This post may contain affiliate links. Please read our disclosure policy.

This creamy sausage and peppers pasta recipe takes a classic combo and elevates it into a restaurant-worthy meal! It’s a quick and easy pasta you’ll find yourself craving.

Love this combo of ingredients? Try my Sausage and Peppers Skillet or Sausage and Vegetable Pasta next.

a bowl of creamy sausage and peppers pasta with a fork

Why you’ll love it

Sausage and peppers is one of those already delicious combinations that just tastes so good, and I’m upgrading it in this creamy pasta recipe that’s rich and decadent. I wouldn’t consider this one totally extravagant, but it might be something you save as a Friday night treat.

With this recipe, you’ll create something special out of everyday ingredients that’s as good as you’d get at a restaurant. This easy Italian sausage pasta has ordinary ingredients like bell peppers, garlic, and spinach, so there’s no need to shop around to make a fancy-tasting meal.

What you’ll need

  • Pasta – I used bucatini, which is a thin tube-shaped pasta that looks like spaghetti. You can use any variety, but I like longer pasta for the sauce in this one.
  • Italian sausage – you can use ground sausage meat or buy a pack of mild Italian sausages and take the meat out of the casings then crumble it into the skillet
  • Olive oil and butter – for sautéing
  • Onion and garlic – tasty aromatics in any good recipe! I like to use sweet (Vidalia) onions.
  • Bell peppers – I picked yellow and red for their bright color and natural sweetness
  • Flour – it thickens up the sauce
  • Heavy cream – for the luscious creamy quality
  • Dijon mustard – it’s a trick I use to enhance flavor. It’s not overpowering and definitely worth using.
  • Spinach – baby spinach adds a pop of freshness
ingredients for sausage and peppers pasta in prep bowls

Pro tip

  • Make sure to give the onions and peppers enough time to cook. I don’t like to rush this process. They get nice and soft and sweet and flavorful (almost caramelized) as they cook.

How to make sausage and peppers pasta

This is an overview with step-by-step photos. Full ingredients & instructions are in the recipe card below.

sauteing italian sausage and bell peppers in a skillet

Cook the pasta al dente. Meanwhile, brown the sausage in a skillet, and transfer it to a paper towel lined plate once done. Sauté the onion and bell peppers until the peppers have softened up and the onion is gently browned.

adding in cream to a skillet for sausage and peppers pasta

Melt in the butter, and add the garlic. Add the flour and cook for a minute while stirring well. Pour in the cream and stir in the Dijon mustard. Let it cook so it thickens up a touch.

adding spinach and bucatini to a skillet for creamy sausage and peppers pasta

Return the sausage to the skillet, and toss along with the fresh spinach. Drain the pasta, reserving a little bit of hot starchy water to add to the skillet, and toss it with the sauce until the spinach wilts. Season with salt & pepper.

Tools for this recipe

Check out Natasha’s favorite kitchen essentials, gadgets, and cookware!

  • It’s worth it to invest in a good skillet. I love my Le Creuset enameled cast iron skillet to get a great sear, and it’s also easy to clean.
  • I mince the garlic with this press so no peeling or chopping is needed.
  • A pair of kitchen tongs makes it really simple to both toss and serve this pasta.

Substitutions and variations

  • Add in some crushed red pepper flakes for heat, or use spicy Italian sausage instead.
  • You could get away without using flour if you need to, but the sauce will take a bit longer to thicken up. I’d also probably leave out the butter as well if not using the flour.
  • We haven’t tested substituting the heavy cream for anything with a lower fat content, but if you do, the sauce won’t be as rich and may not thicken up the same way.
closeup of serving tongs with bucatini with sausage and peppers

Leftovers and storage

  • Keep any leftovers of this Italian sausage pasta for a few days in the fridge in an airtight container.
  • Reheat slowly over low heat. You might need to add a splash more cream or chicken broth to revive the sauce as creamy sauces can dry out in the fridge.
  • I don’t recommend freezing this one due to the dairy content.

What to serve with this pasta

  • It’s optional, but a generous dusting of freshly grated parmesan cheese is highly recommended to top this one off.
  • Since it’s fairly rich, the best pairing I can think of is a big green salad. Dress it up with my Italian Dressing from Scratch. This Super Simple Parmesan Arugula Salad is another great choice.
  • A dinner roll, breadsticks, or a big slice of Cheesy Garlic Bread is the perfect complement if you’re looking to go all out for pasta night!
a skillet with creamy sausage and peppers pasta and serving tongs

If the post didn’t answer all your questions, talk to me in the comments below. I’d love it if you left me a review of this simple sausage and peppers pasta! You can also find me on Instagram.

a bowl of creamy sausage and peppers pasta with a fork
4.89 from 86 votes

Creamy Sausage and Peppers Pasta

This creamy sausage and peppers pasta recipe takes a classic combo and elevates it into a restaurant-worthy meal! It's a quick and easy pasta you'll find yourself craving.
Prep: 10 minutes
Cook: 30 minutes
Total: 40 minutes
Servings: 4


  • 8 ounces uncooked pasta I used bucatini
  • 1 pound Italian sausage see note
  • 1 tablespoon olive oil
  • 1/2 medium onion chopped
  • 1 medium red bell pepper chopped
  • 1 medium yellow bell pepper chopped
  • 1 tablespoon butter
  • 2-3 cloves garlic minced
  • 1 teaspoon flour
  • 1 cup heavy/whipping cream
  • 1/2 teaspoon Dijon mustard
  • 2 cups (packed) fresh baby spinach
  • Salt & pepper to taste
  • Freshly grated parmesan cheese optional, to taste


  • Boil a large, salted pot of water and cook the pasta al dente according to package directions.
  • Meanwhile, brown the sausage meat in a skillet over medium-high heat, breaking it up as you go along (about 8-10 minutes). Once it's cooked through, transfer it to a paper towel lined plate.
  • Add the oil to the skillet, along with the onion and chopped bell peppers. Cook until the onion is lightly browned and the peppers have softened up (about 7-8 minutes).
  • Reduce the heat to medium. Add the butter and garlic to the skillet, and once the butter melts, sprinkle in the flour and cook for about a minute, stirring well.
  • Stir in the cream and Dijon mustard (ensure there's no lumps from the flour). The sauce should thicken quite quickly, so don't let it cook for more than a minute or so before moving on to the next step.
  • Add the cooked sausage and spinach to the skillet and stir/toss.
  • Before draining the pasta, add in a splash (a couple tablespoons or so) of the hot pasta water to the skillet, then drain the pasta and add it to the skillet. Toss until the spinach has wilted and the pasta is coated with the sauce. Serve immediately with salt & pepper as needed and some freshly grated parmesan cheese.


  • Use either ground sausage meat or buy sausages and take the meat out of the casings.


Calories: 890kcal, Carbohydrates: 51g, Protein: 27g, Fat: 64g, Saturated Fat: 29g, Polyunsaturated Fat: 6g, Monounsaturated Fat: 25g, Trans Fat: 0.1g, Cholesterol: 161mg, Sodium: 892mg, Potassium: 708mg, Fiber: 3g, Sugar: 5g, Vitamin A: 3360IU, Vitamin C: 101mg, Calcium: 99mg, Iron: 3mg

Nutrition information is automatically calculated, so should only be used as an approximation.

© Salt & Lavender Inc. Content and photographs are copyrighted. Sharing this blog post is much appreciated, but copying and pasting full recipes without authorization to social media is strictly prohibited.

Leave a star rating and comment below!

Hi! I’m Natasha.

Salt & Lavender is a recipe blog with a focus on delicious comfort food using everyday ingredients. Beat the weekday grind with hundreds of easy-to-follow and hassle-free recipes!

The Salt & Lavender cookbook is here! Order Now

4.89 from 86 votes (19 ratings without comment)

Leave a comment

Please leave a recipe rating!

Your email address will not be published. Required fields are marked *

Recipe Rating

This site uses Akismet to reduce spam. Learn how your comment data is processed.


  1. Teresa Archbold says:

    5 stars
    My daughter cannot tolerate garlic or onions. While these are wonderful flavor boosters this recipe was delicious even without those ingredients!!

    1. Natasha says:

      I’m so glad it worked out, Teresa!

  2. Julie Corlew says:

    5 stars
    SO good! Your recipes never fail me!

    1. Natasha says:

      Thanks, Julie!! 😀

  3. Marlo Wall says:

    5 stars
    Was between a few recipes tonight and holy shiznit I’m stoked I chose this one! New favorite for sure, it was so simple to throw everything together and was delicious! Many left overs 🥰

    1. Natasha says:

      That makes me so happy!! 😀 Thanks, Marlo!

  4. Christy says:

    5 stars
    Delicious and in a constant rotation in our house. Some Italian sausage is more flavorful than others so make sure you find one you like because it could make it a little bland.

    1. Natasha says:

      Glad you like this one, Christy!

  5. Kathleen says:

    1 star
    Very disappointing pasta dish. Boring and bland. No seasoning in recipe. I had to add lots of additional ingredients to get any flavor to the recipe. I did not like the combination of Italian sausage with cream sauce.

    1. Miranda @ Salt & Lavender says:

      Hi Kathleen. Italian sausage and cream is a super popular combination which we certainly didn’t invent. Honestly, it sounds like user error. Perhaps you didn’t add enough salt to bring out the flavors in this reader favorite. Did you get a good sear on the peppers as suggested in the blog post?

  6. Jill says:

    5 stars
    Love this recipe. I added mushrooms with the peppers and onions and omitted the spinach (not spinach fans).

    1. Natasha says:

      So happy it was a hit, Jill! 😀

  7. Carolina M says:

    5 stars
    I made this today and it was amazing!! I used garlic/onion powder because I didn’t have fresh garlic but it tasted amazing still. It’s easy but just a little time consuming but worth it.

    1. Natasha says:

      That’s great!! So happy you enjoyed it!

  8. Patricia Reihing says:

    5 stars
    Wow this looks so good!
    This is something that my husband would devour! I will be making this soon!
    I love how clear and concise your instructions are – thank you!

    1. Natasha says:

      You are very welcome, Patricia!! Hope you guys enjoy it! Let me know! 🙂

  9. Pam says:

    5 stars
    My family LOVES this pasta! I use half and half instead of heavy cream. I freeze leftovers in single portions for quick meals.

    1. Natasha says:

      Yay!! Glad it’s a family fave, Pam! Thanks for your review.

  10. Danielle says:

    Could I substitute greek yogurt for the cream?

    1. Natasha says:

      I don’t recommend it.