 minutes
Total: 30 minutes
Servings: 4
Pasta with Sausage Cream Sauce is comfort food in a bowl. Parmesan cheese, white wine, and a little nutmeg flavor this rich, tomatoless sauce.
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Ingredients

  • 1 pound sweet or mild Italian sausage
  • 1/2 teaspoon baking soda
  • 1/2 tablespoon vegetable oil
  • 1 cup heavy cream
  • 1 small sweet or yellow onion,, diced
  • 2 cloves garlic,, minced
  • 1/2 cup dry white wine
  • 1/4 teaspoon ground nutmeg
  • 1 tablespoon chopped fresh parsley
  • 1/2 cup freshly grated Parmesan cheese
  • 12 ounces pasta cooked until al dente,, reserve 1/2 cup cooking liquid

Instructions 

  • Sprinkle both sides of sausage with baking soda and shape into a large hamburger patty about 1/2 to 3/4-inch thick. Let sit 10 minutes.
  • Heat vegetable oil in a large skillet over medium-high heat. Add sausage and cook until browned on each side, about 3 minutes per side. Place sausage on a plate or cutting board and cut into 1/4-inch pieces. Transfer sausage to a bowl and add cream. Set aside.
  • If there is more than 1 1/2 tablespoons of grease in skillet, discard excess. Add onion to skillet and cook over medium heat until softened, 4 to 5 minutes.
  • Add garlic and cook 1 more minute.
  • Add wine and cook until reduced in half.
  • Add sausage/cream mixture and simmer 3 to 4 minutes.
  • Add nutmeg, parsley, and Parmesan. Remove from heat and stir until cheese is melted. If sauce is too thick, add some reserved cooking liquid.
  • Toss sauce with pasta and serve.

Notes

If you want to make this pasta dish spicy, add 1/2 teaspoon of crushed red pepper flakes.

Nutrition

Calories: 976kcal

Nutrition information is automatically calculated, so should only be used as an approximation.

Did you make this?Leave a comment below and tag us @spicysouthernkitchen on social media!

Originally posted November 5, 2014.

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22 Comments

  1. Vanessa says:

    Of course I have to include this recipe in this week menu. looks delicious and it’s simply to do.

  2. Karly says:

    I need to add this to my menu plan for the week! Looks amazing!

  3. Thalia @ butter and brioche says:

    Craving a bowl of this pasta right now.. it looks so comforting and delicious! Great recipe!

  4. Jess @ On Sugar Mountain says:

    I feel like cavatappi is macaroni for fancy people heehee. ๐Ÿ˜€ I love this pasta, Christin! So hearty and warm for autumn!

  5. Jess @ Flying on Jess Fuel says:

    Yummy, this sounds awesome! Your pics are beautiful! Love all the yummy flavors in here– so comforting!

  6. Chelsea+@chelseasmessyapron says:

    YUM! This pasta looks absolutely gorgeous and your photos are stunning! Wishing I was eating this for lunch today ๐Ÿ™‚

  7. Shashi @ runninsrilankan says:

    I have been having a thing for Italian sausage lately – love your pairing of it with nutmeg in this! GORGEOUS photos Christin!

  8. Sarah@WholeandHeavenlyOven says:

    This pasta is gorgeous and I LOVE your tip about the baking soda keeping the sausage tender! Must try that next time.

  9. Medeja says:

    It seems like it is not that difficult to prepare and it looks so yummy!

  10. holly ; the hobbit kitchen says:

    honestly, the first thing i thought when i saw the first picture here was I WANT TO MAKE THIS TONIGHT. unfortunately i have chilli in the freezer to eat tonight but i am making this so soon!!

    the hobbit kitchen x