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Creamy Tuscan Sausage Pasta

Creamy Tuscan Sausage Pasta is the ultimate comfort food—rich, savory, and packed with sun-dried tomatoes, spinach, and Italian sausage in a luscious garlic-Parmesan cream sauce. Perfect for weeknights or entertaining, this one-skillet pasta dish delivers restaurant-worthy flavor in under an hour.
Prep Time 10 minutes
Cook Time 28 minutes
Total Time 40 minutes
Course Main Course
Cuisine American, American / Italian-Inspired
Servings 4
Calories 620 kcal

Equipment

  • Large skillet or sauté pan
  • Pasta pot
  • Wooden spoon or spatula
  • Tongs
  • Cheese grater
  • Colander or strainer
  • Measuring Cups and Spoons

Ingredients
  

  • 12 oz pasta (penne, rigatoni, or fettuccine)
  • 1 lb Italian sausage (mild or spicy, casings removed)
  • 1 small onion, diced
  • 3–4 garlic cloves, minced
  • ½ cup sun-dried tomatoes (oil-packed, drained & chopped)
  • 1 cup heavy cream (or half-and-half)
  • 2 cups fresh spinach (or kale)
  • ½ cup freshly grated Parmesan cheese (plus more for garnish)
  • ¼ cup white wine (optional)
  • ½ tsp salt (adjust to taste)
  • ¼ tsp black pepper
  • ¼ tsp red pepper flakes (optional)
  • ½ cup reserved pasta water (as needed)

Instructions
 

Cook the Pasta:

  • Bring a large pot of salted water to a boil. Cook pasta until al dente. Reserve ½ cup of pasta water, then drain.

Brown the Sausage:

  • In a large skillet over medium-high heat, cook sausage until browned and crumbly, 6–8 minutes. Transfer to a plate, leaving a bit of fat in the pan.

Sauté Aromatics:

  • Add onion and garlic to the same skillet. Sauté until soft and fragrant, about 3 minutes.

Deglaze (Optional):

  • Add white wine and stir, scraping up any browned bits from the pan.

Add Sun-Dried Tomatoes & Cream:

  • Stir in sun-dried tomatoes and pour in the cream. Bring to a gentle simmer.

Add Greens & Cheese:

  • Stir in spinach and Parmesan. Let spinach wilt and cheese melt into the sauce

Combine with Pasta:

  • Return sausage to the skillet. Add drained pasta and a splash of reserved pasta water. Toss to coat everything in the sauce.

Finish & Serve:

  • Taste and adjust seasoning. Let rest 2–3 minutes before serving. Garnish with more Parmesan and herbs if desired.

Notes

  • Make it Spicy: Use hot Italian sausage or add extra chili flakes.
  • No Heavy Cream? Use half-and-half + 1 tbsp butter for similar richness.
  • Gluten-Free Option: Use gluten-free pasta and check sausage ingredients.
  • Vegetarian Version: Substitute sausage with sautéed mushrooms or plant-based sausage.
  • Storage: Refrigerate in an airtight container up to 4 days. Add a splash of cream or milk when reheating.
Keyword creamy tuscan sausage pasta, easy weeknight dinner,, Italian sausage recipes, one pot pasta, sun-dried tomato pasta