Fettuccine With Creamy Tomato and Sausage Sauce

Total Time
Prep 25 mins
Cook 20 mins

Ever get tired of plain tomato sauce??? Try this one.........A family favorite for 10 years. The cream adds a taste and texture that is delicious and perfectly blends all the flavors...Kids love it also.........

Ingredients Nutrition


  1. Heat oil in heavy large pot over medium-high heat.
  2. Add shallots and garlic and saute until beginning to soften, about 3 minutes.
  3. Add sausages and saute until no longer pink, breaking up with back of fork, about 5 minutes.
  4. Add cream; simmer 5 minutes.
  5. Add tomatoes with juices, sage and crushed red pepper.
  6. Simmer until sauce thickens, stirring occasionally, about 15 minutes.
  7. Meanwhile, cook pasta in large pot of boiling salted water until just tender but still firm to bite.
  8. Drain pasta, reserving 1/2 cup cooking liquid.
  9. Return pasta to same pot; add sauce.
  10. Toss over medium heat until sauce is combined with pasta, adding reserved liquid in 1/4 cupfuls if mixture is dry.
  11. Season with salt and pepper.
  12. Transfer to bowl.
  13. Sprinkle with cheese.
  14. Serve.
Most Helpful

Pretty good recipe. I made it a while ago so I can't remember exactly how much I liked it. Will try making it again and revise my review.

alohanoa July 25, 2011

Very nice flavour. I made it exactly as stated and served it over lemon pepper fettuccine. I think next time I will add more spices as I think the cream toned down the spicyness.Also I will probably use hot Italian sausage instead of the sweet Italian sausage. Many thanks for a great meal.

Kate in Ontario January 24, 2003