Make this Creamy Sausage Pasta Skillet recipe tonight! It’s simple to prepare and super delicious. A family-pleasing dinner that is ready in less than 30 minutes.

Creamy Sausage Pasta in a skillet over a wooden surface with a serving spoon on the side.

Oriana’s Thoughts On The Recipe

This Creamy Sausage Pasta Skillet recipe is simple to prepare and super delicious. It’s perfect for a weeknight dinner; you can have this ready in less than 30 minutes!!

This recipe is comforting! The sausage gives the dish meatiness and just a bit of spiciness. The sauce is creamy and tangy … just perfection!

I use a pinch of red pepper flakes in the sauce to give it a little “zing”– nothing overwhelming! Depending on your family’s spice tolerance, you can add more or leave it out entirely.

There’s no bad time for a luscious bowl of mouthwatering Creamy Sausage Pasta, so jazz up your dinner tonight!!!

Creamy Sausage Pasta in a skillet garnished with chopped basil.

Ingredients You’ll Need

Please check the recipe card at the bottom of the post for exact quantities and detailed instructions (scroll down).

  • Pasta: I used penne, but you can also use other short-tube pasta, such as ziti or rigatoni.
  • Olive oil
  • Veggies: Onion and garlic.
  • Fresh sausage: I like using mild Italian sausage because it has a nice, subtle flavor.
  • Tomatoes: You’ll need canned tomato sauce and diced tomatoes.
  • Seasonings: Salt, black pepper, oregano, and hot red pepper flakes (optional).
  • Heavy cream
  • Butter
  • Basil leaves and Parmesan cheese for serving

Food Allergy Swaps

Process Overview: How to Make Creamy Sausage Pasta Step by Step

Please check the recipe card at the bottom of the post for exact quantities and detailed instructions (scroll down).

  1. Cook the Pasta

    Bring the water to a boil, add the pasta, cook according to package directions, and drain.

  2. Make the Sausage Tomato Sauce

    Heat oil in a saucepan over medium. Sauté the onions and garlic until soft, about 3 minutes. Add sausage roll; cook and crumble the sausage until no longer pink, about 5 – 8 minutes. Add in the tomato sauce, diced tomatoes, and hot red pepper flakes (if using); mix to combine—season with salt and pepper to taste. Let it cook for 2 minutes, then pour in the heavy cream and butter; stir to combine; cook for 2 – 3 minutes.

  3. Combine

    Add the drained pasta into the sauce and toss to combine. Bring the sauce and pasta to a soft boil, stirring to coat the pasta with sauce. Sprinkle on the basil and Parmesan cheese, if desired. Serve.

Creamy Sausage Pasta in a skillet over a wooden surface.

Recipe Tips & Variations

Other Meat. You can use ground beef, chicken, or turkey instead of sausage if preferred; however, the sausage will give it more flavor.

Spicy. You can also use hot Italian sausage (instead of mild) for more spice.

More Veggies. Feel free to include other veggies like zucchini or mushrooms.

Make lighter. Swap the heavy whipping cream with half and half to lighten the sauce.

Storing & Reheating Instructions

This pasta recipe is best enjoyed right away. However, you can store leftovers for up to 4 days in an airtight container in the refrigerator if you have any!  Reheat it on the stove over low heat. If you find that the sauce is thick and has dried up, add a little bit of water, broth, or milk to the dish as it heats. You can also warm the pasta, covered, in the microwave, occasionally stirring until hot.

Frequently Asked Questions

Do I need to salt the pasta water?

Absolutely! I always like to add about 1 tablespoon of Kosher salt per pound of pasta to the water. It helps to flavor the pasta.

Can I use hot Italian sausage?

Absolutely!

Do you have to use ground beef in this recipe?

Technically, you can use ground beef, chicken, or turkey instead of sausage if preferred; however, the sausage will give it more flavor.

Creamy Sausage Pasta on a white plate.

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Recipe Card

Creamy Sausage Pasta in a skillet over a wooden surface with a serving spoon on the side.

Creamy Sausage Pasta Skillet

Oriana Romero
Make this Creamy Sausage Pasta Skillet recipe tonight! It’s simple to prepare and super delicious. A family-pleasing dinner that is ready in less than 30 minutes.
4.24 from 42 votes
Prep Time 8 minutes
Cook Time 20 minutes
Total Time 28 minutes
Servings 6 people

Equipment

Ingredients
 

  • 1 lb (454 g) penne pasta
  • 2 tablespoons (30 ml) olive oil
  • 1 cup onion, chopped finely
  • 4 garlic cloves, minced
  • 1 lb (453 g) Fresh Italian Sausage Roll
  • 16 oz ( 2 cans – 227 g each ) tomato sauce
  • 14.5 oz ( 1 can – 411g ) diced tomatoes
  • 1/2 teaspoon hot red pepper flakes (optional)
  • Salt and cracked black pepper to taste
  • 3/4 cup (180 ml) heavy cream
  • 2 tablespoons (28 g) unsalted butter
  • Fresh basil leaves, chopped for serving (optional)
  • Grated Parmesan cheese for serving

Important

Don’t forget to check out the step-by-step photos above in the post—they’ll guide you through the process and make everything super clear!

Instructions
 

  • Cook the pasta according to the package directions. Drain and reserve.
  • Meanwhile, the pasta is cooking. Heat oil in a saucepan over medium. Sauté the onions and garlic until soft, about 3 minutes. Add sausage roll; cook and crumble the sausage until no longer pink, about 5 – 8 minutes.
  • Add in the tomato sauce, diced tomatoes, and hot red pepper flakes (if using); mix to combine—season with salt and pepper to taste. Let it cook for 2 minutes, then pour in the heavy cream and butter; stir to combine; cook for 2 – 3 minutes.
  • Add the drained pasta into the sauce and toss to combine. Bring the sauce and pasta to a soft boil, stirring to coat the pasta with sauce.
  • Sprinkle on the basil and Parmesan cheese, if desired. Serve.
Oriana’s Notes
 
Store: This pasta recipe is best enjoyed right away. However, you can store leftovers for up to 4 days in an airtight container in the refrigerator if you have any! 
 
Reheat it on the stove over low heat. If you find that the sauce is thick and has dried up, add a little bit of water, broth, or milk to the dish as it heats. You can also warm pasta , covered, in a microwave, occasionally stirring until hot.
 
Food Allergy Swaps:
 
Recipe Tips & Variations
  • Other Meat. You can use ground beef, chicken, or turkey instead of sausage if preferred; however, the sausage will give it more flavor.
  • Spicy. You can also use hot Italian sausage (instead of mild) for more spice.
  • More Veggies. Feel free to include other veggies like zucchini or mushrooms.
  • Make lighter. Swap the heavy whipping cream with half and half to lighten the sauce.
 
 
I appreciate your feedback, and it helps others, too!Recipe reviews on the website are extremely valuable to other readers online. So, please don’t forget to give it a 5-star rating below.

Nutrition

Calories: 734kcalCarbohydrates: 68gProtein: 23gFat: 40gSaturated Fat: 16gCholesterol: 105mgSodium: 615mgPotassium: 802mgFiber: 4gSugar: 7gVitamin A: 1030IUVitamin C: 15.7mgCalcium: 83mgIron: 3.6mg

Nutrition information provided is an estimate and will vary based on cooking methods and brands of ingredients used.

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Course Main Course
Cuisine American
Calories 734
Keyword dinner penne sausage spicy tomatoes

This recipe was originally published in April 2016. The recipe remains the same, but more notes, tips, photos, and information were added to the post in March 2023 to make it as helpful as possible!

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4.24 from 42 votes (37 ratings without comment)

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14 Comments

  1. 5 stars
    This recipe is INCREDIBLE-easy, adaptive, total comfort food. I make it for my boyfriend and me probably twice a month because we always have the ingredients on hand, and I’m making it for my parents when we visit them this weekend. I’ve used chicken or whatever other protein we have if we don’t have sausage and it works just as well. I like to add chopped spinach as well so I can pretend to be a little healthy. 😀

  2. 5 stars
    Oriana, I am all about a quick, easy, comforting meal. 90% of the time I am in a mad rush about dinner time. This meal is perfect for me and my family. The pictures are BEAUTIFUL!!! Would love a big bowl of your Penne right about now…. Can’t wait until I can make this!

  3. 5 stars
    Mm, this pasta sounds sooo good! I love how quick and easy pasta recipes are, but I seriously need to mix it up a little. I’m adding sausage to my shopping list STAT! Also, that enamled pan you cooked the pasta in is stunning! Is it Le Creuset? The color is my fave!