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!

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:
- 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.

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!
Enjoy!
~Nichole

Creamy Italian Sausage Pasta
Ingredients
- 1 Pound Ground Italian Sausage
- 1 Pound Penne Pasta
- 1 Tablespoon Olive Oil
- 1/2 Yellow Onion Minced
- 2 Cloves Garlic Minced
- 1/2 Teaspoon Red Pepper Flakes
- 1/2 Teaspoon Salt
- 2 Cups Heavy Cream
- 5 Ounces Baby Spinach
- 1 Cup Shredded Parmesan Cheese
Instructions
- 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.
Video
Nutrition
Nutrition information is automatically calculated, so should only be used as an approximation.














Great recipe! My husband had seconds and my 7-year-old ate almost every bite. There was definitely enough to fill the 9×13 pan, plus another smaller pan to freeze. Very filling and satisfying :). I served it with a side of veggies and garlic bread. Thanks so much for sharing!
I made the Creamy Italian Sausage Pasta for dinner and my family loved it. I used hot italian sausage and left off the salt and red pepper flakes. I also added mushrooms. I’m definitely going to add this recipe to my list.
My family loves this, it is one of our go to meals. I can even make a batch and my kids will heat it up for dinner when I am kit home.
Delicious and so easy! It’s going to be part of our meal rotation now. I used kale instead of spinach and added diced red peppers and it was a hit!
Very good, but VERY rich!
This has become a rotating dish in our family. Easy and taste great.
This is an excellent recipe. It was easy and so delicious!
Easy and yummy!!
I just made this for the family it it was a big hit! So very good.