Creamy Tomato Sausage Pasta

Featured in: Wham-Worthy Weeknights

This dish combines tender penne with browned Italian sausage and a velvety tomato-cream sauce. Aromatic garlic and onion infuse the sauce, enhanced by herbs and optional red pepper flakes for a subtle kick. Parmesan adds a savory finish, and fresh herbs brighten every bite. Ready in just 20 minutes, it’s a hearty meal balancing creamy textures with bold flavors.

Updated on Thu, 20 Nov 2025 14:23:00 GMT
Creamy Tomato and Sausage Pasta: a hearty, vibrant dish with sausage and penne in rich sauce. Save
Creamy Tomato and Sausage Pasta: a hearty, vibrant dish with sausage and penne in rich sauce. | whambite.com

A rich and comforting pasta dish featuring savory sausage, a creamy tomato sauce, and al dente penne. Perfect for busy weeknights, this recipe delivers bold flavors with minimal fuss.

I tried this creamy tomato and sausage pasta on a hectic Wednesday evening, and it instantly became a weeknight favorite. The combination of tender pasta and savory sausage always gets rave reviews from my family.

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 Pasta:
Boil penne pasta in a large pot of salted water until al dente, following package instructions. Reserve 1/2 cup pasta water, then drain.
Brown Sausage:
Heat olive oil in a large skillet over medium-high heat. Add sausage, break into pieces with a spoon, and cook until browned (about 4 minutes).
Sauté Vegetables:
Add chopped onion and sauté until softened (about 2 minutes). Stir in garlic and cook for 30 seconds until fragrant.
Prepare Sauce:
Pour in crushed tomatoes, Italian herbs, and red pepper flakes (if using). Simmer for 3 minutes.
Add Cream & Simmer:
Reduce heat to low. Stir in heavy cream, season with salt and black pepper, and simmer gently for 2 minutes.
Combine Pasta & Sauce:
Add drained pasta to the sauce, tossing to coat. Add some reserved pasta water to loosen the sauce if needed.
Finish & Serve:
Stir in Parmesan cheese and adjust seasoning. Serve hot, garnished with fresh basil or parsley.
This Creamy Tomato and Sausage Pasta shows al dente penne coated in a luscious, creamy tomato sauce. Save
This Creamy Tomato and Sausage Pasta shows al dente penne coated in a luscious, creamy tomato sauce. | whambite.com

We love making this together on chilly evenings. Watching kids sprinkle cheese and fresh herbs on their bowls creates such a heartwarming dinnertime moment.

Serving Suggestions

Pairs perfectly with a crisp green salad and warm garlic bread for a complete meal. Add cooked baby spinach or sun-dried tomatoes for extra nutrition.

Ingredient Swaps

For a lighter version, substitute half-and-half for heavy cream, or try chicken or turkey sausage instead of pork. Use whole-wheat penne for added fiber.

Nutritional Info

Each serving provides approximately 620 calories, 29 g total fat, 60 g carbohydrates, and 28 g protein.

Savor the aroma—a bowl of Creamy Tomato and Sausage Pasta, ready to warm weeknight meals. Save
Savor the aroma—a bowl of Creamy Tomato and Sausage Pasta, ready to warm weeknight meals. | whambite.com

This creamy tomato and sausage pasta delights every time. Quick prep and deep flavor make it a must for weeknight dinners.

Kitchen Guide

What type of pasta works best for this dish?

Penne is ideal as its ridges hold the creamy tomato sauce well, but rigatoni or fusilli work nicely too.

Can I substitute the Italian sausage?

Yes, chicken or turkey sausage are great leaner alternatives that still provide flavor and texture.

How do I make the sauce creamier?

Adding heavy cream or substituting half-and-half will create a richer, smoother sauce consistency.

Can I add vegetables to this dish?

Absolutely. Baby spinach or sun-dried tomatoes added during sauce simmering boost flavor and nutrition.

What herbs complement the sauce?

Traditional Italian herbs like basil, oregano, and parsley enhance the savory depth of the tomato and sausage sauce.

How do I prevent the sauce from becoming too thick?

Reserve some pasta cooking water and add a small amount to loosen the sauce while tossing it with pasta.

Creamy Tomato Sausage Pasta

Rich pasta with savory sausage and a smooth tomato sauce, ideal for busy weeknight dinners.

Prep Duration
5 min
Cook Duration
15 min
Complete Duration
20 min
Created by Brandon Ellis


Skill Level Easy

Heritage Italian-inspired

Output 4 Portions

Diet Requirements None specified

What You'll Need

Pasta

01 12 ounces penne pasta

Meats

01 10 ounces Italian sausage, casings removed
02 1 tablespoon olive oil

Vegetables & Aromatics

01 1 small onion, finely chopped
02 2 garlic cloves, minced

Sauce

01 14 ounces canned crushed tomatoes
02 ½ cup heavy cream
03 1 teaspoon dried Italian herbs (basil, oregano, or mixed)
04 ½ teaspoon red pepper flakes (optional)
05 Salt and freshly ground black pepper, to taste

Cheese & Garnish

01 ⅓ cup grated Parmesan cheese
02 Fresh basil or parsley, chopped (optional)

Method

Phase 01

Cook Pasta: Boil 12 ounces of penne pasta in salted water until al dente according to package directions. Reserve ½ cup pasta water before draining.

Phase 02

Brown Sausage: Heat 1 tablespoon olive oil in a large skillet over medium-high heat. Add 10 ounces Italian sausage, breaking it up, and cook until browned, approximately 4 minutes.

Phase 03

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

Phase 04

Simmer Tomato Sauce: Combine crushed tomatoes, dried Italian herbs, and red pepper flakes if using. Allow the mixture to simmer for 3 minutes.

Phase 05

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

Phase 06

Combine Pasta and Sauce: Add the drained pasta to the sauce and toss to coat evenly. Use reserved pasta water as needed to loosen the sauce.

Phase 07

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

Kitchen Tools

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

Allergy Guide

Review ingredients carefully for potential allergens and seek professional medical guidance if unsure
  • Contains gluten (wheat), dairy (Parmesan and cream), and pork. Cross-contamination with nuts may occur depending on cheese brand.

Nutrient Breakdown (per portion)

Numbers shown are estimates only - consult healthcare providers for specific advice
  • Energy: 620
  • Fats: 29 g
  • Carbohydrates: 60 g
  • Proteins: 28 g