Creamy Tomato Sausage Pasta

Featured in: Seasonal Family Dinners

This dish features tender penne pasta tossed in a luscious creamy tomato sauce with savory Italian sausage. Aromatics like garlic and onion add depth, while herbs and Parmesan bring bright, balanced flavors. Quick to prepare, it’s a satisfying choice for busy nights, with a silky sauce that coats every bite and optional fresh basil garnish for a fragrant finish.

Updated on Thu, 20 Nov 2025 08:47:00 GMT
Creamy Tomato and Sausage Pasta, a luscious dish with sausage, tomatoes, and penne, ready to eat. Save
Creamy Tomato and Sausage Pasta, a luscious dish with sausage, tomatoes, and penne, ready to eat. | pumpkinvale.com

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

I first made this creamy tomato and sausage pasta on a hectic weeknight when everyone was hungry and short on patience. The simple steps delivered a cozy meal with minimal fuss that quickly became a family favorite.

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:
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 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.
Sauté Veggies:
Add chopped onion to the skillet and sauté until softened, about 2 minutes. Stir in garlic and cook for 30 seconds until fragrant.
Make 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.
Add Cheese and Garnish:
Stir in Parmesan cheese and adjust seasoning if necessary. Serve hot, garnished with fresh basil or parsley.
Golden penne pasta coated in creamy tomato and sausage sauce, garnished with fresh basil for dinner. Save
Golden penne pasta coated in creamy tomato and sausage sauce, garnished with fresh basil for dinner. | pumpkinvale.com

My kids love to help sprinkle the Parmesan and fresh herbs on top before serving—it brings everyone to the table with a smile!

Required Tools

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

Notes

For a lighter version, substitute half-and-half for heavy cream. Try with chicken or turkey sausage for a leaner option. Add baby spinach or sun-dried tomatoes for extra flavor and nutrition. Pairs well with a crisp green salad and garlic bread.

Nutritional Information

Per serving: 620 calories; 29 g total fat; 60 g carbohydrates; 28 g protein.

This Creamy Tomato and Sausage Pasta boasts rich flavors; imagine the savory sausage and fresh tomato aroma. Save
This Creamy Tomato and Sausage Pasta boasts rich flavors; imagine the savory sausage and fresh tomato aroma. | pumpkinvale.com

Enjoy this comforting pasta dish with crusty bread and your favorite salad for a complete meal. It's sure to become a weeknight classic at your table.

Recipe FAQs

What type of pasta works best?

Penne is ideal for holding the creamy tomato sauce well, but rigatoni or fusilli would work as great alternatives.

Can I use other meats instead of sausage?

Yes, chicken or turkey sausage can provide a leaner option while maintaining the dish's savory profile.

How can I make the sauce creamier?

Stirring in heavy cream at the end creates a smooth, rich sauce; half-and-half can be a lighter substitute.

What herbs complement this dish?

Dried Italian herbs like basil and oregano enhance the tomato sauce, and fresh basil or parsley added at serving brightens the flavors.

Can I add vegetables?

Incorporating spinach or sun-dried tomatoes during cooking adds color, nutrition, and extra depth to the sauce.

Creamy Tomato Sausage Pasta

Savory sausage and creamy tomato sauce combine with penne for a comforting Italian-inspired dish.

Prep Time
5 minutes
Cook Time
15 minutes
Time Needed
20 minutes
Created by Emma Wallace


Skill Level Easy

Cuisine Type Italian-inspired

Makes 4 Serving Size

Diet Information None specified

Ingredient List

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 1/2 cup heavy cream
03 1 teaspoon dried Italian herbs (basil, oregano, or mixed)
04 1/2 teaspoon 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)

How to Make

Step 01

Cook pasta: Bring a large pot of salted water to a boil and cook penne pasta according to package directions until al dente. Reserve 1/2 cup of pasta water, then drain the pasta.

Step 02

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

Step 03

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

Step 04

Simmer tomato sauce: Add crushed tomatoes, dried Italian herbs, and red pepper flakes if using. Reduce heat and simmer for 3 minutes.

Step 05

Incorporate cream and season: Lower heat to low, stir in heavy cream, and season with salt and freshly ground black pepper. Allow the sauce to simmer gently for 2 minutes.

Step 06

Combine pasta and sauce: Add drained pasta to the skillet and toss to coat thoroughly. Add reserved pasta water as needed to loosen the sauce to desired consistency.

Step 07

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

Equipment Needed

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

Allergy Details

Review ingredients for allergens and ask a healthcare expert if unsure.
  • Contains gluten (wheat), dairy (Parmesan cheese and cream), and pork (Italian sausage). Check labels for potential nut traces in cheese.

Nutritional Breakdown (per serving)

Details shown are for general guidance and aren't a medical substitute.
  • Caloric Content: 620
  • Fats: 29 g
  • Carbohydrates: 60 g
  • Proteins: 28 g