Creamy Tuscan Sausage Pasta

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This creamy Tuscan sausage pasta combines the rich flavors of Italian sausage, sun-dried tomatoes, and spinach in a luscious Parmesan cream sauce. Perfectly cooked penne pasta is tossed into the skillet for a warm, comforting dish that comes together easily. A hint of red pepper flakes adds subtle heat, while fresh basil elevates the taste to a delightful finish. Adjust the sauce with reserved pasta water for your desired consistency. Serve garnished with extra Parmesan and enjoy a restaurant-quality meal at home.

Recipes Fives Halima
Updated on Mon, 23 Jun 2025 12:06:17 GMT
A bowl of pasta with meat and cheese. Pin it
A bowl of pasta with meat and cheese. | tastystanza.com

This creamy Tuscan sausage pasta brings together the rich flavors of Italy in one comforting dish. The combination of savory Italian sausage, sun-dried tomatoes, and wilted spinach creates a restaurant-quality meal that's surprisingly simple to make at home.

I first created this recipe when trying to impress my in-laws during their first visit to our home. The empty plates and requests for seconds told me everything I needed to know this pasta has been in our regular rotation ever since.

Ingredients

  • Italian sausage: ground provides the perfect savory base and eliminates the need for additional seasonings
  • Sun dried tomatoes: concentrated flavor bombs that add sweetness and umami
  • Heavy cream: creates that luxurious restaurant quality sauce you crave
  • Baby spinach: adds color nutrition and a mild flavor that even veggie skeptics enjoy
  • Parmesan cheese: use freshly grated for the best melting and flavor profile
  • Red pepper flakes: adjustable heat that wakes up all the other flavors
  • Italian seasoning: saves time while adding classic herb flavors
  • Pasta water: the secret ingredient professionals use to create silky sauces

Step-by-Step Instructions

Cook the Pasta:
Bring a large pot of generously salted water to a rolling boil. The water should taste like the sea. Add the penne and cook until al dente which means tender but still firm to the bite usually 9 to 11 minutes. Before draining remember to reserve a cup of the starchy pasta water this is crucial for adjusting sauce consistency later.
Brown the Sausage:
Heat olive oil in a large skillet over medium high heat until it shimmers. Add the Italian sausage breaking it into small chunks with a wooden spoon. Allow it to brown without stirring too frequently this develops deeper flavor. Cook thoroughly until no pink remains and you have crispy browned edges about 5 to 7 minutes.
Build the Flavor Base:
Reduce the heat to medium and add minced garlic to the skillet stirring constantly to prevent burning about 1 minute until fragrant. Add the chopped sun dried tomatoes Italian seasoning and red pepper flakes allowing the heat to release their essential oils and aromas. Pour in the chicken broth and use a wooden spoon to scrape up any browned bits from the bottom of the pan.
Create the Sauce:
Pour in the heavy cream and bring the mixture to a gentle simmer not a full boil. Let it cook undisturbed for 3 to 5 minutes watching as it thickens slightly. Sprinkle in the freshly grated Parmesan in small batches stirring continuously until completely melted and incorporated creating a smooth sauce.
Combine Everything:
Return the cooked sausage to the skillet and add the fresh baby spinach. Gently fold the ingredients together until the spinach wilts into the sauce about 1 to 2 minutes. Season with salt and pepper tasting as you go the Parmesan adds saltiness so adjust carefully.
Finish the Dish:
Add the drained pasta directly to the sauce tossing thoroughly to coat every piece. If the sauce seems too thick add the reserved pasta water a few tablespoons at a time until you reach your desired consistency. The starch in the water helps the sauce cling to the pasta. Serve immediately topped with torn basil leaves and extra Parmesan.
A bowl of pasta with meat and vegetables. Pin it
A bowl of pasta with meat and vegetables. | tastystanza.com

The sun dried tomatoes are truly the secret weapon in this dish. I discovered their transformative power years ago when a friend from Florence showed me how they can add depth to almost any pasta sauce. Their intense sweet tartness cuts through the richness of the cream creating the perfect balance.

Make It Your Own

This Tuscan pasta recipe welcomes customization based on your preferences and what you have available. For a lighter version substitute half and half for the heavy cream though the sauce won't be quite as rich. You can also swap the Italian sausage for chicken breast chunks or even shrimp for different protein options. The cooking time will vary slightly ensure your protein is fully cooked before proceeding with the recipe.

Storage and Reheating

This pasta keeps remarkably well making it perfect for meal prep. Store leftovers in an airtight container in the refrigerator for up to 3 days. When reheating add a splash of milk or cream to revive the sauce as it tends to thicken when chilled. For best results warm it gently on the stovetop over medium low heat stirring occasionally rather than using a microwave which can make the sauce separate or the pasta become gummy.

Perfect Pairings

Serve this hearty pasta with a simple arugula salad dressed with lemon juice and olive oil to cut through the richness. A glass of medium bodied red wine like Chianti or Sangiovese complements the Tuscan flavors beautifully. For a complete Italian experience finish the meal with a small scoop of lemon sorbet which provides a refreshing counterpoint to the creamy main course.

Frequently Asked Questions

→ Can I use a different type of pasta?

Yes, you can substitute penne with other pasta like fettuccine, rigatoni, or even spaghetti for a different texture.

→ What can I use instead of Italian sausage?

Ground chicken, turkey, or even plant-based sausage can work as substitutes. Adjust the seasoning to replicate the Italian sausage flavor.

→ Can I make this dish ahead of time?

Yes, you can prepare the sauce and pasta separately. Store them in the refrigerator and combine them when reheating for the best texture.

→ How do I thicken the sauce?

Let the sauce simmer longer to reduce it, or add a little more Parmesan cheese for additional thickness.

→ Can I add other vegetables to this dish?

Absolutely! Mushrooms, bell peppers, or zucchini can be added for extra flavor and nutrition.

Creamy Tuscan Sausage Pasta

Indulge in a creamy pasta with Italian sausage, spinach, and Parmesan cheese.

Prep Time
10 Minutes
Cook Time
25 Minutes
Total Time
35 Minutes
By: merry

Category: Main Dishes

Difficulty: Intermediate

Cuisine: Italian

Yield: 6 Servings

Dietary: ~

Ingredients

01 1 pound penne pasta
02 2 tablespoons olive oil
03 1 pound ground Italian sausage
04 4 cloves garlic, minced
05 1/2 cup chopped sun-dried tomatoes
06 1 cup chicken broth
07 1 teaspoon Italian seasoning
08 1/2 teaspoon red pepper flakes
09 2 cups heavy cream
10 1 cup freshly grated Parmesan cheese
11 2 cups baby spinach
12 Salt and pepper to taste
13 Fresh basil leaves, torn, for garnish

Instructions

Step 01

Bring a large pot of well-salted water to a boil. Cook the penne pasta according to package directions until al dente. Reserve 1 cup of the pasta water before draining. Set both aside.

Step 02

Warm the olive oil in a large skillet over medium-high heat. Add the sausage and cook, breaking it up with a wooden spoon, until browned and cooked through, about 5-7 minutes. Transfer to a plate and set aside.

Step 03

Reduce the heat to medium and add the garlic. Sauté until fragrant, about 1 minute, then stir in the sun-dried tomatoes, chicken broth, Italian seasoning, and red pepper flakes.

Step 04

Add the cream, bring to a simmer, and cook for 3-5 minutes to thicken. Stir in the Parmesan cheese, followed by the cooked sausage and baby spinach. Cook until the spinach is wilted, about 1-2 minutes. Season with salt and pepper to taste.

Step 05

Add the cooked penne to the skillet and toss to coat in the sauce, adding some reserved pasta water if needed to thin the sauce.

Step 06

Serve hot, garnished with fresh basil leaves and extra Parmesan cheese.

Tools You'll Need

  • Large pot
  • Large skillet
  • Wooden spoon

Allergy Information

Please check ingredients for potential allergens and consult a health professional if in doubt.
  • Contains dairy
  • Contains gluten

Nutrition Facts (Per Serving)

It is important to consider this information as approximate and not to use it as definitive health advice.
  • Calories: 720
  • Total Fat: 45 g
  • Total Carbohydrate: 58 g
  • Protein: 25 g