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This spicy Italian sausage pasta recipe is fast, easy, and uses minimal ingredients. It’s the perfect weeknight dinner that tastes like it came from a restaurant!

I think you’ll also like my Italian Sausage Tortellini Soup, Easy Italian Sausage Tomato Pasta, or this One Pan Creamy Gnocchi with Sausage.

spicy Italian sausage penne pasta with a fork in a white bowl

Why you’ll love it

Italian sausage and pasta is a magical combo. This pasta recipe is ideal for those sausage and carb lovers out there (like me), naturally. Spicy Italian sausage, tomatoes, garlic, cream, lots of parmesan cheese, and a touch of fresh basil make this recipe a winner.

The sauce is creamy, but not too creamy if you know what I mean. It’s tomato-y first and foremost. I am not a huge spice person, and I thoroughly enjoyed this dish. It has just enough zing, in my opinion. And it’s ready in just 30 minutes!

What you’ll need

  • Pasta – penne goes really well with this spicy Italian sausage pasta recipe. The little tubes are perfect for that sauce.
  • Sausage – I chose Johnsonville hot Italian sausages
  • Garlic – for added savory flavor
  • Chicken broth – the base of the sauce, or use a dry white wine for a fancy touch
  • Flour – to thicken the sauce
  • Canned diced tomatoes – they’re convenient and canned at the peak of ripeness
  • Heavy cream – it helps mellow some of that acidity from the tomatoes and spice from the sausage and make the sauce silky
  • Basil – for a pop of freshness
ingredients for spicy italian sausage pasta in prep bowls

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How to make spicy Italian sausage pasta

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

browning sausage meat in a skillet and whisking in garlic and flour and broth

Cook the pasta until al dente. Meanwhile, brown the sausage in a skillet, then transfer to a plate. Drain most of the excess fat. Add the garlic and chicken broth to the pan, then the flour. Whisk until incorporated, and scrape up the browned bits.

making the sauce for spicy italian sausage pasta in a skillet, and adding in penne and fresh basil

Let it reduce for a couple of minutes. Add in the canned tomatoes and cream, and return the sausage meat. Cook until thickened, and season with salt & pepper. Right before serving, add the basil, then toss with the drained pasta. Top with parmesan if using.

Substitutions and variations

  • I like penne for this one, but you’re welcome to use another shape if you wish.
  • Want to make this pasta more spicy? Add a pinch of cayenne pepper or some red pepper flakes. On the flip side, if you don’t want it to be spicy, just use mild Italian sausages.
  • I don’t recommend substituting the cream for something with less fat. The sauce may curdle, and it won’t taste as intended.
Italian sausage penne close-up

What to serve with spicy sausage pasta

Leftovers and storage

  • Store leftover sausage pasta in an airtight container in the fridge for 3-4 days.
  • Reheat in a saucepan slowly over a low heat.
  • You could freeze this one, but keep in mind the texture of the pasta may change.
closeup of a skillet with spicy italian sausage pasta

Hope you’ll love this hot Italian sausage pasta recipe! Questions? Let me know in the comments below. Please leave a star rating and review! Find me on Instagram too.

Italian sausage penne close-up
4.91 from 124 votes

Spicy Italian Sausage Pasta

This spicy Italian sausage pasta is fast, easy, and uses minimal ingredients. It's the perfect weeknight dinner that tastes like it came from a restaurant!
Prep: 10 minutes
Cook: 20 minutes
Total: 30 minutes
Servings: 4

Ingredients 

  • 8 ounces uncooked penne
  • 11 ounces hot Italian sausages see note
  • 3 cloves garlic minced
  • 1/2 cup chicken broth or white wine
  • 1/2 tablespoon flour
  • 1 (14 ounce) can diced tomatoes with juices
  • 1/2 cup heavy/whipping cream
  • Salt & pepper to taste
  • Small handful fresh basil sliced/torn into small pieces
  • Freshly grated parmesan cheese to taste

Instructions 

  • Bring a large pot of salted water to a boil. Cook the pasta al dente according to package directions.
  • Meanwhile, take the sausage meat out of the casings and crumble it into a skillet. Cook it for about 5-6 minutes, stirring occasionally, over medium-high heat until browned.
  • Once the sausage is browned, take it out of the pan and transfer to a plate. If there's a lot of excess fat left in the skillet, drain most of it.
  • To the skillet, add the garlic, followed by the chicken broth. Sprinkle the flour in. Whisk it until the flour has dissolved, and scrape any browned bits from the bottom of the pan. Cook this mixture until it's significantly reduced (should only take a minute or two in total).
  • Add in the tomatoes, cream, and the sausage meat. Cook the sauce for a few more minutes until it's thickened to your liking. Season with salt & pepper as needed.
  • Just prior to serving, add in the torn basil leaves and then toss with the drained pasta. Serve with freshly grated parmesan cheese.

Notes

  • I used 3 sausages from a 5-pack of Johnsonville hot Italian sausages. Anything in the 11 oz ballpark will work, or you can even use more sausage meat if you wish. You can use mild Italian sausages if you prefer.
  • I don’t recommend substituting the heavy cream because the acidity in the tomatoes will likely curdle half-and-half or milk.
  • If you don’t have any basil, feel free to leave it out, but I really like the fresh flavor it adds.
  • I used my handy Microplane zester/grater to grate the parmesan.
  • Nutritional information is provided as a courtesy only and should be construed as an estimate rather than a guarantee. Ingredients can vary and Salt & Lavender makes no guarantees to the accuracy of this information.

Nutrition

Calories: 607kcal, Carbohydrates: 49g, Protein: 21g, Fat: 36g, Saturated Fat: 16g, Polyunsaturated Fat: 4g, Monounsaturated Fat: 14g, Cholesterol: 93mg, Sodium: 833mg, Potassium: 556mg, Fiber: 3g, Sugar: 5g, Vitamin A: 586IU, Vitamin C: 12mg, Calcium: 83mg, 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!

This recipe was originally published on June 6, 2016. It’s been tweaked to be even easier, tastier, and has new photos!


Hi! I’m Natasha.

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331 Comments

  1. I can’t eat tomatoes. Would it still taste good if I don’t put them in? Also if I don’t have tomatoes can I sub milk instead of heavy cream?

    1. Hi! Hmm… I mean the tomatoes really are the base of the sauce. I don’t want to tell you that you can leave them out because it would be a different recipe. Maybe try to Google a recipe with the ingredients you have? I just don’t want you to be disappointed… especially when ingredients are harder to find these days.

  2. You say not to sub milk for the heavy cream. As a [edited] person who doesn’t want to make a trip to the store, would you recommend subbing some combination of skim milk, sour cream, butter, yogurt, cream cheese?

    Thanks for the recipe!

    1. Hi Mike! It’s hard to say without testing. The tomatoes tend to curdle milk or half and half so that’s the main reason why I don’t recommend using those. I’d add a bit of cream cheese or sour cream if you like the tangy taste. ☺️

      1. Is there any preference to the type of white wine, will a moscato work or does it need to be a dryer white wine? Or cooking white wine?

        1. Dry white wine. Like a sauv blanc or Pinot Grigio. Moscato is sweet so I definitely wouldn’t use that.

  3. 5 stars
    I finally made this last night for my family. I took a picture of it when I saw the recipe and saved it in my phone. Truth is, I’m mad at myself for waiting around to make it. It was delicious! What I loved most, is that it was so simple to make. I will definitely be following up and trying more of your recipes. Great job❣️

      1. Just wanted to let you know I made this again last night and it was delicious☺️ We added some fresh spinach to it as well. I will be trying another one of your recipes soon. I’ll make sure I leave a review. I’m definitely a fan of your recipes. Thanks for sharing them❤️

  4. 5 stars
    I made this about a month ago. Very delicious! My wife doesn’t like Italian food but absolutely loved this. She is having me make it again tonight.

  5. 5 stars
    Huge hit! Quick, inexpensive and super delicious! Paired it with some warm, crusty bread and a side salad. Perfect!!

    1. 5 stars
      This was a big hit with my picky husband. He usually doesn’t eat tomatoes and will pick them out of a dish. I used fire roasted tomatoes and he enjoyed it enough to go back for seconds. As others have said, I also thought it was a simple and delicious dish. Those are usually the best IMO. I may even mix it up and use chicken bites in place of sausage another time. Thank you!!!

  6. Hi! I was thinking of trying out this recipe, but being pregnant, I cannot use canned tomatoes 🙁 Is there a substitute for that you’d recommend? I’ve been a huge fan of a lot of your recipes so I trust your substitution recommendations! Thanks so much!

    (Also, seriously thank you for posting your recipes online – I rave about how delicious and simple all your recipes have been to everyone).

    1. Hi Priya!! I’m so glad you like my recipes. 🙂 Let’s see… I think subbing fresh tomatoes in here would work just fine. They’re not in season right now (not for me here in North America, anyway), but I think the sauce will still be good. I’d say about 6 plum/roma tomatoes should do it… or whatever looks best at the store.