Creamy Tomato Sausage Pasta

Featured in: Family Comfort Plates

This dish blends penne pasta with browned Italian sausage and a velvety tomato cream sauce infused with herbs and a touch of heat. Aromatic sautéed onions and garlic add depth while Parmesan cheese enriches the flavor. Quick to prepare, it’s ideal for busy evenings offering both comfort and robust taste. Garnished with fresh basil or parsley, it delivers vibrant color and freshness in every bite.

Updated on Thu, 20 Nov 2025 13:18:00 GMT
Creamy Tomato and Sausage Pasta, swirled with parmesan and fresh basil, ready to serve on a plate. Pin it
Creamy Tomato and Sausage Pasta, swirled with parmesan and fresh basil, ready to serve on a plate. | weeknightwhisk.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 cooked this creamy tomato and sausage pasta, my family couldn't believe how fast and delicious it was. It quickly became a weeknight favorite, with everyone asking for seconds each time I made it.

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 the 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.
Sauté 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.
Add onions and garlic:
Add chopped onion to the skillet and sauté until softened, about 2 minutes. Stir in garlic and cook for 30 seconds until fragrant.
Make tomato sauce:
Pour in the crushed tomatoes, Italian herbs, and red pepper flakes (if using). Simmer for 3 minutes.
Add cream and season:
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.
Finish and garnish:
Stir in Parmesan cheese and adjust seasoning if necessary. Serve hot, garnished with fresh basil or parsley.
Pin it
| weeknightwhisk.com

This pasta is a tradition when we have relatives over for an impromptu dinner. The kids help sprinkle Parmesan while adults chat—everyone feels at home with a comforting pasta bowl.

Required Tools

You'll need a large pot, large skillet, wooden spoon or spatula, knife and cutting board, and a cheese grater for this recipe.

Allergen Information

This dish contains wheat (gluten) and dairy. It may have traces of nuts if present in cheese and includes pork when using traditional sausage. Always verify package labels for specific allergens.

Nutritional Information

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

A vibrant close-up captures this Creamy Tomato and Sausage Pasta, showcasing the rich, savory sauce. Pin it
A vibrant close-up captures this Creamy Tomato and Sausage Pasta, showcasing the rich, savory sauce. | weeknightwhisk.com

This creamy tomato and sausage pasta comes together in just 20 minutes and is sure to become a comfort food favorite in your home.

Common Questions

What pasta is best for this dish?

Penne pasta is ideal here as its shape holds the creamy tomato sauce and sausage bits well.

Can I use other types of sausage?

Yes, chicken or turkey sausage works well for a leaner option without sacrificing flavor.

How can I adjust the sauce’s consistency?

Reserve some pasta water to stir into the sauce if it becomes too thick, creating a smooth texture.

Are there suggested additions to boost flavor?

Incorporate baby spinach or sun-dried tomatoes during simmering for added nutrition and taste complexity.

What cheese complements this dish?

Freshly grated Parmesan adds a nutty, salty richness that enhances the creamy sauce perfectly.

Creamy Tomato Sausage Pasta

Rich tomato sauce combines with sausage and penne for a hearty, creamy dish perfect for weeknights.

Prep Time
5 min
Cook Time
15 min
Time Needed
20 min
Created by Ella Thompson


Skill Level Easy

Cuisine Italian-inspired

Makes 4 Portions

Dietary Info 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)

Step-by-Step

Step 01

Cook pasta: Boil penne in salted water following package instructions until al dente. Reserve 1/2 cup pasta water and drain.

Step 02

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

Step 03

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

Step 04

Simmer sauce: Add crushed tomatoes, Italian herbs, and red pepper flakes if using. Let simmer for 3 minutes.

Step 05

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

Step 06

Combine pasta and sauce: Add drained pasta to sauce, tossing to coat evenly. Use reserved pasta water to loosen sauce if necessary.

Step 07

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

Tools Required

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

Allergy Notice

Go through every ingredient to identify allergens and talk to your healthcare provider if you have concerns.
  • Contains gluten (wheat), dairy (Parmesan cheese, heavy cream), and pork sausage.
  • May contain traces of nuts if present in cheese.

Nutrition Information (per portion)

Nutrition details are for general reference and shouldn't replace advice from your doctor.
  • Caloric Content: 620
  • Fats: 29 g
  • Carbohydrates: 60 g
  • Proteins: 28 g