This easy creamy sausage pasta recipe will become a staple in your house. It is so insanely delicious and the ultimate cozy comfort food in my opinion. Sausage meat is cooked until golden then mixed into a decadent parmesan cream sauce with sage and onion. It's special enough for a date night with some homemade pasta but easy enough for busy weeknights. The whole family will love this one!
Hi! Look, you know I love a creamy sauce, sue me! This is like my Creamy Tomato Sausage Pasta minus the tomato. It's is my ultimate comfort food. Simple and common ingredients to form a delicious dish you will come back to again and again. This should be your dinner tonight!
I've used a handmade garganelli (guide coming soon) but use any kind of pasta you like, fresh or dried. If you feel like making some pasta from scratch, use my homemade pasta dough recipe. You could make some homemade pappardelle or for a hand rolled shape, use my semolina pasta dough to make some gnocchi sardi or orecchiette.
Sausage meat - I like to use pork and fennel sausage as it's my particular favorite. You could use spicy Italian sausage or any other type of sausage that you like. It's squeezed out of the casings before cooking.
Onion - I like to cook the onions low and slow first, not to the point of caramelized onions but really soft and glassy.
Fresh sage - It adds such an earthy flavor to the sauce and I love to top the dish with some crisp sage too.
Cream - I prefer to use a light or single cream. I find the heat and parmesan thickens it up. If you only have heavy cream or just prefer it you can always add an extra splash of pasta water.
Parmesan cheese - The key to any delicious creamy pasta sauce! Finely grated with a microplane or the star side of a box grater is best.
- Take your time to cook the onions so they get slightly sweet but definitely not too coloured. The reason they get put aside after cooking is because parmesan can clump onto onions when being mixed into the cream. After testing I found it best to add them back in with pasta at the end.
- Don't constantly move the ground sausage around when cooking as it won't brown that way. You want some nice golden colour on the meat.
- The cream should never be boiling just a really nice gentle simmer on a medium or even medium-low heat.
- If using dried pasta, undercook it by a minute so it can bubble away IN the sauce for a minute or two at end and still be al dente.
- Always reserve a mug of the starchy pasta water before draining. I like to try and time the pasta cooking and sauce so I can transfer the cooked pasta straight into the sauce. I use a spider strainer for this.
How to make this creamy sausage pasta dish
The full ingredient list and method is in the recipe card below.
ONE: Gently fry the onions in a large skillet over a medium heat for 5 minutes and then set aside.
TWO: Fry the sausage meat on a medium-high heat, breaking up with a wooden spoon until cooked through. Add the chopped sage and cook for a further 30 seconds.
THREE: Add the cream and mix through. Don't stress if it looks a bit dodgy with the fats not mixing in, it will come together.
FOUR: Push the meat to one side and add the parmesan in a few seperate lots, letting it melt in between each addition. I like to use a flat whisk for this.
FIVE: Add the lemon juice and pepper and whisk quickly. The cream should only be at a very gentle simmer.
SIX: Add the cooked pasta straight in, toss and gently bubble for a minute or two. Add a splash of pasta water if you need to loosen.
I prefer to use a single or light cream. I find the heat and parmesan thickens it up. If you only have heavy cream or just prefer it you can always add an extra splash of pasta water.
Absolutely! Use whatever you like the flavor of, anything will work! Beef, lamb even chicken! Mild or hot italian sausage would be great options, I just personally love pork and fennel.
Yes definitely. You could add some cooked sliced bell peppers, broccoli florets or zucchini. Some toasted mushrooms would be divine too or a big handful of fresh spinach. I like to think of my recipes as a good base to make your own.
I'm always secretly judging anyone who has pasta leftovers! I don't love re-heating pasta but you can store leftovers in an airtight container in the fridge for two days.
Looking for more delicious pasta recipes to try?
If you loved this creamy sausage pasta recipe then with a simple squeeze of tomato paste you can make my Creamy Tomato and Sausage Pasta. My Delicious Sausage Pasta Bake is also a must, one for the entire family. If you want to really get to know what I'm about then make sure you check out my Guide to the Best Butter Sauce for Pasta.
Made this recipe and loved it?
I would love love LOVE if you could leave me a review down below and let me know what you thought! I love to hear any changes or adaptions you have made too. Also if you put a photo on instagram, please tag me so I can see, it makes my day!Print