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)

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.

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