Creamy Tomato Sausage Pasta

Featured in: Everyday Cravings

This creamy tomato and sausage penne combines tender Italian sausage cooked with garlic and onions, enveloped in a smooth, herb-infused tomato sauce enriched with heavy cream. The sauce coats perfectly al dente penne pasta, finished with grated Parmesan and fresh herbs for a comforting, flavorful meal. Ideal for quick weeknight dinners, it offers rich taste and a satisfying texture with balanced seasoning and optional spicy notes.

Updated on Thu, 20 Nov 2025 12:56:00 GMT
Creamy tomato and sausage pasta, ready to serve, with a rich sauce and grated Parmesan sprinkled on top. Save
Creamy tomato and sausage pasta, ready to serve, with a rich sauce and grated Parmesan sprinkled on top. | munchhug.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 Thursday evening when everyone was craving something cozy. The aroma of simmering sausage and garlic filled the kitchen, and the dish quickly became a favorite for dinner in a pinch.

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)

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Instructions

Boil 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.
Cook 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 Onion & Garlic:
Add chopped onion to the skillet and sauté until softened, about 2 minutes. Stir in garlic and cook for 30 seconds until fragrant.
Make Tomato Sauce:
Pour in the crushed tomatoes, Italian herbs, and red pepper flakes (if using). Simmer for 3 minutes.
Add Cream:
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 & Sauce:
Add the drained pasta to the sauce, tossing to coat. Add some reserved pasta water if needed to loosen the sauce.
Finish & Serve:
Stir in Parmesan cheese and adjust seasoning if necessary. Serve hot, garnished with fresh basil or parsley.
A close-up shot of the savory creamy tomato and sausage pasta, highlighting the tender penne and sausage. Save
A close-up shot of the savory creamy tomato and sausage pasta, highlighting the tender penne and sausage. | munchhug.com

This pasta is a staple for our family movie nights because it’s hearty, kid-approved, and leaves few leftovers—the sign of a true hit at our table!

Required Tools

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

Nutritional Information

Per serving: Calories 620, Total Fat 29 g, Carbohydrates 60 g, Protein 28 g

Notes & Variations

For a lighter version, substitute half-and-half for heavy cream or use chicken/turkey sausage. Add baby spinach or sun-dried tomatoes in the sauce for variation.

Warm creamy tomato and sausage pasta in a bowl; imagine the inviting aroma of herbs and creamy sauce. Save
Warm creamy tomato and sausage pasta in a bowl; imagine the inviting aroma of herbs and creamy sauce. | munchhug.com

This pasta is best served immediately but leftovers reheat well the next day. Savor every creamy, flavorful bite!

Recipe Guide

→ What pasta type works best?

Penne pasta is ideal here as its tubes hold the creamy tomato sauce well, offering a balanced bite every time.

→ Can I use different sausage types?

Yes, chicken or turkey sausage can be swapped for a leaner alternative without sacrificing flavor.

→ How to achieve the creamy texture?

Finishing the sauce with heavy cream adds richness and smoothness, perfectly complementing the tomato and sausage flavors.

→ Are there seasoning options?

Italian herbs like basil and oregano enhance the sauce. Adding red pepper flakes offers a gentle heat if desired.

→ How to keep pasta from drying out?

Reserve some pasta cooking water to add back to the sauce, which helps maintain a silky consistency.

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Creamy Tomato Sausage Pasta

A rich blend of sausage, creamy tomato sauce, and penne pasta for a comforting italian-inspired dish.

Prep duration
5 min
Heat time
15 min
Complete duration
20 min
Created by Samantha Reed


Skill level Easy

Heritage Italian-inspired

Output 4 Portions

Nutrition preferences None specified

Components

Pasta

01 12 ounces penne pasta

Meats

01 10 ounces Italian sausage, casing removed
02 1 tablespoon olive oil

Vegetables & Aromatics

01 1 small onion, finely chopped
02 2 cloves garlic, minced

Sauce

01 14 ounces canned crushed tomatoes
02 ½ cup heavy cream
03 1 teaspoon dried Italian herbs (basil, oregano, or mixed)
04 ½ teaspoon red pepper flakes (optional)
05 Salt and freshly ground black pepper, to taste

Cheese & Garnish

01 ⅓ cup grated Parmesan cheese
02 Fresh basil or parsley, chopped (optional)

Method

Phase 01

Cook Pasta: Bring a large pot of salted water to a boil. Cook penne according to package directions until al dente. Reserve ½ cup pasta water, then drain.

Phase 02

Brown Sausage: While pasta cooks, heat olive oil in a large skillet over medium-high heat. Crumble Italian sausage and cook until browned, approximately 4 minutes.

Phase 03

Sauté Aromatics: Add finely chopped onion to the skillet and sauté until softened, about 2 minutes. Stir in minced garlic and cook for 30 seconds until fragrant.

Phase 04

Simmer Tomato Sauce: Pour crushed tomatoes, dried Italian herbs, and red pepper flakes (if using) into the skillet. Reduce heat and simmer for 3 minutes.

Phase 05

Incorporate Cream and Season: Lower heat to low. Stir in heavy cream, season with salt and black pepper, and simmer gently for 2 minutes to meld flavors.

Phase 06

Combine Pasta and Sauce: Add drained pasta to the sauce, tossing to evenly coat. Use reserved pasta water as needed to adjust consistency.

Phase 07

Finish and Garnish: Stir in grated Parmesan cheese and adjust seasoning as necessary. Serve immediately garnished with fresh basil or parsley if desired.

Tools needed

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

Allergy alerts

Review ingredients carefully for potential allergens and seek professional medical guidance if concerned.
  • Contains wheat (gluten), dairy (Parmesan, cream), and pork (Italian sausage).
  • May contain traces of nuts depending on cheese variety.

Dietary info (per portion)

Values shown are estimates only - please consult healthcare providers for specific advice.
  • Energy: 620
  • Lipids: 29 g
  • Carbohydrates: 60 g
  • Proteins: 28 g

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