Creamy Italian Sausage Fettuccine Pasta

Creamy Italian Sausage Fettuccine Pasta is a rich, hearty, and satisfying dish that combines tender fettuccine noodles with a savory sausage and cream sauce. Bursting with flavor from Italian herbs, garlic, and Parmesan cheese, this comforting pasta is perfect for a cozy dinner that feels like an indulgent night out.

Why You’ll Love This Recipe

You’ll love this recipe for its creamy, savory sauce packed with the bold flavors of Italian sausage. It’s easy to make in under an hour and feels incredibly special, making it ideal for weeknight dinners or casual entertaining. The creamy sauce clings beautifully to the fettuccine, ensuring every bite is loaded with flavor.

ingredients

(Tip: You’ll find the full list of ingredients and measurements in the recipe card below.)

• Fettuccine pasta
• Italian sausage (mild or spicy, casings removed)
• Olive oil
• Garlic (minced)
• Onion (finely chopped)
• Heavy cream
• Chicken broth
• Parmesan cheese (freshly grated)
• Italian seasoning
• Crushed red pepper flakes (optional)
• Salt
• Black pepper
• Fresh parsley (for garnish)

directions

this recipe

1. Cook the fettuccine according to package instructions until al dente. Drain and set aside, reserving some pasta water.
2. In a large skillet, heat olive oil over medium heat.
3. Add the Italian sausage, breaking it up with a spoon, and cook until browned and cooked through.
4. Add the chopped onion and garlic, sautéing until softened and fragrant.
5. Stir in the chicken broth and let it simmer for a couple of minutes, scraping up any brown bits from the bottom.
6. Reduce heat to low and add the heavy cream, Italian seasoning, salt, pepper, and crushed red pepper flakes if using.
7. Simmer the sauce gently for 5-7 minutes, stirring occasionally.
8. Add the grated Parmesan cheese and stir until melted and incorporated.
9. Toss the cooked fettuccine into the sauce, adding a splash of reserved pasta water if needed to loosen the sauce.
10. Cook for another 2-3 minutes until everything is well combined.
11. Garnish with fresh parsley and additional Parmesan before serving.

Servings and timing

This recipe makes about 4 servings.
Preparation time is approximately 10 minutes, and cooking time is about 25-30 minutes.

Variations

• Substitute spinach or kale for added greens.
• Use turkey sausage for a lighter version.
• Add sautéed mushrooms or sun-dried tomatoes for extra depth.
• Replace fettuccine with penne or spaghetti if preferred.
• Spice it up by using hot Italian sausage and extra crushed red pepper flakes.

storage/reheating

Store leftover pasta in an airtight container in the refrigerator for up to 3 days. Reheat gently in a skillet over low heat, adding a splash of cream or milk to loosen the sauce if needed. Microwaving works too, but stir halfway through to ensure even reheating.

FAQs

Can I use pre-cooked sausage?

Yes, but for the best flavor, fresh uncooked sausage is recommended.

What’s the best pasta type for this sauce?

Fettuccine works perfectly because it holds the creamy sauce well, but other pasta shapes can also be used.

Can I use milk instead of heavy cream?

You can, but the sauce will be thinner and less rich.

How do I make it spicier?

Use spicy Italian sausage and add extra crushed red pepper flakes.

Can I add vegetables?

Absolutely, spinach, mushrooms, peas, or roasted red peppers would all be delicious additions.

Can I freeze this pasta?

It’s best eaten fresh, but you can freeze it; the cream sauce may slightly separate when reheated.

How do I prevent the cream sauce from curdling?

Keep the heat low when adding cream and avoid boiling once the cream is added.

Can I use plant-based sausage?

Yes, plant-based sausage alternatives work well for a vegetarian-friendly version.

Is it necessary to use Parmesan?

Parmesan adds a salty, nutty flavor that’s classic for creamy pasta, but you can substitute with Pecorino Romano or another hard cheese.

What wine pairs well with this dish?

A crisp white wine like Pinot Grigio or Sauvignon Blanc pairs beautifully with this rich pasta.

Conclusion

Creamy Italian Sausage Fettuccine Pasta is the ultimate comfort food, combining savory sausage, a silky cream sauce, and perfectly cooked noodles into one unforgettable meal. Easy enough for a weeknight but impressive enough for guests, this recipe is bound to become a new favorite whenever you’re craving something hearty and delicious.

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