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Creamy Tuscan Sausage Pasta (Full Recipe)

A rich, comforting pasta tossed in a creamy garlic-Parmesan sauce with Italian sausage, sun-dried tomatoes, and spinach—restaurant-quality but easy to make at home.


 Ingredients (Serves 4)

Pasta

  • 12 oz (340 g) pasta (penne, rigatoni, or fettuccine)

Sausage & Sauce

  • 1 lb (450 g) Italian sausage (mild or spicy), casings removed
  • 2 tbsp olive oil (optional if sausage is lean)
  • 4 cloves garlic, minced
  • 1 small onion or shallot, finely chopped
  • ½ tsp chili flakes (optional)
  • ⅓ cup sun-dried tomatoes (oil-packed), sliced
  • 1 cup heavy cream
  • ½ cup chicken broth (or pasta water)
  • ¾ cup freshly grated Parmesan cheese
  • 1 tsp Italian seasoning
  • ½ tsp black pepper
  • Salt, to taste
  • 2 cups baby spinach
  • 1 tbsp butter (optional, extra richness)

Garnish (optional)

  • Fresh basil or parsley
  • Extra Parmesan

 Step-by-Step Instructions

  1. Cook Pasta
    Bring a large pot of salted water to a boil. Cook pasta until al dente. Reserve ½ cup pasta water, then drain.
  2. Brown Sausage
    Heat a large skillet over medium heat. Add sausage and cook, breaking it up, until browned and cooked through (6–8 minutes). Remove excess fat if needed.
  3. Build Flavor
    Add olive oil if the pan is dry. Sauté onion for 2–3 minutes until soft. Add garlic and chili flakes; cook 30 seconds until fragrant.
  4. Creamy Sauce
    Stir in sun-dried tomatoes, cream, broth (or pasta water), Italian seasoning, pepper, and butter. Simmer gently 3–5 minutes until slightly thickened.
  5. Cheese & Greens
    Lower heat and stir in Parmesan until melted and smooth. Add spinach and cook until just wilted.
  6. Combine
    Add pasta to the sauce and toss to coat. Adjust thickness with reserved pasta water if needed. Taste and adjust salt.
  7. Serve
    Garnish with herbs and extra Parmesan. Serve hot.

 Nut & Allergen Information

Contains

Protein Banana Oats Breakfast Squares

Easy Recipe May 13, 2026
  • Dairy: Heavy cream, Parmesan, butter
  • Gluten: Pasta (unless gluten-free pasta is used)

Does NOT Contain (by default)

  • Tree nuts
  • Peanuts
  • Eggs
  • Soy
  • Shellfish

Possible Cross-Contamination

  • Check labels on sausage, Parmesan, and sun-dried tomatoes for shared equipment warnings if nut allergies are severe.

Nut-Free Tips

  • This recipe is naturally nut-free. Avoid pesto-style sun-dried tomatoes that may contain pine nuts.

 Variations & Substitutions

  • Lighter Version: Use half-and-half or evaporated milk instead of heavy cream
  • Chicken Option: Swap sausage for sliced chicken thighs or breasts
  • Vegetarian: Use plant-based sausage + vegetable broth
  • Extra Veggies: Add mushrooms, zucchini, or roasted red peppers
  • Cheese Swap: Grana Padano or Pecorino Romano

 Q & A

Q: Can I make this ahead of time?
A: Yes, but it’s best fresh. Reheat gently with a splash of milk or broth to loosen the sauce.

Q: Can I freeze it?
A: Cream sauces can separate when frozen. If freezing, do so without pasta and add fresh cream when reheating.

Q: What pasta works best?
A: Short ridged pasta (penne, rigatoni) holds the sauce best, but fettuccine works beautifully too.

Q: How do I keep the sauce from breaking?
A: Use low heat when adding cream and cheese, and avoid boiling once dairy is added.

Q: Is it spicy?
A: Mild by default. Heat depends on sausage choice and chili flakes—adjust to taste.

Sara Mitchell

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