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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 122 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.

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!

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327 Comments

  1. 5 stars
    So delicious! I used 18% cream because it’s all I had and it didn’t curdle. So freaking yummy. I’ll definitely make it again!

    1. I’m so happy you liked it! I’m glad it didn’t curdle. Sometimes it does and other times you get lucky haha.

  2. 5 stars
    Oh my goodness, this was the best recipe! So easy to make and so delicious! My family enjoyed this recipe very much. 😊 thank you for sharing!

  3. 5 stars
    I love this recipe. Didn’t have whole cream on hand, and did what you suggested we “not” do, I use half and half cream. Surprise, surprise, it worked out perfectly!! Didn’t break up, and was very creamy. I also added about 6oz. of tomato sauce, because I love a tomato base. My only other substitute was fresh Cilantro (what I had on hand) vs. fresh basil. It was a hit for me. What I loved most was that from start to finish, it took less than an hour to get on the table. Yummy!!

    1. I’m so glad it worked out! Haha yeah, sometimes the half and half works and other times it doesn’t. That’s why I put the note in there… I don’t like people to be disappointed. 😬

  4. Can I substitute canned tomato sauce for the diced tomatoes? I’ve made the recipe as is before and it’s absolutely delicious, but I can’t watch my son pick out the tomato pieces any more lol!
    Would an 8 or 14 oz tomato sauce be an ok substitution?

    1. Hahha oh no! I think using tomato sauce instead should be fine. I’d try the 8 oz size first. That’s kinda my first instinct to do that, and if you find you need more sauce, do the 14 oz can next time. Let me know how it goes!

  5. 5 stars
    Hi Natasha! I plan on making this recipe this weekend for a group! Do you think I can sub the penne with cavatappi? If so (and I use the entire pkg of pasta) should I double all other ingredients to make sure there is enough sauce? I prefer a more saucy dish in general. Please let me know, and thank you!

    1. Hi! Sure, subbing the type of pasta is totally fine. Yes, I’d double the sauce just to be on the safe side. Let me know how it goes! 🥰

  6. 5 stars
    I made this tonite for dinner. I made adjustments after reading all the comments – I did 1/2 white wine, 1/2 chicken broth, and I added spinach. OMG delicious. A note of caution – while the spinach most definitely works flavorwise, I should have cooked it and thrown it in after because it added way to much liquid to the sauce and really thinned it up. That was my fault – this recipe is most definitely a keeper and I bet it would with chicken just as well.

    1. Hi! I’d probably wait to add the cream into the sauce just prior to serving if you’re planning on freezing it (and cook the pasta just prior to serving as well). If you’re just putting the sauce in the fridge, then yes, you can make it ahead of time and reheat on a low heat.

  7. 5 stars
    SO delicious!!! I used this recipe as a starting point and added canned Le Sueur peas and fresh spinach for some veggie component! It was so good my boyfriend and I went back for seconds! The only thing I would do differently next time, is sub the chicken broth for white wine or maybe do half wine and half chicken broth and double the flour so it would thicken a bit more. Otherwise this recipe is a total hit and will make again and again! Thanks Natasha!

      1. 5 stars
        I just made it and it’s so delicious and easy to make! How can I make more of the sauce in it? I like my pasta with a lot of sauce

        1. I’m so glad you liked it, Amy!! I’d add some more cream in if you don’t want to open another can of tomatoes. Or maybe a bit of extra white wine or some chicken broth.