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

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!!

MizzNezz August 25, 2002

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!

Titanium Chef July 25, 2002

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!

Kirstin in the Couv October 14, 2002