Pasta with Sausage, Tomatoes, and Cream

Total Time
Prep 10 mins
Cook 15 mins

Delicious and satisfying... I don't remember where this recipe comes from, but it's a pleaser! Easily doubled. Also, works well with gf pasta and sausage

Ingredients Nutrition


  1. Heat oil in a heavy skillet over medium heat.
  2. Add sausage and crushed red pepper.
  3. Cook until sausage is no longer pink, stirring frequently, about 7 minutes.
  4. Add onion and garlic to skillet and cook until onion is tender and sausage is light brown, stirring occasionally, about 7 minutes.
  5. Add tomatoes, cream, and salt.
  6. Simmer until mixture thickens slightly, about 4 minutes.
  7. (Can be prepared one day ahead. Cover and chill.).
  8. Cook pasta in large pot of boiling water.
  9. Drain.
  10. Bring sauce to a simmer.
  11. Add pasta to sauce and cook until pasta is heated through and sauce thickens, stirring occasionally, about 2 minutes.
  12. Divide pasta between plates.
  13. Sprinkle with parsley.
  14. Serve, passing Parmesan separately.
Most Helpful

5 5

This deserves more than 5 stars! This is an incredible tasting dish. Since I have tons of tomatoes in the garden, I used fresh peeled and seeded tomatoes. I made this with whole milk, added a few frozen peas for color, and the pasta we chose was penne. I will definitely make this often. Thanks!!

5 5

Let me just say this: YUM. Okay, and I'll say more: I just finished the leftovers for breakfast. This was a very easy dish and tasted like it took much more work. I let the sauce cook down a little more than suggested, and I added more red pepper flakes, and it was wonderful. Thanks for sharing this great recipe GinnyP!

5 5

Fabulous!!! Simply fabulous!! Very easy to make and the flavors mixed so well!!! I used canned tomatoes, but next time, BF and I decided that we will try fresh or maybe sundried. Perfect with a salad, bread and bottle of good chianti!