Craving a deeply satisfying and effortlessly delicious meal that comes together in a flash? Look no further than this incredible Creamy Italian Sausage Pasta Recipe! This easy skillet Italian pasta is not just a dish; it’s a culinary experience designed for busy weeknights and special occasions alike. Bursting with robust flavors and a luxuriously smooth sauce, it’s destined to become a staple in your family’s meal rotation. Forget complicated steps and lengthy prep times – this recipe delivers gourmet taste with minimal effort, making it the ultimate comfort food for any pasta lover.
For those seeking a truly exceptional yet simple meal, our “Penne with Quick Sausage Sauce” stands out as an undeniable family favorite. This recipe brilliantly combines readily available kitchen staples with just a couple of fresh additions – typically a vibrant red onion and fragrant fresh rosemary – to create something truly magical. Imagine a gourmet-quality pasta dish gracing your table in under an hour, offering both convenience and an explosion of delightful flavors. It’s the perfect solution for when time is short but the desire for a homemade, hearty meal is strong. The simplicity of its preparation belies the rich, complex taste that will have everyone asking for seconds.

Why This Creamy Italian Sausage Pasta is a Must-Try
This Creamy Italian Sausage Pasta isn’t just another dinner recipe; it’s a reliable culinary hero for countless reasons. We understand that in today’s fast-paced world, finding meals that balance incredible flavor with practical convenience is key. This dish excels on all fronts, promising a delightful dining experience with minimal fuss.
- Unbelievably Fast: Say goodbye to lengthy cooking sessions! This entire dish, from chopping to serving, is ready in well under an hour. It’s the perfect solution for those hectic weeknights when you crave a hearty, homemade meal but have limited time. Enjoy more moments at the dinner table and less time in the kitchen.
- Effortlessly Elegant for Entertaining: Don’t let its quick preparation fool you; this pasta is sophisticated enough to impress guests. I’ve personally served this Creamy Italian Sausage Pasta at dinner parties, and it always receives rave reviews! Its rich flavors and appealing presentation make it a fantastic choice when you want to host without the stress of an overly complicated menu.
- Simple, Wholesome Ingredients: You won’t need to hunt for exotic ingredients. This recipe relies on readily available staples you likely already have in your pantry, combined with fresh produce found at any grocery store. The beauty lies in how these simple components come together to create a complex and utterly satisfying flavor profile that even the pickiest eaters in the family will adore.
- One-Skillet Wonder: Minimize your cleanup with this fantastic one-skillet Italian pasta recipe. After cooking the pasta separately, the entire flavorful sauce comes together in a single pan, infusing every ingredient with rich, harmonious tastes. This means less scrubbing and more enjoying your delicious creation!
- Customizable to Your Taste: Whether you prefer a milder flavor or a fiery kick, this recipe is incredibly adaptable. Easily adjust the amount of red pepper flakes or opt for mild or spicy Italian sausage to perfectly match your family’s preferences. It’s a versatile canvas for your culinary creativity.
Imagine a symphony of flavors coming to life in your kitchen in just about 45 minutes. This incredible easy skillet Italian pasta is built upon a foundation of savory Italian sausage, sweet crushed tomatoes, and aromatic fresh rosemary. The process begins with gently sautéing diced red onions until translucent, releasing their sweet essence. Then, the robust Italian sausage is introduced, browning beautifully and rendering its flavorful fats. Aromatic herbs and spices like fresh rosemary, a hint of crushed red pepper flakes for warmth, and fragrant bay leaves are stirred in, deepening the complexity of the sauce. Finally, the richness of heavy cream and the salty, umami notes of freshly grated Parmesan cheese are folded in, creating a luscious, velvety sauce that coats every strand of pasta. Truly, apart from boiling the pasta, this entire gourmet dish masterfully comes together in a single skillet, showcasing its efficiency and the concentrated depth of flavor it achieves. The result is a profoundly flavorful and utterly delicious meal that rivals any restaurant offering, yet is made with love in your own home.
For those who appreciate straightforward yet sensational family meals, this recipe is a true gem. If you’re always on the lookout for more comforting pasta dishes, you might also enjoy exploring other easy family-friendly options like a hearty Baked Mostaccioli, which offers a different but equally delightful take on Italian-inspired comfort food.
Key Ingredients for Your Creamy Italian Sausage Pasta
The secret to any outstanding dish lies in the quality of its ingredients. For this Creamy Italian Sausage Pasta, we focus on simple yet impactful components that build layers of flavor and texture. Here’s a detailed look at what you’ll need and why each element is crucial:
- Olive Oil: The foundation of our sautéing, a good quality extra virgin olive oil not only prevents sticking but also imparts a subtle fruity and peppery note that enhances the overall flavor profile of the sauce.
- Red Onion (Diced): Sweeter and milder than yellow onions, red onions caramelize beautifully, adding a delicate sweetness and depth to the sauce without overpowering other ingredients. Dicing them finely ensures they melt into the sauce.
- Italian Sausages: This is the star protein of our dish. While I prefer a mild Italian sausage for its balanced flavor, don’t hesitate to opt for spicy Italian sausages if you crave an extra kick. If purchasing links, remember to remove the casings before cooking to allow the meat to crumble evenly into the sauce. This step is crucial for achieving that signature meaty texture throughout the pasta.
- Fresh Rosemary: Earthy, piney, and incredibly fragrant, fresh rosemary elevates this dish from ordinary to extraordinary. Its robust flavor pairs wonderfully with sausage and tomatoes, infusing the sauce with a rustic Italian aroma. A “heaping tablespoon” means a generous amount to really make its presence known.
- Bay Leaves: Often underestimated, a couple of bay leaves simmered in the sauce add a subtle, underlying herbal note that enhances the complexity and depth of flavor. Remember to remove them before serving!
- Crushed Red Pepper Flakes: These tiny flakes are your ticket to controlling the heat level. A half teaspoon adds a gentle warmth, while a full teaspoon (or more!) will bring a more pronounced spiciness. Adjust according to your family’s preference – it’s all about finding your perfect balance of zest.
- Large Can of Plum Tomatoes (28-ounce, Drained Well): High-quality canned plum tomatoes (like San Marzano, which we’ll discuss later) are essential. Draining them well helps prevent a watery sauce and allows the concentrated tomato flavor to shine through. These tomatoes break down beautifully to form the rich base of our sauce.
- Penne Rigate Pasta: This tubular pasta with ridges, or “rigate,” is ideal for capturing and holding onto the rich, creamy sauce. The ridges act like tiny scoops, ensuring every bite is bursting with flavor. If penne rigate isn’t available, other sturdy pasta shapes like bow-ties (farfalle) or even ziti can work effectively.
- Heavy Cream (36% Milkfat): The key to achieving that luxurious, velvety texture that defines this creamy pasta. The high milkfat content ensures a stable, rich sauce that won’t curdle and provides an indulgent mouthfeel.
- Grated Parmesan Cheese: Insist on real Parmigiano-Reggiano for an authentic Italian flavor. The difference between freshly grated Parmesan and the pre-grated variety in a green can is immense. Fresh Parmesan offers a sharp, nutty, and salty umami depth that transforms the sauce. Always opt for the real deal; it truly makes a world of difference in the final taste of your Creamy Italian Sausage Pasta.
- Salt and Freshly Ground Black Pepper: Essential for seasoning the dish to perfection. Always taste and adjust as you go, ensuring every component is properly seasoned.

Mastering Your Skillet: Expert Tips for Perfect Creamy Sausage Pasta
Every cook has that one recipe that justifies an entire cookbook purchase. For me, it was this magnificent “Penne with a Quick Sausage Sauce,” more lovingly known as our Creamy Italian Sausage Pasta. Its reputation alone was enough to entice me into acquiring the Rogers Gray Italian Country Cookbook (affiliate link). And truly, it has proven to be an invaluable investment, considering how frequently this incredibly easy skillet pasta features on our weekly menu. It’s a testament to a recipe’s power when it consistently delivers exceptional taste and convenience.
- Tailor the Spice to Perfection: The beauty of this Creamy Italian Sausage Pasta lies in its adaptability. For instance, with just a half teaspoon of crushed red pepper flakes, my husband Bill boldly declared the dish “spicy,” yet he eagerly devoured a generous serving! Even my most discerning palate, Katie, is a loyal fan – though I often find a small mound of sausage she’s meticulously sorted out. This goes to show that flavors are subjective, so don’t hesitate to adjust the amount of red pepper flakes to precisely suit your preference. For those who truly adore a fiery kick, consider elevating the heat by using spicy Italian sausages right from the start, instead of the mild variety.
- Choose Your Perfect Pasta Shape: While I wholeheartedly recommend penne rigate for this recipe – its ridged, tubular design is simply superior for capturing every drop of the luscious, creamy sauce – don’t let a lack of it deter you. If you don’t have penne rigate on hand, feel free to use your favorite sturdy pasta shape. On one occasion, I inadvertently grabbed a box of bow-tie pasta (farfalle), and the dish turned out absolutely delightful. The key is to select a pasta that can hold its own against the robust sauce.
- The Golden Rule of Pasta Water: This tip is paramount for truly flavorful pasta. Always, always cook your pasta in generously salted water. The water should taste like the sea before you add the pasta. This is your only chance to season the pasta itself from the inside out. A common mistake is adding salt to cold water; remember, add the salt only after the water comes to a rolling boil. Salting the water early can slightly increase the boiling time and isn’t as effective for seasoning.
- Embrace San Marzano Tomatoes: For an unparalleled depth of flavor in your sauce, my go-to choice is San Marzano plum tomatoes. These exceptional tomatoes are renowned for their sweetness, low acidity, and rich, vibrant flavor. They create a superior base for any Italian sauce. Happily, authentic San Marzano tomatoes are now more widely available; just be sure to check the labels for certification to ensure you’re getting the real deal. The difference in taste and texture they impart to your Creamy Italian Sausage Pasta is truly remarkable.
- Don’t Overcrowd Your Skillet: When browning the sausage, ensure you don’t overcrowd the pan. Cooking in batches if necessary allows the sausage to brown properly and develop a rich, caramelized crust, rather than steaming. This step is crucial for building a deep, savory flavor foundation for your sauce.
- Reserve Pasta Water: Before draining your cooked pasta, always reserve about a cup of the starchy pasta water. This liquid is liquid gold! It can be added to your sauce later to help achieve the perfect consistency, emulsify the cream and cheese, and bind everything together beautifully, ensuring your Creamy Italian Sausage Pasta is perfectly saucy and never dry.
While I thoroughly enjoy the artisanal challenge of crafting homemade ravioli and fresh lasagna sheets from scratch, there’s an undeniable joy and convenience in having a repertoire of easy skillet pasta recipes. This Creamy Italian Sausage Pasta exemplifies that balance perfectly. It possesses a sophisticated depth of flavor that makes it absolutely fabulous to serve at a dinner party – a feat I’ve proudly accomplished on many occasions, to the delight of my guests. Yet, its inherent simplicity and quick preparation time mean it slots seamlessly into the role of a go-to, stress-free weeknight dinner. It’s the ultimate expression of versatile comfort food, adapting effortlessly to your dining needs.
In essence, this Creamy Italian Sausage Pasta recipe embodies everything you could wish for in a meal: it’s rich, wonderfully creamy, offers a delightful customizable hint of spice, and is simply delish! We genuinely hope you and your loved ones will cherish this Easy Italian Skillet Pasta as much as we do. It’s a dish that consistently brings smiles to the table, and for a truly unique endorsement, even our beloved canine companion, Miss Lambeau (circa 2011), has given her seal of approval – a true testament to its irresistible appeal!

Frequently Asked Questions About Creamy Italian Sausage Pasta
What is Penne Pasta?
Penne is a popular type of pasta characterized by its tube-like shape, cut diagonally at both ends, resembling the nib of an old-fashioned quill pen. The name “penne” itself is derived from the Latin word “penna,” meaning feather or quill. Penne can come in two main varieties: “penne lisce” (smooth) or “penne rigate” (ridged). For dishes like our Creamy Italian Sausage Pasta, penne rigate is often preferred because its distinctive ridges are excellent at capturing and holding rich, creamy sauces, ensuring every bite is bursting with flavor. The first time I mentioned “penne” for dinner, my husband hilariously thought I was referring to fish – a common misconception for those unfamiliar with the vast world of pasta shapes! The ridges on penne rigate, clearly visible in our recipe photos, are key to its sauce-clinging capability.
What is the Best Way to Cook Pasta for a Creamy Sauce?
Achieving perfectly cooked pasta is fundamental to any great pasta dish. The best method involves a few key steps:
- Use a Large Pot and Plenty of Water: This allows the pasta to cook evenly and prevents it from clumping together.
- Bring Water to a Rolling Boil: Ensure the water is vigorously boiling before adding any pasta.
- Season Generously with Salt: This is arguably the most crucial step. Once the water is boiling, add a substantial amount of salt – enough so the water tastes noticeably salty, like seawater. This is your only chance to season the pasta itself from the inside out. Adding salt after cooking simply won’t achieve the same depth of flavor. A common mistake is adding salt to cold water, which can slightly lower the boiling point and isn’t as effective.
- Cook to Al Dente: Cook the pasta according to package directions until it is “al dente,” which translates to “to the tooth.” This means it should be firm to the bite, offering a slight resistance, rather than being soft or mushy. Most pasta packages provide a range of cooking times to achieve this ideal texture. Perfectly al dente pasta holds up beautifully in rich sauces and continues to cook slightly when combined with the hot sauce.
- Reserve Pasta Water: Before draining, always scoop out about 1 cup of the starchy pasta water. This “liquid gold” is invaluable for loosening your sauce, helping it emulsify, and ensuring it coats the pasta beautifully.
What Are San Marzano Tomatoes and Why Are They Special?
San Marzano tomatoes are often hailed as the gold standard for Italian sauces, and for good reason! They are a specific type of plum tomato, originally cultivated in the fertile volcanic soil around Mount Vesuvius, near the small town of San Marzano sul Sarno in Italy. What makes them so special?
- Distinct Shape: They are typically thinner and more elongated than ordinary Roma or standard plum tomatoes.
- Superior Flesh and Fewer Seeds: San Marzano tomatoes boast a denser, meatier flesh with significantly fewer seeds, which results in a smoother, more substantial sauce texture.
- Sweeter and Less Acidic: Their unique growing conditions contribute to a naturally sweeter flavor profile and lower acidity compared to other tomato varieties. This balance is crucial for a rich, well-rounded tomato sauce without any bitterness.
- Certified Origin: True San Marzano tomatoes carry a Protected Designation of Origin (D.O.P. or PDO) certification, guaranteeing they were grown and processed according to strict standards in the San Marzano region. Always look for this label to ensure authenticity, as many generic canned “San Marzano style” tomatoes exist but don’t offer the same quality.
Using authentic San Marzano tomatoes in your Creamy Italian Sausage Pasta will elevate the sauce to an entirely new level, providing a vibrant, sweet, and perfectly balanced tomato base that truly enhances the dish.

Discover More Delicious Pasta Recipes
If you’ve savored every bite of this Creamy Italian Sausage Pasta and are eager to expand your pasta repertoire, you’re in luck! Here are some other delightful pasta recipes that promise to bring flavor and comfort to your table:
- Hearty Pasta e Fagioli from Cookin’ Canuck
- Light and Creamy Fettuccine Alfredo
- Flavorful Spinach Stuffed Pasta Shells
- Classic Penne alla Vodka
- Cheesy Baked Pasta with Prosciutto
- Delicious Spinach Alfredo Pasta
- Spicy Penne with Tomatoes and Havarti
- And for even more inspiration, explore our extensive collection of the Best Pasta Recipes!
We love seeing your culinary creations! Stay connected with us and share your delicious Creamy Italian Sausage Pasta masterpieces on social media. Find us on Instagram, Facebook, and Pinterest. When you try this recipe, don’t forget to tag us – we can’t wait to see your fantastic results! If this recipe truly captures your heart, please consider leaving a 5-star rating in the recipe card below to help others discover this incredible dish.
Creamy Italian Sausage Pasta with Tomatoes

An easy and incredibly flavorful skillet pasta recipe featuring savory Italian sausage, rich tomatoes, and a luscious cream sauce, perfect for a quick weeknight dinner or entertaining guests.
Ingredients
- 2 tablespoons olive oil
- 1 medium red onion, diced
- 4-5 Italian sausages, casings removed
- 1 heaping tablespoon fresh rosemary, finely chopped
- 2 bay leaves
- ½-1 teaspoon crushed red pepper flakes (adjust to taste)
- 1 28-ounce can plum tomatoes, drained well
- 1 pound penne rigate or bow tie pasta
- ⅔ cup heavy cream (36% milkfat)
- ½ cup grated Parmesan cheese, plus more for serving
- Salt and freshly ground black pepper, to taste
Instructions
- In a large saucepan or skillet, sauté the diced red onion in olive oil over medium heat until it becomes soft and translucent, about 5-7 minutes.
- Add the Italian sausage (casings removed) to the skillet. Cook, breaking the sausage apart with a spoon into small, even pieces, until it is thoroughly browned, about 8-10 minutes.
- Stir in the fresh rosemary, bay leaves, and crushed red pepper flakes. Continue to cook for another 1-2 minutes until fragrant. Drain any excess fat from the skillet.
- Add the drained plum tomatoes to the sausage mixture. Use a spatula or wooden spoon to break the tomatoes apart into smaller pieces. Let the sauce simmer gently for 10-15 minutes, allowing the flavors to meld and deepen.
- Meanwhile, cook the pasta according to package instructions in a large pot of generously salted boiling water until al dente. Reserve about 1 cup of the starchy pasta water before draining the pasta.
- Remove the bay leaves from the sauce. Add the heavy cream and grated Parmesan cheese to the skillet. Stir well to combine, letting the sauce warm through. If the sauce seems too thick, add a little of the reserved pasta water until it reaches your desired consistency.
- Add the drained, cooked pasta to the skillet with the sauce. Toss everything together thoroughly, ensuring the pasta is evenly coated with the rich, creamy sauce.
- Taste the pasta and sauce, then adjust seasonings with salt and freshly ground black pepper as needed.
- Serve immediately, garnished with additional grated Parmesan cheese and a sprig of fresh rosemary, if desired. Enjoy your homemade Creamy Italian Sausage Pasta!
Notes
This recipe is an adaptation from the classic “Penne with a Quick Sausage Sauce” found in the Rogers Gray Italian Country Cookbook, a true testament to timeless Italian-American cooking. Feel free to experiment with different herbs like fresh basil or oregano for subtle variations in flavor.
Recommended Products
As an Amazon Associate and member of other affiliate programs, I earn from qualifying purchases.
- High-Quality Colander
- Heat-Resistant Spatula
- Le Creuset 10-inch Skillet
Nutrition Information
Amount Per Serving (estimated):
- Calories: 560
- Total Fat: 35g
- Saturated Fat: 15g
- Trans Fat: 0g
- Unsaturated Fat: 21g
- Cholesterol: 73mg
- Sodium: 679mg
- Carbohydrates: 40g
- Fiber: 4g
- Sugar: 7g
- Protein: 22g
Please note: Nutritional information provided is an estimate only. Factors such as specific brands, exact measurements, and optional toppings can significantly alter the nutritional content. For the most accurate figures, it is recommended to calculate nutrition based on the actual ingredients used in your preparation. This information is intended as a general guide.
© Liz Berg
Cuisine: American, Italian-American / Category: Pasta
