Bow Ties With Sausage, Tomato, and Cream

Total Time
Prep 15 mins
Cook 30 mins

A very easy pasta dish for busy evenings. I like it served with crusty bread (to dip in the sauce) and a tossed salad. I have even doubled the recipe and served it to guest on a casual evening.

Ingredients Nutrition


  1. Bring a large pot of lightly salted water to a boil.
  2. Cook pasta in boiling water for 8 to 10 minutes, or until al dente; drain.
  3. Heat oil in a large, deep skillet over medium heat.
  4. Cook sausage and pepper flakes until sausage is heated and browning around the edges.
  5. Stir in onion and garlic, and cook until onion is tender.
  6. Stir in tomatoes, cream, and salt.
  7. Simmer until mixture thickens, 8 to 10 minutes.
  8. Stir cooked pasta into sauce, and heat through.
  9. Sprinkle with parsley.


Most Helpful

My husband declared this the best recipe on Delicious!!! I used andouille sausage.

Jazz Lover October 26, 2011

I made this for the 2nd time tonight and I have to say I love it! The first time I halfed the amount of pasta and added some asparagus I had to use up at the end of cooking time just to get it tender enough to eat. It was great - both DH and DS (2.5 years old) ate 2 helpings! The second time I made it, I used the full amount of pasta but should have used only half. I added broccoli this time and I added some garlic powder and italian seasonings, I only had about a cup of cream, so I used that and the rest 2% milk. I also only had 1 can of italian seasoned tomatoes so I used that and 1 can of just plain diced tomatoes. It was great again! Both DH and DS ate two helpings again! This is a keeper! Thanks so much!

FKHamer December 18, 2011

Very nice recipe. A few changes but nothing that impacted the flavor. I used a mix of hot and sweet Italian sausage, it was what I had on hand and I removed it from the casing and cooked it. I didn't break it up that much and left it in pretty large chunks. I did add a bit more onion (personal taste) I love onion. I used the heavy cream, garlic, etc, but I did add 1 tablespoon fresh basil to the sauce. I love fresh herbs. It thickened up nicely with the heavy cream. Half and Half or milk just will not thicken like heavy cream. Also adding the pasta to the sauce will thicken up the sauce naturally.

It turned out great. I garnished with a little extra parsley and pecorino romano for a little tang. I loved it. Definitely make again.

Two notes. Get heavy cream as the recipe calls for and good tomatoes and fresh herbs. That really makes the recipe.

Thx for a nice quick easy recipe.

SarasotaCook August 24, 2010

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