Why You’ll Love This Recipe

Creamy Italian Sausage Fettuccine Pasta is a rich and comforting dish that combines the savory flavor of Italian sausage with a luscious cream sauce, all tossed with tender fettuccine noodles. Perfect for weeknight dinners or casual gatherings, this hearty pasta dish delivers big flavor with minimal effort. The creaminess, combined with the slight spice of sausage, makes each bite irresistible.

ingredients

(Tip: You’ll find the full list of ingredients and measurements in the recipe card below.)

fettuccine noodlesItalian sausage (mild or spicy, casings removed)olive oilgarlic (minced)onion (chopped)heavy creamchicken brothgrated Parmesan cheesesaltblack pepperred pepper flakes (optional)fresh parsley (chopped, for garnish)

directions

Cook the fettuccine noodles according to package instructions. Drain and set aside.

In a large skillet, heat olive oil over medium heat. Add Italian sausage and cook until browned, breaking it apart as it cooks.

Add chopped onion and minced garlic to the skillet and sauté until the onion is soft and translucent.

Pour in the chicken broth and bring to a simmer, scraping up any browned bits from the pan.

Reduce the heat to low and stir in the heavy cream. Let it cook for 3-5 minutes until slightly thickened.

Add grated Parmesan cheese and stir until the sauce becomes creamy and smooth.

Season with salt, black pepper, and red pepper flakes if using.

Toss the cooked fettuccine noodles into the sauce, coating them evenly.

Simmer for another 2-3 minutes to allow the flavors to meld.

Garnish with chopped fresh parsley before serving.

Servings and timing

This recipe yields approximately 4 servings.Preparation time: 10 minutesCooking time: 20 minutesTotal time: 30 minutes

Variations

Use spinach or sun-dried tomatoes for added color and texture.

Swap fettuccine with penne or rigatoni for a different pasta experience.

Try a blend of Italian sausage and ground beef for a meatier twist.

Add a splash of white wine to the sauce for extra depth.

Use half-and-half instead of heavy cream for a lighter version.

storage/reheating

Store leftovers in an airtight container in the refrigerator for up to 4 days.Reheat gently on the stovetop or in the microwave, adding a splash of cream or broth to loosen the sauce if needed.Freeze for up to 2 months, though the cream sauce may slightly separate when reheated.

FAQs

Can I use pre-cooked sausage?

Yes, just slice and sauté briefly before adding the onion and garlic.

Is this dish spicy?

It depends on the sausage. Use mild for a family-friendly version or spicy for a kick.

Can I make it gluten-free?

Yes, just use gluten-free pasta and ensure the sausage and broth are gluten-free.

Can I substitute milk for heavy cream?

You can, but the sauce will be thinner and less rich. Whole milk works best if substituting.

Can I add vegetables?

Absolutely—spinach, mushrooms, or bell peppers pair beautifully with this dish.

What type of Parmesan should I use?

Freshly grated Parmesan melts better and provides the best flavor.

Can I make this ahead?

Yes, you can prepare the sauce in advance and reheat it before tossing with fresh pasta.

Is it okay to use chicken sausage?

Yes, chicken sausage works well and offers a lighter alternative.

Does it work with whole wheat pasta?

Yes, though the texture and flavor will be slightly different.

How do I prevent the sauce from curdling?

Keep the heat low when adding cream and avoid boiling once the dairy is added.

Conclusion

Creamy Italian Sausage Fettuccine Pasta is the ultimate comfort food that brings rich flavor and satisfying texture to your dinner table. With simple ingredients and quick preparation, it’s an easy go-to for when you want something delicious without spending hours in the kitchen. Whether for a quiet night in or a meal with friends, this creamy pasta dish is sure to impress.