Pasta alla Norcina is a creamy pasta full of the comforting flavors of pork sausage, white wine, Pecorino Romano, and just a touch of nutmeg.  The velvety texture of the sauce pairs perfectly with the al dente pasta and crumbled sausage.  Relatively simple to make, this dish is perfect for a weeknight when you want just a bit of decadence.

Large black pan with finished pasta alla norcina.

Pasta alla Norcina may be the most underrated pasta EVER.

Underrated because with one exception, I have not seen this on the menu of Italian restaurants here in New York, and I think it damn well deserves to be! 😉

Perhaps that is because this dish hails from the city of Norcia in Italy’s Umbria region, where most of the Italian immigrants who came to the US (my ancestors included) were from Southern Italy and Sicily. 

Want to learn more?  We discuss the roots of this dish and more in episode 16 of The Sip and Feast Podcast – Pasta Norcina.

Traditionally, pasta alla Norcina is made using a pork sausage made in Norcia using a combination of white wine and nutmeg.  A bit different from the typical fennel pork sausage available here in New York.  

In addition to Norcia sausage, the dish is also typically topped with a shaving of black truffles, which are also foraged in Norcia.

So my attempt here is to deviate slightly from traditional while (hopefully) still maintaining the overall integrity of the dish.

I’m using bulk mild pork sausage and baby Bella mushrooms in the sauce along with some nutmeg, white wine, and heavy cream.

The result is quite possibly the most creamy, velvety, flavorful pasta you’ll ever eat.  

Fun Fact – The city of Norcia is known for its pork products, specifically cured and smoked pork, so much so that shops carrying such goods are often referred to as norcinerias after the name of the city.

Ingredients shown: paccheri pasta, sausage, onion, garlic, mushrooms, cream, white wine, and Pecorino Romano.

How to make pasta alla Norcina

Each number corresponds to the numbered written steps below.

  1. Bring a large pot of salted water (2 tablespoons kosher salt) to boil.  Chop up 8 ounces of mushrooms.  Note: I’m using baby Bella mushrooms but use any fresh mushrooms you can find.  Dried mixed mushrooms, that have been reconstituted also work very well for this dish.
  2. Finely dice 1 small onion and remove the skin from 3 cloves of garlic. 
Pasta alla Norcina recipe process shot collage group number one.
  1. Heat a very large stainless steel pan to medium heat.  Wait 3 minutes then add 2 tablespoons of olive oil and the sausage.  Brown the sausage while breaking it up with a wooden spoon.
  2. Once the sausage is brown and almost cooked (about 5-7 minutes) move it to the side and add the mushrooms.  Spread them out so that they sear and release their water.  Note: If you don’t have a large enough pan, (I’m using a 14″ stainless steel pan) sear the sausage first then remove and set aside.  The sausage can then be added back to the pan later after the mushrooms and onions have cooked.
  3. Once the mushrooms release their water and brown a bit (about 5 minutes) mix them in with the sausage and push both to the side.  If needed, add a couple more tablespoons of olive oil along with the onions and garlic and saute until soft (about 3-5 minutes).  Once the garlic turns golden, remove it and discard.  
  4. Mix everything together and add the wine.  Turn the heat up to medium-high and cook the alcohol out for about 60-90 seconds.  Scrape the bottom of the pan with a wooden spoon to remove all of the browned flavor bits.
Recipe process shot collage group number two.
  1. At this point, you can begin cooking your pasta in the salted boiling water. Add in the cream and bring the sauce to a simmer.  
  2. Once the sauce is simmering and has slightly thickened (about 2 minutes) turn the heat down to low. 
  3. Let the sauce simmer on the lowest setting, then add a half cup of pasta water and stir together.
  4. Add the pasta to the sauce when it isn’t yet quite al dente.  Turn heat to medium. Stir well and cook the pasta with the sauce. 
Recipe process shot collage group number three.
  1. Cook the pasta until it reaches just al dente.  If you need more pasta water to loosen things up, add a bit at a time. When the pasta is finished cooking remove the pan from the burner and add the Pecorino Romano.  
  2. Stir well and if too thick, again add a touch more of the reserved pasta water.  Season with a good amount of cracked black pepper and salt to taste.  Sprinkle a pinch of nutmeg into the pasta Norcina as well.  Serve with more grated Pecorino Romano and nutmeg on the side.  Note: It’s important to go easy on the nutmeg since it is so powerful.  Serve extra at the table to allow guests to season to their own personal tastes.
Large wooden spoon with paccheri alla norcina.

Top tips for amazing Norcina sauce

  • Go easy on the nutmeg.  Nutmeg is a strong spice and can be overpowering.  I’m usually not too prescriptive with my recipes and typically encourage folks to take liberties, but nutmeg is one of those ingredients you’re better erring on the side of caution.  Start by adding just a pinch and serve more on the side for those who would like more.
  • Reserve your pasta water (always).  This is good practice for any pasta dish, however, it’s of major importance for dishes light on sauce (like aglio e olio) and cream-based dishes like this alla Norcina.   If you’re waiting for your dinner companions to join you and the pasta starts to dry out, you can simply ladle a bit more pasta water to loosen it back up and bring it to its ultra creamy ideal state.
  • Use what’s available to you.  Unfortunately, Norcia sausage and black truffles aren’t available to most of us so improvising a bit is just fine.  If all you can find are sausage links with fennel, use them.  Just remove the sausage from the casing.  If you can’t get your hands on Pecorino Romano, you can use a Grana Padano or a Parmigiano Reggiano.  If you dislike mushrooms, don’t use them.  I just find that they add incredible texture to the dish and love the added flavor. 
  • Use tubular pasta.  Most of the time this dish will be made with rigatoni, penne, or tortiglioni.  In the pics, I used a mezzi paccheri which was absolutely delicious.  Basically, for a heavy sausage cream sauce like this, you want a heavy pasta that can hold up to it.    
Pasta alla Norcina held in black bowl.

More creamy pastas you’ll love

While pasta alla Norcina is now at the top of my list for creamy pastas, I think you’ll also love these other ones as well.  Let me know which is your favorite!

  • Fettuccine Alfredo – Butter, Parmigiano Reggiano, a touch of heavy cream, and of course, fettuccine!
  • Gorgonzola Cream Sauce Pasta – sausage, pasta, and peas in a gorgonzola dolce sauce.
  • Garlic mushroom pasta – Super easy pasta dish with heavy cream, Pecorino Romano, and loads of garlic and mushrooms.
  • Cacio e Pepe – Classic Roman dish made with pasta, black pepper, and Pecorino Romano cheese.  The secret is in the technique and the starchy pasta water.
  • Pasta alla Boscaiola – mushrooms, sausage and rosemary with pasta in a white wine cream sauce.
  • Creamy Italian sausage pasta – Pappardelle with a creamy sausage, tomato, white wine, and garlic sauce.
  • Salsa di Noci – Also known as walnut sauce, this dish includes cream, Moscato wine, garlic, Parmigiano Reggiano, and of course walnuts.

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Pasta alla Norcina

5 from 89 votes
Prep: 5 minutes
Cook: 25 minutes
Total: 30 minutes
Servings: 6
Creamy and comforting pasta dish made with sausage, mushrooms, white wine, heavy cream, Pecorino Romano, and a pinch of nutmeg.


  • 1 pound rigatoni or other tubular pasta
  • 8 ounces baby Bella mushrooms diced
  • 1 pound bulk mild Italian sausage
  • 1/4 cup olive oil
  • 1 small onion diced
  • 3 cloves garlic
  • 1/2 cup dry white wine
  • 1 1/2 cups heavy cream
  • 2 cups reserved pasta water will not need it all
  • 1 pinch nutmeg
  • 3/4 cup Pecorino Romano grated
  • salt and pepper to taste


  • Bring a large pot of salted (2 tablespoons kosher salt) water to boil.
  • Heat a large pan to medium heat then add in the olive oil and sausage. Brown the sausage (about 5-7 minutes) then make some room in the pan and add the mushrooms and continue to cook until they brown as well.
  • Once the sausage and mushrooms are brown add the onion and garlic. After 2 minutes remove the garlic from the pan and discard. Continue cooking for a few more minutes until the onions are soft.
  • Turn heat to medium-high and add the wine. Cook for a minute to reduce the wine by about half. Scrape the bottom of the pan with a wooden spoon to remove all the brown bits. At this time begin cooking pasta to a bit less than al dente.
  • Add the cream and bring sauce to a simmer while stirring. Once simmering turn the heat down to low.
  • Once pasta is almost al dente add it to the sauce and mix to coat. Turn heat to medium. Add a bit of pasta water if needed to loosen things up. Continue to cook, stirring frequently, until the pasta is perfectly al dente.
  • Turn the heat off and remove the pan from the heat. Add the Pecorino, mix well, then taste test. Season with a good amount of black pepper, a pinch of nutmeg, and salt to taste. Serve with grated Pecorino. Enjoy!


  • Makes 4 very large servings or 6 normal size ones.
  • If the pasta dries out at all just add a touch of the reserved pasta water to loosen it up and mix well before serving.
  • Serve with extra grated Pecorino Romano cheese and nutmeg.  Nutmeg can be overpowering so it’s best to let the individual add more if they like.
  • Leftovers can be saved for up to 3 days and can be reheated on the stovetop or the microwave.


Calories: 766kcal | Carbohydrates: 59.8g | Fat: 45.2g | Saturated Fat: 16.9g | Cholesterol: 114mg | Sodium: 703mg | Potassium: 283mg | Fiber: 3g | Sugar: 2g | Calcium: 154mg | Iron: 4mg

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

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  1. Nsncy says:

    5 stars
    I love watching you cook!
    I have learned so much by doing this and have already tried cooking some of these dishes!
    This one looks great and u can’t wait to try it!
    Thank you so much!

    1. Jim says:

      Glad you’re enjoying the recipes and videos, Nancy!

  2. Jim B says:

    5 stars
    Awesome dish!

  3. Chris says:

    5 stars
    Thank you for taking the time and effort to post this recipe and video for it. I made this tonight for my son and I, and it was sublime. We did make a small tweak of adding a diced red pepper with the onion for a little sweetness. My son said to add this to his top five favorite recipes, and he doesn’t even like mushrooms! Thanks again!

    1. Jim says:

      Hi Chris. Happy to hear that you both enjoyed it. Thanks for liking the recipes and videos!

  4. Doug G says:

    5 stars
    Hi Jim, I stumbled upon your channel via this recipe on Youtube and decided to make this dish for my fiancée the next day. We both absolutely loved it, and had a great evening. It was our first time trying nutmeg in a pasta dish as well, so thanks for providing the new experience for us – I liked a little extra, she liked just a hint of it, so it was fun trying it out.
    Also interesting how you pointed out the type of sausage used in Italy is different from the typical fennel type sausage found in the states, because I did feel that the generic brand mild Italian sausage that I used overpowered the dish. Do you have any recommendations on any brands of a more authentic Italian sausage that I might be able to find? Thank you!

    1. Jim says:

      Hey Doug. Really glad you both enjoyed it. Regarding the sausage – you could possibly find a closer sausage if you have access to an Italian pork store. Some places will make a sausage to your liking. Otherwise, you could try making your own by mixing pork shoulder or other cuts of pork (use more of the leaner than fatty parts) with spices similar to what they use in Norcia. But that might be a bit too much trouble for such a simple dish like this. Thanks for the comment.

  5. Isaiah Chung says:

    5 stars
    Absolutely amazing! Going to take this to school for lunch. Didn’t feel like I needed the nutmeg so I didn’t use any. Thanks for the recipe!!!

    1. Jim says:

      Great to hear, Isaiah!

  6. C. Keen says:

    5 stars
    This recipe was great – easy and very satisfying. My small children (3 and 7) both asked for seconds. Respect the nutmeg but don’t fear it, I found a bit ‘extra’ to bring a highly desirable balance to the inherent richness of the dish. If I ever get access to good truffles I know one of the first places they’re going to go.

    1. Jim says:

      Hi Caleb. I like a bit more nutmeg too. Really glad that everyone enjoyed it.

  7. Andrea says:

    5 stars
    So good and such a straightforward recipe! All my siblings loved it and I’ll definitely be making it again. Thank you!

    1. Jim says:

      Hi Andrea. Glad you all enjoyed it. Thanks for the comment.

  8. Deb Scullin says:

    5 stars
    This dish is very yummy! Perfect instructions. Will definitely make it again. All my favorite ingredients 👍👍

    1. Jim says:

      Hi Deb. Really glad you enjoyed the pasta Norcina and thanks for the comment.

  9. Austen says:

    5 stars
    A++ recipe; made it tonight and it was fantastic. Great website and YouTube channel

    1. Jim says:

      Thanks, Austen! Glad you enjoyed it.

  10. Dina and Bruce says:

    5 stars
    This sounds amazing and can’t wait to try it!

    1. Joe says:

      5 stars
      My mouth is watering but I’m missing a few ingredients so I’ll have to try the recipe with some substitutions. It’s about 150°F here so there’s no way I’m going to the grocery store. Thanks for the pasta inspiration!

      1. Jim says:

        Hi Joe, thanks for the comment and yes, definitely improvise rather than go out in the heat. Stay cool!

      2. Alisa says:

        5 stars
        Made this three times now, and it has been a consistent hit with me and my boyfriend. Thank you!!

        1. Jim says:

          Hi Alisa, that’s great to hear and so happy you enjoyed it all three times! 🙂