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Sweet Italian sausage pasta in cream sauce featured image.
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4.95 from 18 votes

Italian Sausage Pasta In Cream Sauce

A delicious cream sauce made with sweet Italian sausage.  A super satisfying Italian comfort food recipe.
Prep Time10 minutes
Cook Time45 minutes
Total Time55 minutes
Course: Main Course
Cuisine: Italian
Servings: 8

Ingredients

  • 1 pound pappardelle pasta
  • 1.5-2 pounds sweet Italian sausage
  • 8 cloves chopped garlic
  • 1 medium chopped onion
  • 28 oz whole plum tomatoes
  • 6 oz tomato paste
  • 1 cup heavy cream
  • 1 tsp kosher salt
  • 1/4 tsp crushed red pepper
  • 1/2 tsp dried oregano
  • 2 Tbsp olive oil
  • 3 cups pasta water
  • 1 cup grated Parmigiano or Pecorino
  • 1/4 cup fresh chopped basil

Instructions

  • Chop onion and garlic roughly.  Pulse plum tomatoes in blender or break about gently in large bowl with hands.  Remove all the sausage from casings.
  • Saute garlic and onions on medium-low heat for 5 minutes to soften.
  • Add ground sausage to pan and turn heat to medium.  Saute sausage for roughly 20 minutes.  Break sausage apart with wooden spoon during the saute process.
  • Add the salt, crushed pepper, oregano, crushed tomatoes, and tomato paste to the sausage and stir it all together.  Cover and cook on medium to medium low for 30 minutes.
  • Boil pasta according to package directions.  Before draining pasta reserve 3 cups of pasta water.
  • Remove lid from sauce at 30 minutes and add 1 cup of pasta water.  Stir together and cook for 5 more minutes uncovered.  
  • Turn heat to low and add cream.  Stir together well and cook for 2 more minutes.  Taste sauce and adjust salt or pepper if necessary. 
  • Place cooked pasta in a large bowl and spoon the sausage sauce all over the pasta.  Do not go overboard with the sauce as you might have extra.  
  • Mix the sauce and pasta together and if it is not creamy enough add a 1/2 cup of pasta water to loosen the sauce.  Do this in small increments to get the perfect consistency.
  • Finally add the chopped basil and serve in bowls with Italian bread, grated cheese, and (if any) the extra sauce.  Enjoy!

Video

Notes

  • Make sure to use heavy cream to avoid breaking the sauce.

Nutrition

Calories: 585kcal | Carbohydrates: 36g | Protein: 31g | Fat: 35g | Sodium: 770mg