Creamy Tomato Sausage Pasta

Featured in: Quick Weeknight Dinners

This comforting pasta delivers tender penne enveloped in a luscious creamy tomato sauce, enriched by flavorful Italian sausage and aromatic herbs. Sauteed onion and garlic add depth, while Parmesan cheese lends a satisfying finish. The dish comes together quickly, making it ideal for weeknight meals. Optional red pepper flakes add a hint of spice, and fresh basil or parsley brightens the plate. A rich yet balanced entrée, perfect for cozy dinners.

Updated on Thu, 20 Nov 2025 10:19:00 GMT
Sizzling Italian sausage and creamy tomato sauce hug al dente penne in this Creamy Tomato and Sausage Pasta. Save
Sizzling Italian sausage and creamy tomato sauce hug al dente penne in this Creamy Tomato and Sausage Pasta. | whisknjoy.com

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

I first cooked this creamy tomato and sausage pasta when looking for a hearty meal to warm up after a long day. The flavors came together so beautifully that my family requests it every week.

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 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.
Brown the 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 aromatics
Add chopped onion to the skillet and sauté until softened, about 2 minutes. Stir in garlic and cook for 30 seconds until fragrant.
Create sauce
Pour in the crushed tomatoes, Italian herbs, and red pepper flakes (if using). Simmer for 3 minutes.
Finish sauce
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.
Garnish and serve
Stir in Parmesan cheese and adjust seasoning if necessary. Serve hot, garnished with fresh basil or parsley.
A bowl of delicious Creamy Tomato and Sausage Pasta, garnished with fresh basil, ready to enjoy. Save
A bowl of delicious Creamy Tomato and Sausage Pasta, garnished with fresh basil, ready to enjoy. | whisknjoy.com

This pasta always brings everyone together at our dinner table. My kids love helping add the cheese and herbs right before serving.

Required Tools

Large pot, large skillet, wooden spoon or spatula, knife and cutting board, cheese grater

Allergen Information

Contains wheat (gluten), dairy (Parmesan, cream), pork (if using traditional sausage). Check cheese and sausage labels for specific allergens.

Nutritional Information

Calories: 620, Total Fat: 29 g, Carbohydrates: 60 g, Protein: 28 g (per serving)

Flavorful Creamy Tomato and Sausage Pasta, a quick and easy weeknight meal, ready in 20 minutes. Save
Flavorful Creamy Tomato and Sausage Pasta, a quick and easy weeknight meal, ready in 20 minutes. | whisknjoy.com

Serve this creamy pasta hot for maximum comfort. It tastes even better with a crisp green salad.

Recipe FAQ

What type of pasta works best for this dish?

Penne pasta is ideal as it holds the creamy tomato sauce well, but rigatoni or fusilli can also work.

Can I use other types of sausage?

Yes, chicken or turkey sausage are great lean alternatives to Italian sausage and still provide savory flavor.

How can I make the sauce creamier?

Stir in heavy cream towards the end of cooking to create a rich, silky sauce; half-and-half can be used for a lighter version.

What herbs complement the tomato sausage sauce?

Dried basil, oregano, or Italian herb blends add a fragrant, classic touch to the sauce.

Is it necessary to reserve pasta water?

Yes, adding reserved pasta water helps loosen and bind the sauce, ensuring it coats the pasta smoothly.

Creamy Tomato Sausage Pasta

Savor creamy tomato and sausage sauce tossed with penne and Parmesan, enhanced by Italian herbs.

Prep duration
5 min
Cook duration
15 min
Complete duration
20 min
Created by Sophia Turner

Classification Quick Weeknight Dinners

Skill Level Easy

Cultural Background Italian-inspired

Output 4 Portion Count

Dietary considerations 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 cloves garlic, 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

Stage 01

Cook pasta: Boil penne in a large pot of salted water until al dente following package directions. Reserve 1/2 cup pasta water, then drain.

Stage 02

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

Stage 03

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

Stage 04

Add tomatoes and herbs: Pour in crushed tomatoes, dried Italian herbs, and red pepper flakes if using. Allow the mixture to simmer for 3 minutes.

Stage 05

Incorporate cream and season: Lower heat to minimal. Stir in heavy cream, then season with salt and freshly ground black pepper. Let sauce simmer gently for 2 minutes.

Stage 06

Combine pasta and sauce: Add drained penne to the sauce, mixing well to coat. Use reserved pasta water as needed to adjust sauce consistency.

Stage 07

Finish with cheese and garnish: Fold in grated Parmesan cheese. Adjust seasonings if needed. Serve immediately garnished with fresh basil or parsley if desired.

Necessary tools

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

Allergy details

Review all ingredients for potential allergens and consult with healthcare professionals if you're unsure about any item.
  • Contains wheat (gluten) and dairy (Parmesan cheese, heavy cream).
  • May contain pork depending on sausage used.
  • Check ingredient labels for potential nut traces in cheese.

Nutritional content (each portion)

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