This post may contain affiliate links. Please read our disclosure policy.

This spicy Italian sausage pasta recipe is fast, easy, and uses minimal ingredients. It’s the perfect weeknight dinner that tastes like it came from a restaurant!

I think you’ll also like my Italian Sausage Tortellini Soup, Easy Italian Sausage Tomato Pasta, or this One Pan Creamy Gnocchi with Sausage.

spicy Italian sausage penne pasta with a fork in a white bowl

Why you’ll love it

Italian sausage and pasta is a magical combo. This pasta recipe is ideal for those sausage and carb lovers out there (like me), naturally. Spicy Italian sausage, tomatoes, garlic, cream, lots of parmesan cheese, and a touch of fresh basil make this recipe a winner.

The sauce is creamy, but not too creamy if you know what I mean. It’s tomato-y first and foremost. I am not a huge spice person, and I thoroughly enjoyed this dish. It has just enough zing, in my opinion. And it’s ready in just 30 minutes!

What you’ll need

  • Pasta – penne goes really well with this spicy Italian sausage pasta recipe. The little tubes are perfect for that sauce.
  • Sausage – I chose Johnsonville hot Italian sausages
  • Garlic – for added savory flavor
  • Chicken broth – the base of the sauce, or use a dry white wine for a fancy touch
  • Flour – to thicken the sauce
  • Canned diced tomatoes – they’re convenient and canned at the peak of ripeness
  • Heavy cream – it helps mellow some of that acidity from the tomatoes and spice from the sausage and make the sauce silky
  • Basil – for a pop of freshness
ingredients for spicy italian sausage pasta in prep bowls

Tools for this recipe

Check out Natasha’s favorite kitchen essentials, gadgets, and cookware!

How to make spicy Italian sausage pasta

This is an overview with step-by-step photos. Full ingredients & instructions are in the recipe card below.

browning sausage meat in a skillet and whisking in garlic and flour and broth

Cook the pasta until al dente. Meanwhile, brown the sausage in a skillet, then transfer to a plate. Drain most of the excess fat. Add the garlic and chicken broth to the pan, then the flour. Whisk until incorporated, and scrape up the browned bits.

making the sauce for spicy italian sausage pasta in a skillet, and adding in penne and fresh basil

Let it reduce for a couple of minutes. Add in the canned tomatoes and cream, and return the sausage meat. Cook until thickened, and season with salt & pepper. Right before serving, add the basil, then toss with the drained pasta. Top with parmesan if using.

Substitutions and variations

  • I like penne for this one, but you’re welcome to use another shape if you wish.
  • Want to make this pasta more spicy? Add a pinch of cayenne pepper or some red pepper flakes. On the flip side, if you don’t want it to be spicy, just use mild Italian sausages.
  • I don’t recommend substituting the cream for something with less fat. The sauce may curdle, and it won’t taste as intended.
Italian sausage penne close-up

What to serve with spicy sausage pasta

Leftovers and storage

  • Store leftover sausage pasta in an airtight container in the fridge for 3-4 days.
  • Reheat in a saucepan slowly over a low heat.
  • You could freeze this one, but keep in mind the texture of the pasta may change.
closeup of a skillet with spicy italian sausage pasta

Hope you’ll love this hot Italian sausage pasta recipe! Questions? Let me know in the comments below. Please leave a star rating and review! Find me on Instagram too.

Italian sausage penne close-up
4.91 from 143 votes

Spicy Italian Sausage Pasta

This spicy Italian sausage pasta is fast, easy, and uses minimal ingredients. It's the perfect weeknight dinner that tastes like it came from a restaurant!
Prep: 10 minutes
Cook: 20 minutes
Total: 30 minutes
Servings: 4

Ingredients 

  • 8 ounces uncooked penne
  • 11 ounces hot Italian sausages see note
  • 3 cloves garlic minced
  • 1/2 cup chicken broth or white wine
  • 1/2 tablespoon flour
  • 1 (14 ounce) can diced tomatoes with juices
  • 1/2 cup heavy/whipping cream
  • Salt & pepper to taste
  • Small handful fresh basil sliced/torn into small pieces
  • Freshly grated parmesan cheese to taste

Instructions 

  • Bring a large pot of salted water to a boil. Cook the pasta al dente according to package directions.
  • Meanwhile, take the sausage meat out of the casings and crumble it into a skillet. Cook it for about 5-6 minutes, stirring occasionally, over medium-high heat until browned.
  • Once the sausage is browned, take it out of the pan and transfer to a plate. If there's a lot of excess fat left in the skillet, drain most of it.
  • To the skillet, add the garlic, followed by the chicken broth. Sprinkle the flour in. Whisk it until the flour has dissolved, and scrape any browned bits from the bottom of the pan. Cook this mixture until it's significantly reduced (should only take a minute or two in total).
  • Add in the tomatoes, cream, and the sausage meat. Cook the sauce for a few more minutes until it's thickened to your liking. Season with salt & pepper as needed.
  • Just prior to serving, add in the torn basil leaves and then toss with the drained pasta. Serve with freshly grated parmesan cheese.

Notes

  • I used 3 sausages from a 5-pack of Johnsonville hot Italian sausages. Anything in the 11 oz ballpark will work, or you can even use more sausage meat if you wish. You can use mild Italian sausages if you prefer.
  • I don’t recommend substituting the heavy cream because the acidity in the tomatoes will likely curdle half-and-half or milk.
  • If you don’t have any basil, feel free to leave it out, but I really like the fresh flavor it adds.
  • I used my handy Microplane zester/grater to grate the parmesan.
  • Nutritional information is provided as a courtesy only and should be construed as an estimate rather than a guarantee. Ingredients can vary and Salt & Lavender makes no guarantees to the accuracy of this information.

Nutrition

Calories: 607kcal, Carbohydrates: 49g, Protein: 21g, Fat: 36g, Saturated Fat: 16g, Polyunsaturated Fat: 4g, Monounsaturated Fat: 14g, Cholesterol: 93mg, Sodium: 833mg, Potassium: 556mg, Fiber: 3g, Sugar: 5g, Vitamin A: 586IU, Vitamin C: 12mg, Calcium: 83mg, Iron: 3mg

Nutrition information is automatically calculated, so should only be used as an approximation.

© Salt & Lavender Inc. Content and photographs are copyrighted. Sharing this blog post is much appreciated, but copying and pasting full recipes without authorization to social media is strictly prohibited.

Leave a star rating and comment below!

This recipe was originally published on June 6, 2016. It’s been tweaked to be even easier, tastier, and has new photos!


Hi! Iโ€™m Natasha.

Salt & Lavender is a recipe blog with a focus on delicious comfort food using everyday ingredients. Beat the weekday grind with hundreds of easy-to-follow and hassle-free recipes!

The Salt & Lavender cookbook is here! Order Now

4.91 from 143 votes (9 ratings without comment)

Leave a comment

Please leave a recipe rating!

Your email address will not be published. Required fields are marked *

Recipe Rating




This site uses Akismet to reduce spam. Learn how your comment data is processed.

380 Comments

  1. Maureen Hannah says:

    5 stars
    This was a surprisingly simple recipe with little prep time. It was delicious, especially after leaving it for an hour in the Dutch oven before serving it. I paired it with a Merlot and Cabernet Sauvignon blend from Franceโ€™s Bergerac region (four-year-old vintage for $15, from Dordogne Valley).

    1. Natasha says:

      I’m so glad it was a hit, Maureen! ๐Ÿ˜€

  2. Tristan says:

    5 stars
    It was super good! I didnโ€™t have cream (havenโ€™t gone grocery shopping and was down to the bare minimums) so I used some left over Alfredo sauce, I added sundried tomatoes along with the garlic and I chopped kale in my food processor and added it once I mixed the sauce and the pasta. Really good.

    1. Natasha says:

      I’m so happy it worked out, Tristan! ๐Ÿ™‚

  3. Madelaine says:

    5 stars
    This recipe was delicious and was a hit with my family! I added a chopped red pepper into it which added a nice pop of flavour ๐Ÿ˜Š thank you!

    1. Natasha says:

      Yay!! Glad it was a hit! Love the red pepper idea.

  4. Mai says:

    A trick I learned from my great grandmother was add cream or milk first before tomatoes and it wonโ€™t curdle. Works for me.

  5. Rachel says:

    5 stars
    This recipe has been in my weekly rotation for the better part of 2 years. Itโ€™s the lowest effort for most reward of any dinner recipe Iโ€™ve tried.

    Absolutely delicious.

    I never change anything, unless I donโ€™t have any fresh basil on hand, then Iโ€™ll add a swirl of Durantโ€™s Basil olive oil as a garnish.

    Itโ€™s really unbeatable. If you make it once, youโ€™ll make it again.

    1. Natasha says:

      Aww I’m so happy to hear that!! Thanks for your review! ๐Ÿ˜€

  6. Kari says:

    5 stars
    Delicious and quick.
    Just made tonight and the family loved it. Used a can of ro-tel and some ground hot Italian sausage.
    This will be made again!!

    1. Miranda @ Salt & Lavender says:

      Excellent!! Glad it was a hit with the family, Kari.

  7. Deb says:

    5 stars
    Wow, I feel like I just had dinner at a restaurant! So good! I used local hot Italian sausage and white zinfandel instead of chicken stock. Yummy!

    1. Miranda @ Salt & Lavender says:

      That’s so kind of you to say! Thanks for your review, Deb! ๐Ÿ™‚

  8. Sarah says:

    Great recipe! Made it a few times and love it. Planning to make it tomorrow and wondering if I can substitute a jarred 4 cheese pasta sauce instead of diced tomatoes?

    1. Natasha says:

      Hi! I’m so glad. You could for sure try, but ensure that you don’t cook it at too high a heat as a cheese sauce could separate. I can’t really speak to exactly how it’ll taste, but I imagine if you like the jarred sauce, it should be yummy. ๐Ÿ™‚

  9. Evilpig says:

    Skipped the chicken broth and flour step and added an onion with the garlic and cooked it with the Sausage. Came out amazing. Added some habenero shredded cheese at the end and it was deliciously spicy!

    1. Natasha says:

      Excellent!!

  10. Jan ham says:

    5 stars
    I made this dish tonight and thought I was in an authentic Italian restaurant. Followed recipe to the last detail, just delicious.
    Would I be able to freeze it, I did use cream.
    Thank you

    1. Natasha says:

      Fantastic!! Glad you enjoyed it. You could try freezing it. I think it should be ok since it’s not something like Alfredo sauce, but there’s always a chance the texture could change a bit. Thanks for your review, Jan!