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Creamy Sausage and Tomato Pasta | The Girl Who Ate Everything

Creamy Sausage and Tomato Pasta

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 so well in this Creamy Sausage and Tomato Pasta.

Course Main Course
Cuisine Italian
Prep Time 10 minutes
Cook Time 15 minutes
Total Time 25 minutes
Yield 6 servings


  • 4-5 Italian sausages (about 1 pound found in the fresh meat department; ground bulk sausage can be used as well (see Note))
  • 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
  • 12 ounces penne pasta (get a 16 ounce box and use 3/4 of it)
  • grated Parmesan for topping


  1. Cook the pasta in salted water al dente, according to package directions.
  2. While pasta is cooking, brown the sausage. Remove the casings, brown and crumble the sausages like you would ground beef.
  3. Add the onions and garlic to the sausage and saute for a couple of minutes.
  4. Pour in the entire can of diced tomatoes and the tomato sauce and heat through.
  5. 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.
  6. Add the fresh basil and let it simmer for a few minutes.
  7. Finally, mix the sausage sauce with the pasta and serve. Top each serving with a sprinkle of Parmesan cheese. Serve with crusty garlic bread.

Recipe Notes

I used spicy turkey Italian sausage; I really think a spicy sausage adds a lot of flavor.

Source: Wylie Tidwell