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Home » Recipes » Pasta Recipes

Creamy Italian Sausage Pasta

Published: Aug 26, 2025 by Marsha McDougal · This post may contain affiliate links · Leave a Comment

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This Creamy Italian Sausage Pasta is one of my favorite 30-minute weeknight dinner meals. It’s made with ground Italian sausage, marinara sauce (to make things really easy), pasta, and a few more simple ingredients for a super quick pasta recipe! There’s so much delicious flavor packed in this dish and my family never gets tired of it. Add a side of garlic bread and a simple side salad and dinner is served!

Overhead view of Italian Sausage Pasta in a skillet with garlic bread and a wooden spoon on the side.

I love Italian sausage recipes because the sausage is already seasoned with lots of spices giving recipes like my creamy tortellini soup tons of flavor! This recipe honestly reminds me of the hamburger helper meals we had growing up, but this one doesn’t include a mystery sauce packet😄 And it’s 10x more flavorful!

Here’s What You’ll Need

  • Italian Sausage: You'll need just one pound of ground pork or turkey Italian sausage.
  • Onion, Garlic, and Spices: Onion, garlic and a few spices are added to amp up the flavor!
  • Marinara sauce: This is my secret to make this pasta recipe super easy. Instead of buying cans of tomato sauce, tomato paste, and diced tomatoes, you’ll only need to grab your favorite marinara sauce.
  • Half-and-Half and Parmesan: I wanted to make this Italian sausage pasta just a tad bit creamy, so I added some half-and-half and a little bit of parmesan cheese. Combined with the marinara sauce, it creates the most luscious sauce.
  • Pasta: Grab your favorite medium size pasta. I usually use penne pasta, but sometimes I like to switch it up with corkscrew pasta like you see in the main picture above.
Ingredients for Italian sausage pasta

How To Make Italian Sausage Pasta

Start by boiling the pasta according to the package instructions. Once it's done, drain the pasta and set it aside.

Italian sausage cooking in a large skillet.

Step One: While the pasta is cooking, go ahead and brown the Italian sausage in a large deep skillet.

Diced onion and garlic added to skillet.

Step Two: Add the diced onion, garlic, and spices. Sauté and cook for a few minutes until the onion is translucent.

Marinara sauce, cream and parmesan added to skillet.

Step Three: Now add the marinara sauce, half-and-half, and parmesan cheese. Stir well and simmer on medium low heat.

Cooked pasta added to skillet with sausage and sauce.

Step Four: Stir in the cooked pasta making sure it’s fully coated in that yummy sauce. Enjoy!

Time-Saving Tip!

I like to buy the ground Italian sausage that is already removed from its casing. You can find it right beside the regular Italian sausage links. This will save you time from having to cut and squeeze the sausage out of each individual casing.

More 30-Minute Dinner Recipes!

  • Sausage and Peppers Skillet
  • Easy Chicken Stir Fry
  • Chicken Sausage Stir-Fry with Vegetables
  • Creamy Chicken Asparagus Pasta
Overhead view of Creamy Italian Sausage Pasta in a serving bowl with garlic bread, a napkin, and fork on the side.
Overhead view of Italian Sausage Pasta in a skillet with garlic bread and a wooden spoon on the side.

Creamy Italian Sausage Pasta

Author: Marsha McDougal
A Creamy Italian Sausage Pasta made with simple ingredients, tons of flavor, and ready in under 30 minutes!
Print Recipe Pin Recipe
Prep Time 5 minutes mins
Cook Time 20 minutes mins
Total Time 25 minutes mins
Servings 5

Video

Equipment

  • Deep Casserole Skillet

Ingredients
  

  • 8 oz. dry pasta
  • 1 Tablespoon cooking oil
  • 1 lb. ground Italian sausage
  • 1 small yellow onion, diced
  • 2 cloves of garlic, minced
  • 1 ½ teaspoons Italian seasoning
  • 1 teaspoon fine sea salt
  • ½ teaspoon garlic powder
  • ¼ teaspoon black pepper
  • ¼ teaspoon red chili flakes (optional)
  • 2 cups marinara sauce
  • 1 cup half and half
  • ½ cup shredded parmesan cheese

Instructions
 

  • In a large pot of salted boiling water, add the pasta and cook according to package instructions. Once done, drain the pasta and set it aside.
  • While the pasta is cooking, begin heating a large deep skillet over medium heat and add the oil. Once the skillet is hot add the Italian sausage and cook until fully brown.
  • Now add the diced onion, garlic, and spices (Italian seasoning, salt, garlic powder, black pepper, and red chili flakes) Mix to combine with the sausage and cook for 2-3 minutes until the onion is translucent and the garlic is fragrant.
  • Next reduce the heat to medium-low and stir in the marinara sauce. Then add in the half-and-half and parmesan cheese. Stir until well combined. Simmer the pasta sauce for 3-4 minutes until it starts to thicken slightly.
  • Add the cooked pasta to the skillet and stir well to combine with the sauce. Serve with fresh chopped parsley (optional), extra parmesan cheese, and some garlic bread. Enjoy!

Nutrition

Serving: 1servingCalories: 647kcalCarbohydrates: 45gProtein: 26gFat: 40gCholesterol: 93mgSodium: 1788mgFiber: 4gSugar: 8g
Course Dinner, Main Course
Cuisine American, Italian
DID YOU MAKE THIS RECIPE?Be sure to leave a RATING and COMMENT down below. Your review and feedback is greatly appreciated!

This recipe was originally published in August 2022. It has been completely updated and refreshed with new photos and information.

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About Marsha McDougal

Marsha is a recipe developer and food photographer who loves sharing delicious dinner recipes made with wholesome ingredients. Marsha is also a wife, mom to three beautiful kiddos, a retired Corporate 9-5er, and a proud Nashville native!

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Marsha McDougal about profile picture

Hey there, I'm Marsha

And welcome to my little corner of the internet! I love sharing delicious dinner recipes and side dishes that are full of wholesome ingredients! I’m also a wife, mom to three beautiful kiddos, a breast cancer survivor, and a full-time recipe developer and food photographer. Let’s get cooking!

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