Pasta in Sausage, Cremini, and Tomato Cream Sauce

READY IN: 30mins
Recipe by Sitka Sound

This delicious pasta is very simple to make, yet it tastes as though it took hours. There are many variations of this recipe, but I've found this to be the easiest and best tasting. It is by no means a low-fat meal, but if you go for a nice big walk after you eat, you will think this pasta was worth the extra exercise! Serve it with a crisp salad and some crusty bread (for mopping up any excess sauce!).

Top Review by jessiethebestie

Made this a little leaner by using deer sausage and 2% milk, was still really great!! Also used medium shells for the noodles. Has been moved to my keeper recipes!

Ingredients Nutrition


  1. In a large skillet over medium heat, melt butter and cook onions until they start to soften, stirring frequently.
  2. Add mushrooms and garlic to skillet. Cook, stirring frequently, until mushrooms soften and onions begin to turn translucent (about 5 minutes).
  3. At this point, bring water to boil in a large pot. Add pasta and cook according to package directions. Shoot for an al dente pasta, as it will hold up better in the sauce.
  4. Add ground sausage to skillet and, using a spatula, break it into chunks as it cooks. Adjust temperature as needed to thoroughly cook the sausage.
  5. When sausage is browned, drain any drippings off of the skillet. Return to medium heat and add drained tomatoes.
  6. When tomatoes have heated through, add cream, thyme and rosemary. Bring to a simmer and reduce heat to med-low.
  7. Simmer until sauce thickens (about 5 minutes). Remove from heat and add cheese, stirring until melted into the sauce.
  8. Add cooked pasta to skillet and toss with sauce. Adjust the amount of pasta added to the skillet according to how 'saucy' you like your dish.
  9. Season with salt, fresh ground pepper to taste. Garnish with additional grated parmasean and fresh parsley.

Join the Conversation

  • all
  • reviews
  • tweaks
  • q & a