Spicy Italian Sausage Pasta Recipe

I’m about to share something that’ll transform your weeknight dinner game forever – and trust me, it won’t involve standing over the stove for hours like some elaborate restaurant dish. This spicy Italian sausage pasta combines everything you crave: rich, creamy sauce that clings to every piece of penne, perfectly seasoned sausage with just enough heat to wake up your taste buds, and that satisfying comfort only a good pasta dish can deliver. But here’s the secret most people miss.
Why You’ll Love this Spicy Italian Sausage Pasta
Sometimes you stumble across a recipe that just gets everything right, and this spicy Italian sausage pasta is exactly that kind of weeknight winner.
I mean, what’s not to love about creamy tomato sauce clinging to tender penne while chunks of seasoned sausage add that perfect kick?
It’s comfort food that doesn’t require comfort-food effort. You’ll have dinner on the table in under 30 minutes, which honestly feels like magic when you’re staring into your fridge wondering what to make.
Plus, it tastes like you’ve been simmering sauce all day.
What Ingredients are in Spicy Italian Sausage Pasta?
This spicy Italian sausage pasta keeps things beautifully simple, which is exactly what your Tuesday night deserves. The ingredient list reads like a greatest hits collection from your pantry and fridge – nothing fancy, nothing weird, just solid players that know how to work together.
The magic happens when hot Italian sausage meets creamy tomato sauce, creating that perfect balance of heat and comfort. You probably have most of these ingredients hanging around already, and the few you might need to grab are totally worth the trip.
Ingredients:
- 8 oz penne pasta
- 11 oz hot Italian sausage
- 3 cloves garlic, minced
- ½ cup chicken broth or white wine
- ½ tbsp flour
- 14 oz canned diced tomatoes
- ½ cup heavy/whipping cream
- Salt & pepper, to taste
- Fresh basil leaves, torn
- Freshly grated Parmesan cheese
Ingredient Notes and Swaps
Let’s talk about that hot Italian sausage for a second – it’s really doing the heavy lifting here. If you’re not a fan of serious heat, mild Italian sausage works perfectly fine, though you might want to add a pinch of red pepper flakes to keep things interesting. Sweet Italian sausage can work too, but honestly, where’s the fun in that?
The chicken broth versus white wine situation is totally up to you and what’s sitting in your kitchen. White wine adds a little sophistication, but chicken broth keeps things cozy and familiar. Either way, you’re building flavor, so don’t stress about it.
Fresh basil makes a real difference here, but if you’re staring at a sad, wilted bunch, dried basil will do the job. Just use about a third of what you’d use fresh. And please, please use freshly grated Parmesan instead of the stuff in the green container – your taste buds will thank you, and it only takes an extra minute.
How to Make this Spicy Italian Sausage Pasta

Making this pasta feels like conducting a small orchestra where everyone knows their part, but you still need to keep the timing tight.
The whole thing comes together in about 30 minutes, which means you can have dinner on the table before your patience runs out or someone starts raiding the snack cabinet.
Get Your Pasta Water Going
First things first – get that water boiling. Fill a large pot with water, add a generous amount of salt (it should taste like seawater, honestly), and crank up the heat.
While that’s happening, you can start working on everything else because multitasking is the name of the game here.
Once the water hits a rolling boil, toss in your 8 oz of penne pasta. Cook it until it’s al dente, which basically means it still has a tiny bit of bite to it. Nobody wants mushy pasta, and besides, it’s going to cook a little more when you toss everything together at the end.
Brown That Sausage Like You Mean It
While the pasta does its thing, grab a large skillet and get it nice and hot over medium-high heat.
Crumble your 11 oz of hot Italian sausage directly into the pan, breaking it up into bite-sized pieces as it cooks. You want those pieces golden brown and properly crispy around the edges – this is where a lot of your flavor is going to come from.
Don’t rush this part. Let the sausage really brown before you start poking at it.
We’re talking about 5-7 minutes of actual browning time. Once it looks gorgeous and smells even better, use a slotted spoon to remove it from the pan, but leave all those beautiful drippings behind. Trust me on this one.
Build Your Sauce Foundation
Here’s where things get a little fancy, but not intimidating fancy. Add your 3 cloves of minced garlic to those sausage drippings and let them sizzle for about 30 seconds until they smell amazing.
Garlic burns fast, so keep it moving.
Now comes the slightly tricky part – whisk in your ½ cup of chicken broth (or white wine if you’re feeling sophisticated) along with that ½ tablespoon of flour. The flour might want to clump up on you, but just keep whisking and it’ll behave.
This little flour trick is what’s going to give your sauce some body without making it too thick.
Bring Everything Together
Pour in your 14 oz can of diced tomatoes, juice and all, then add that ½ cup of heavy cream.
Bring the whole mixture to a gentle simmer and let it bubble away for about 3-4 minutes. You’ll see it start to thicken slightly, which is exactly what you want.
Add your browned sausage back to the party, along with some salt and pepper to taste. Let everything simmer together for another 2-3 minutes so the sausage can reacquaint itself with the sauce.
The Grand Finale
When your pasta is perfectly al dente, drain it but save about a cup of that starchy pasta water – it’s liquid gold for adjusting sauce consistency.
Add the drained pasta directly to your skillet with the sauce and sausage.
Toss everything together, adding a splash of pasta water if the sauce seems too thick or if it’s not coating the pasta the way you want.
Remove the pan from heat and fold in your torn fresh basil leaves and a good handful of freshly grated Parmesan cheese.
Give it one final taste and adjust your seasoning if needed. The whole thing should be creamy, spicy, and absolutely irresistible.
Serve it immediately while the cheese is still melting and the pasta is at peak deliciousness.
Spicy Italian Sausage Pasta Substitutions and Variations
One recipe doesn’t have to rule your kitchen forever, and honestly, half the fun comes from switching things up when you’re missing an ingredient or just feeling adventurous.
Swap penne for rigatoni, fusilli, or whatever pasta’s hanging out in your pantry. No heavy cream? Try half-and-half or even whole milk with extra cheese.
Want it milder? Use sweet Italian sausage instead. Feeling fancy? Add sun-dried tomatoes or roasted red peppers.
I’d throw in some spinach because leafy greens make me feel virtuous about eating creamy pasta.
White wine instead of chicken broth adds sophistication, though I won’t judge if you use what’s open.
What to Serve with Spicy Italian Sausage Pasta
What pairs best with this saucy, spicy masterpiece that’s already pretty much a complete meal on its own? I like keeping things simple since this pasta packs serious flavor punch.
A crisp Caesar salad cuts through all that creamy richness perfectly. The cool, crunchy romaine provides textural contrast while those salty anchovies complement the Italian sausage beautifully.
Garlic bread feels almost mandatory here. I mean, you need something to sop up every last drop of that gorgeous sauce, right?
For wine, I’d grab a medium-bodied red like Chianti or Sangiovese.
Final Thoughts
This spicy Italian sausage pasta recipe hits all the right notes—bold flavors, creamy texture, and seriously satisfying comfort food vibes that’ll make your kitchen smell like an Italian restaurant.
I can’t stress enough how much I love recipes like this. Simple ingredients, minimal fuss, maximum deliciousness.
The beauty lies in those crushed tomatoes melding with cream and spicy sausage—it’s pure magic.
Whether you’re feeding hungry teenagers or impressing dinner guests, this pasta delivers every single time.
Trust me, you’ll find yourself making this on repeat once you taste that first forkful.
Recipe Card
Introduction: This restaurant-quality pasta dish combines spicy Italian sausage with a rich, creamy tomato sauce that’s bursting with flavor. Perfect for weeknight dinners or entertaining guests, this comforting meal comes together in just 30 minutes with simple pantry ingredients.
- Prep Time: 10 minutes
- Cook Time: 20 minutes
- Total Time: 30 minutes
- Serves: 4
Ingredients:
- 8 oz penne pasta
- 11 oz hot Italian sausage
- 3 cloves garlic, minced
- ½ cup chicken broth or white wine
- ½ tbsp flour
- 14 oz canned diced tomatoes
- ½ cup heavy/whipping cream
- Salt & pepper, to taste
- Fresh basil leaves, torn
- Freshly grated Parmesan cheese
Instructions:
- Bring a large pot of salted water to boil and cook penne pasta according to package directions until al dente. Reserve ½ cup pasta water before draining.
- In a large skillet over medium-high heat, crumble the Italian sausage and brown completely, breaking it into small pieces. Remove sausage and set aside.
- In the same skillet with remaining drippings, cook minced garlic for 30 seconds until fragrant.
- Whisk in chicken broth (or white wine) and flour, cooking for 1-2 minutes to eliminate raw flour taste.
- Add diced tomatoes and bring to a simmer. Cook for 5 minutes to allow flavors to meld.
- Stir in heavy cream and return cooked sausage to the skillet. Season with salt and pepper.
- Add drained pasta to the skillet and toss to combine. Add pasta water if needed for desired consistency.
- Remove from heat and stir in torn basil leaves and freshly grated Parmesan cheese before serving.
Notes:
- Substitute mild Italian sausage if you prefer less heat, or add red pepper flakes for extra spice
- White wine adds depth of flavor, but chicken broth works perfectly as a substitute
- Fresh basil is essential for the best flavor – add it at the end to preserve its bright taste
- Save some pasta water as it helps bind the sauce and achieve the perfect creamy consistency
- Freshly grated Parmesan melts better than pre-shredded cheese and provides superior flavor
- Leftovers keep in the refrigerator for 3 days and can be reheated with a splash of cream or broth
Nutritional Information:
Nutrient | Per Serving |
---|---|
Serving Size | 1¼ cups |
Calories | 485 |
Carbohydrates | 48g |
Protein | 22g |
Fat | 24g |
Saturated Fat | 11g |
Cholesterol | 65mg |
Sodium | 890mg |
Potassium | 520mg |
Fiber | 3g |
Sugar | 6g |
Frequently Asked Questions
Can I Make This Pasta Dish Ahead of Time?
I don’t recommend making this pasta dish ahead since the cream sauce can separate and the pasta becomes mushy when reheated. Instead, I’d prepare components separately and combine them fresh.
How Long Does Leftover Spicy Italian Sausage Pasta Keep in the Fridge?
I’d store your leftover pasta in the fridge for up to 3-4 days maximum. I recommend keeping it in an airtight container and reheating gently with a splash of broth.
Can I Freeze This Pasta Dish for Later?
I’d recommend freezing this dish for up to three months. The cream sauce may separate slightly when thawed, but stirring while reheating usually brings it back together nicely.
What’s the Best Way to Reheat Leftover Sausage Pasta?
I recommend reheating leftover sausage pasta in a skillet over medium-low heat with a splash of cream or pasta water. This’ll restore the sauce’s creaminess better than microwaving.
How Do I Reduce the Spice Level Without Changing the Flavor?
I’d replace half the hot sausage with mild Italian sausage to cut heat while maintaining flavor. You can also add extra cream or a pinch of sugar to balance spiciness without compromising taste.