Italian sausage pasta with tomato cream sauce is an easy, cozy weeknight dinner the whole family will love! I like to make a batch of this flavorful comfort food and enjoy the leftovers all week!
I feel a little weird posting this recipe for Italian sausage pasta with tomato cream sauce right after returning from my first trip to Italy because it’s totally not authentic, at least in Rome, Florence, or Venice.
EDIT: According to my Roman friend Laura of Your Guardian Chef, this is totally an authentic dish (see her comment on this post)! Trust her for sure, since I was only there for two weeks and she lived there.
That said, Italian food is very different depending on the region – the food in each of those three cities was very different, so who’s to say you wouldn’t find something like this in a different Italian city? It does seem that they’re not very big on putting Stuff in their pasta for the most part, though. And this pasta is delightfully full of Stuff.
Authenticity aside, though, this recipe is freaking delicious, and I will not stop making it even now that I know better.
I came across this recipe on Allrecipes.com wayyyy back in 2005. My friends and I decided to throw a back-to-school dinner party in the living room of our dorm when we returned to school for our sophomore year of college. We invited a bunch of our dorm and college friends, so we needed something we could make large quantities of to feed everyone.
I thought this Italian sausage pasta with tomato cream sauce sounded pretty awesome and made a double batch, among other things.
It was a huge hit – plus, we had so much food that random freshmen and people we didn’t know started grabbing plates and joining the fun, and since we had plenty, we didn’t stop them.
The RAs were all standing around dumbfounded since we, some random residents, ended up throwing a wildly successful residence hall social event without them having anything to do with it. (spoiler: I was an RA for the two years following that one)
I don’t remember what else we cooked that night, but I remember this one and still make it to this day! I don’t use nearly as much cream as the original recipe calls for but I don’t think it needs it.
This Italian sausage pasta is great for making at the beginning of the week and eating for lunch for days. It’s one of those recipes where you never get tired of the leftovers and are sad when they’re gone.
This recipe usually feeds my husband and me for dinner and gives me about 3-days-worth of lunch portioned leftovers. Yum!
It’s easy to double if you need to feed a crowd — and since there isn’t any chopping or other ingredient prep, it doesn’t take any longer to make!
Enjoy, and I hope this Italian sausage pasta becomes as much of a favorite for you as it is for me!
Italian Sausage Pasta with Tomato Cream Sauce
- 1 tbsp olive oil
- 1 medium onion chopped
- 2 cloves garlic minced
- 1 lb sweet italian sausage removed from casings if necessary
- 1/4-1/2 tsp red pepper flakes
- 28 oz can diced tomatoes undrained
- 1/3 cup heavy cream
- 1 tbsp cornstarch
- 12 oz bowtie pasta
- 4 oz fresh spinach
- Heat olive oil over medium heat. Sauté onions until translucent, about 2-4 minutes. Add garlic and cook about 30 seconds. Add sausage and break apart into small pieces while browning, about 5 minutes. Season to taste with red pepper flakes.
- Meanwhile, cook pasta according to package directions.
- When sausage is browned, add undrained tomatoes and heavy cream. Bring to a simmer.
- Mix cornstarch with cold water to make a slurry, then add slowly to sauce, stirring constantly. Cook until thickened. Stir in pasta and spinach.