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Sausage and Tomato Pasta

Creamy Sausage and Tomato Pasta

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.

Course Main Course
Cuisine Italian
Prep Time 10 minutes
Cook Time 15 minutes
Total Time 25 minutes
Yield 6 servings
Calories 523 kcal


  • 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


  1. In a large pot, cook the pasta in salted water al dente, according to package directions.
  2. While pasta is cooking, brown the sausage in a large skillet.
  3. Sauté onions and garlic to the sausage 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 cooked pasta and serve. Top each serving with a sprinkle of Parmesan cheese and basil. Serve with crusty garlic bread.

Recipe Video

Recipe Notes

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

Source: Wylie Tidwell

Nutrition Facts
Creamy Sausage and Tomato Pasta
Amount Per Serving
Calories 523 Calories from Fat 324
% Daily Value*
Fat 36g55%
Saturated Fat 17g106%
Trans Fat 1g
Polyunsaturated Fat 20g
Cholesterol 89mg30%
Sodium 722mg31%
Carbohydrates 29g10%
Fiber 3g13%
Sugar 7g8%
Protein 20g40%
* Percent Daily Values are based on a 2000 calorie diet.