Creamy Italian Sausage Pasta is a family favorite Italian pasta recipe!  This easy pasta dish is full of savory sausage and a delicious, creamy, parmesan sauce and ready in 20 minutes!

italian sausage pasta

With back to school in full force and busy nights ahead of us, I am finding myself reaching for new quick and easy dinner inspiration.  I happen to love Italian sausage because it’s so flavorful and delicious, I can use it to make a simple meal that is flavor packed in no time. There’s nothing better than having a restaurant quality pasta dish on the table in 20 minutes!  Plus, everyone in my house loves a good creamy pasta dish any night of the week!

how to make italian sausage pasta

How to Make Italian Sausage Pasta:

  • For this Italian Sausage Pasta, you will start by cooking your penne pasta in a large pot of salted, boiling water according to package directions.
  • As soon as you add your pasta to the boiling water, you will heat some olive oil in a large skillet.  Then, add in your Italian sausage, minced onion, garlic, and red pepper flakes. Once your sausage is cooked through, you can drain any excess grease from the pan if necessary.  Then, return the meat mixture to the skillet.
  • Then, you will turn your heat down to low.  Add the cream to the pan and bring to a simmer, and put all of the spinach in the pan.  It will take about 3-5 minutes for the spinach to wilt.
  • Next, drain your pasta.  Add your shredded parmesan (fresh is best!) and pasta and give everything a good stir to coat.

creamy italian sausage pasta with spinach

You guys have spoken and seem to be loving these easy 20-30 minute weeknight meals as much as we do!  I’m happy to say this Italian sausage pasta is one of my personal faves! If you’re looking for more simple dinners, don’t miss my Creamy Parmesan One Pot Chicken and Rice or my One Pot Homemade Hamburger Helper!



4.99 from 969 votes

Creamy Italian Sausage Pasta

Creamy Italian Sausage Pasta is a family favorite Italian pasta recipe!  This easy pasta dish is full of savory sausage and a delicious, creamy, parmesan sauce and ready in 20 minutes!
Prep 5 minutes
Cook 15 minutes
Total 20 minutes
Servings 4



  • Cook the penne pasta in a large pot of salted boiling water according to package directions.
  • While the pasta is cooking, heat the olive oil in a large skillet over medium-high heat.
  • Cook the Italian sausage along with the onion, garlic, red pepper flakes, and salt until the sausage is no longer pink.
  • Drain excess fat from the skillet if necessary and return the meat mixture to the pan.
  • Turn the heat to low and add the cream to the skillet. Bring to a simmer and add in the spinach.
  • Cook, stirring for about 3 minutes until the spinach is wilted.
  • Stir in the parmesan cheese until melted.  Stir the pasta into the sauce.
  • Serve immediately.



Calories: 600kcal

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

Additional Info

Course: Main Course
Cuisine: American, Italian
Like this? Rate & review this recipe below!

Hey! Nice to meet you! I'm Nichole!

Welcome to The Salty Marshmallow! I'm a mom, animal lover, photographer, & kitchen mess-maker. Here you will find the result of my decades-long passion for chasing the best flavors in the kitchen, all meant to be cooked by regular people with busy lives just like you and me.

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Recipe Rating


  1. 5 stars
    I 1/2 the recipe because there is only two of us. This was so amazingly good. I might have added a little extra garlic pepper flakes, but it was spot on! Very easy to make, Keeping it on the top of our go to list and sharing with friends and family!.

  2. 5 stars
    this has become my go to quick meal. I kick up the heat a little with some peppers, but that’s just how we do things in Texas, it is still delicious without it.

  3. 5 stars
    Yum Yum! Made it last night for the first time. We loved this quick and easy recipe and will certainly add it to our rotation! My husband wants mushrooms included next time and I think some cherry tomatoes would be great as well. I LOVE salt, but this was a tad salty for my taste. I think possibly the Italian sausage I used might have been highly spiced already, so next time I’ll just add salt as needed after I taste the cooked sausage. Thanks for the great recipe!

  4. This was delicious. I added mushrooms only change. I will definitely cook again it was super easy. Thanks for sharing!!

  5. 5 stars
    My husband made this for dinner tonight and it was the best pasta I had ever had!! I literally ate three helpings when usually I don’t finish. The flavour was perfection. The only problem is I am so full I can barely move!