Creamy Sausage and Tomato Pasta is one of my favorite Italian dinners to make for my family! The spicy sausage, garlic, tomatoes, cream, and basil may be simple ingredients but they blend together with incredible flavor so well in this pasta dinner.

Sausage and Tomato Pasta


I’ve lost my mojo. I got pulled over today for speeding. I haven’t gotten a ticket in probably 9 years.

I was kind of surprised that I got pulled over because usually the police here are too busy chasing a person that’s going 50 miles over the speed limit or trying to catch the murder suspect in the car up ahead. Yes folks…welcome to Florida.

This morning I was on my way to meet friends for an early lunch when I was pulled over for mildly speeding. I tried to squeeze a work out in before so I had just showered and was rushing to meet them.
I’ve talked my way out of tickets in the past with a smiles and apologies. But between my wet hair, my protruding belly, and a car that smells like a Happy Meal – I figured the gig was up. I abandoned all hopes of sweet talking my way out of this one before I had even rolled down my window for the officer.
He greeted me by looking at my son in the back seat and saying, “Well at least the baby is strapped in a car seat.”
Yes, just because I’m going a little over the speed limit also means I’m probably letting my toddler ping pong aimlessly in the back of my car. I also let him lick batteries and stick metal objects in light sockets for fun.
So I’m stuck with a hefty fine or 6 hours of traffic school; both equally painful.

Sausage and Tomato Pasta


  • Spicy Italian Sausage – A little spicy but not too much. Gives it great flavor. You can also use mild Italian sausage. You could add some red pepper flakes if you want it even spicier.
  • White onion – adds some bite.
  • Garlic
  • Diced Tomatoes
  • Tomato Sauce – amps up the tomato flavor.
  • Heavy Cream – gives it the creamy consistency. If you wanted to lighten it up you could substitute part of the cream with chicken broth. If you don’t have cream, you could use cream cheese.
  • Basil
  • Penne Pasta – Any type of pasta will do as long as it’s a short pasta. Use your favorite pasta.

Sausage and Tomato Pasta

I liked this Creamy Sausage and Tomato Pasta so much that I’ve made it twice in the past 2 weeks because it’s easy and my family loves it. Something about the aroma of garlic and onion cooking on the stove always draws my family into the kitchen. I’ve had this recipe tucked away for a while.
Wylie sent me this recipe; our husbands played football together at Ricks college forever ago. It’s one of those easy, inexpensive recipes that you can’t mess up. And since I may be forking over some money for a ticket, inexpensive is good.
I know you are thinking that this is just a basic pasta recipe but sometimes the simplest ingredients combined in the right way are magical. Thanks Wylie!


Sausage and Tomato Pasta

Creamy Sausage and Tomato Pasta

4.64 from 25 votes
Creamy Sausage and Tomato Pasta is one of my favorite Italian dinners to make for my family for those busy nights! The savory sausage, tender pasta, garlic, tomatoes, cream, and basil may be simple ingredients but they blend together so well in this perfect weeknight dinner.
Prep Time: 10 minutes
Cook Time: 15 minutes
Total Time: 25 minutes
Servings: 6 servings


  • 12 ounces penne pasta, (get a 16 ounce box and use 3/4 of it)
  • 1 lb ground Italian sausage, ground beef can be used as well
  • 1 cup chopped onion
  • 3 cloves garlic, minced
  • 1 (16 ounce) can Italian style diced tomatoes, undrained
  • 1 (8 ounce) can tomato sauce
  • 1 cup heavy cream
  • 5-6 big leaves of fresh basil, chopped
  • grated Parmesan and basil for topping


  • In a large pot, cook the pasta in salted water al dente, according to package directions.
  • While pasta is cooking, brown the sausage in a large skillet.
  • Sauté onions and garlic to the sausage for a couple of minutes.
  • Pour in the entire can of diced tomatoes and the tomato sauce and heat through.
  • Pour in the cream and heat through. The longer you cook the sauce the thicker it will get so simmer it until it is the consistency you want.
  • Add the fresh basil and let it simmer for a few minutes.
  • Finally, mix the sausage sauce with the cooked pasta and serve. Top each serving with a sprinkle of Parmesan cheese and basil. Serve with crusty garlic bread.



I used spicy turkey Italian sausage; I really think a spicy sausage adds a lot of flavor.
Source: Wylie Tidwell
Calories: 523kcal, Carbohydrates: 29g, Protein: 20g, Fat: 36g, Saturated Fat: 17g, Polyunsaturated Fat: 20g, Trans Fat: 1g, Cholesterol: 89mg, Sodium: 722mg, Fiber: 3g, Sugar: 7g
Cuisine: Italian
Course: Main Course
Sausage and Tomato Pasta