Creamy Tuscan Sausage Pasta Recipe
Treat yourself to the ultimate comfort food with this Creamy Tuscan Sausage Pasta! This luscious dish brings together hearty Italian sausage, sun-dried tomatoes, vibrant spinach, and a decadently creamy sauce that wraps each bite in pure bliss. Finished with fresh basil and Parmesan, it’s that magical weeknight meal that feels both effortless and fancy. Whether you’re feeding family or impressing guests, this pasta promises flavor, color, and comfort in every forkful.

Ingredients You’ll Need
One of the best things about this Creamy Tuscan Sausage Pasta is how the simplest ingredients, each chosen with care, come together for something truly memorable. Every element adds its own touch—bold flavors, pops of color, or that irresistible creamy texture you crave in a great pasta dish.
- Penne pasta: The classic tube shape perfectly holds the creamy sauce and sausage bites in every mouthful.
- Olive oil: Adds a fruity foundation and helps brown the sausage for extra flavor.
- Italian sausage, ground: Provides hearty, savory depth—feel free to choose mild or spicy!
- Garlic: Sautéed until fragrant, it brings out the aromatic heart of this pasta.
- Sun-dried tomatoes: Chopped for tangy, concentrated sweetness and gorgeous color.
- Chicken broth: Adds savory balance to the cream, making the sauce rich but not heavy.
- Italian seasoning: A hint of herby goodness ties the Tuscan flavors together.
- Red pepper flakes: Just a pinch livens up the whole dish with subtle heat.
- Heavy cream: The secret to that ultra-silky, indulgent sauce.
- Freshly grated Parmesan cheese: Melts in for nutty, salty complexity—always use fresh for best texture.
- Baby spinach: Wilts down quickly, lending vibrant color and a boost of veggies.
- Salt and pepper: Simple seasonings, always to taste, to balance and enhance all the flavors.
- Fresh basil leaves: Torn for garnish, they add a fresh pop and beautiful aroma just before serving.
How to Make Creamy Tuscan Sausage Pasta
Step 1: Cook the Pasta
Start by bringing a large pot of well-salted water to a boil—it should taste almost like the sea! Cook your penne according to the package instructions, just until al dente (firm to the bite). Before draining, always remember to reserve a cup of the starchy pasta water—it’s perfect for adjusting the sauce later. Set the cooked penne and pasta water aside while you prepare the rest.
Step 2: Brown the Sausage
While your pasta cooks, heat olive oil in a large skillet over medium-high. Add the ground Italian sausage, and break it up with a wooden spoon as it browns. You want it deeply caramelized and cooked through—this builds fantastic flavor for the whole Creamy Tuscan Sausage Pasta. Transfer the cooked sausage to a plate for now.
Step 3: Build the Sauce
Lower the heat to medium and add the minced garlic to the same pan. Sauté just until it smells amazing (about a minute), then stir in the sun-dried tomatoes for their tangy punch. Next, add chicken broth, Italian seasoning, and a sprinkle of red pepper flakes. Pour in the heavy cream, bring everything to a simmer, and let the sauce bubble gently for 3 to 5 minutes until it starts to thicken beautifully.
Step 4: Stir in Cheese, Sausage, and Spinach
With the sauce simmering, sprinkle in the freshly grated Parmesan. Stir until it melts and the sauce becomes ultra-creamy. Return the cooked sausage to the skillet, add the baby spinach, and cook until the spinach wilts—just a couple of minutes. Taste and adjust salt and pepper now, so each bite of the Creamy Tuscan Sausage Pasta is perfect.
Step 5: Bring It All Together
Add the cooked penne straight into the sauce, tossing everything together until the pasta is evenly coated. If the sauce seems too thick, drizzle in a bit of that reserved pasta water until it’s silky and glossy. Now, you’re ready to plate up this bowl of comfort!
Step 6: Garnish and Serve
Dish out your Creamy Tuscan Sausage Pasta while it’s piping hot. Finish with torn fresh basil leaves and a flurry of extra Parmesan cheese to make it as gorgeous as it is delicious. Then, pour yourself a glass of something lovely and enjoy the fruits of your (minimal) labor!
How to Serve Creamy Tuscan Sausage Pasta

Garnishes
When it comes to finishing touches, never underestimate the power of a little fresh basil and extra Parmesan! The basil brings bright color and a burst of fragrance, while the cheese adds irresistible richness on top. For a hint of drama, try a sprinkle of cracked black pepper or even a few whole sun-dried tomatoes for extra flair.
Side Dishes
This pasta pairs perfectly with a simple green salad dressed in lemony vinaigrette to balance the creaminess, or a platter of roasted veggies like asparagus or broccolini. For anyone who loves soaking up sauce, warm crusty bread (think ciabatta or baguette) is a must-have. Of course, a glass of your favorite Italian white or light red wine ties it all together.
Creative Ways to Present
Give your Creamy Tuscan Sausage Pasta the spotlight by twirling it high in shallow dinner bowls, topping with a dramatic basil leaf and shavings of cheese. For family-style dining, pile it into a big white platter and let everyone help themselves. Hosting? Portion it into ramekins as a decadent starter, or finish with a drizzle of chili oil for a modern touch.
Make Ahead and Storage
Storing Leftovers
Leftover Creamy Tuscan Sausage Pasta makes an incredible next-day meal! Allow any extra pasta to cool to room temperature before transferring to an airtight container. Store in the fridge for up to three days. The sauce may thicken slightly, but the flavors will be even more developed and satisfying.
Freezing
If you want to stash some away for a future treat, Creamy Tuscan Sausage Pasta freezes rather well! Place cooled pasta in a freezer-safe container or bag, removing as much air as possible. It will keep for up to two months. Just be mindful—the cream sauce may separate a bit upon thawing, but a gentle stir while reheating will help bring it back together.
Reheating
To reheat, warm the pasta gently on the stovetop over medium-low, adding a splash of milk or reserved pasta water to loosen the sauce. Stir frequently to keep things creamy. You can also microwave individual portions in short bursts, stirring in between. Remember to top with a little extra Parmesan and fresh basil for the finishing touch!
FAQs
Can I use a different type of pasta?
Absolutely! While penne is classic for Creamy Tuscan Sausage Pasta, you can use any short shape like rigatoni, fusilli, or even shells—all work beautifully to hold onto that luxurious sauce.
Is there a substitute for heavy cream?
Yes, you can lighten things up by using half-and-half or even full-fat coconut milk (for a subtle twist). Just know the sauce may not be quite as thick or rich as with traditional cream, but it will still taste fantastic.
What if I want this to be spicier?
Craving more kick? Add extra red pepper flakes while making the sauce, or use spicy Italian sausage. You can also garnish with chili oil or serve with Calabrian pepper paste for some real fire!
Can I add mushrooms or other veggies?
Definitely! Feel free to toss in sautéed mushrooms, zucchini, or bell peppers along with the sun-dried tomatoes. This is the kind of recipe that’s easily adapted—just keep the total veggie volume reasonable so the sauce stays thick and creamy.
Is Creamy Tuscan Sausage Pasta good for meal prep?
It’s a great make-ahead meal, as the flavors continue to build after a day in the fridge. Just be sure to store and reheat as described above, and consider cooking the pasta al dente so it holds up well after reheating.
Final Thoughts
If you’re looking for a meal that delivers on flavor, comfort, and pure joy, this Creamy Tuscan Sausage Pasta really fits the bill. Every bite feels like a warm hug—so don’t wait, grab your ingredients and treat yourself to this restaurant-worthy dish right at home!
PrintCreamy Tuscan Sausage Pasta Recipe
Indulge in a rich and flavorful Creamy Tuscan Sausage Pasta that combines hearty Italian sausage with sun-dried tomatoes, baby spinach, and a luscious cream sauce, all tossed with al dente penne pasta. This dish is a perfect blend of savory and creamy, sure to satisfy your cravings.
- Prep Time: 15 minutes
- Cook Time: 25 minutes
- Total Time: 40 minutes
- Yield: 6 servings 1x
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian
- Diet: Gluten Free
Ingredients
Pasta:
- 1 pound penne pasta
Sauce:
- 2 tablespoons olive oil
- 1 pound Italian sausage, ground
- 4 cloves garlic, minced
- 1/2 cup sun-dried tomatoes, chopped
- 1 cup chicken broth
- 1 teaspoon Italian seasoning
- 1/2 teaspoon red pepper flakes
- 2 cups heavy cream
- 1 cup freshly grated Parmesan cheese
- 2 cups baby spinach
- Salt and pepper to taste
- Fresh basil leaves, torn, for garnish
Instructions
- Cook Pasta: Boil a pot of salted water, cook penne pasta until al dente, and reserve 1 cup of pasta water.
- Cook Sausage: Brown Italian sausage in olive oil, then set aside.
- Make Sauce: Sauté garlic, add sun-dried tomatoes, broth, seasonings, cream, and Parmesan. Simmer to thicken.
- Finish Dish: Stir in cooked sausage, spinach, and season. Add pasta, toss in sauce, and adjust consistency with pasta water if needed.
- Serve: Garnish with basil and extra Parmesan before serving.
Nutrition
- Serving Size: 1 serving
- Calories: 650
- Sugar: 3g
- Sodium: 800mg
- Fat: 42g
- Saturated Fat: 20g
- Unsaturated Fat: 18g
- Trans Fat: 1g
- Carbohydrates: 45g
- Fiber: 3g
- Protein: 23g
- Cholesterol: 110mg
Keywords: Creamy Tuscan Sausage Pasta, Italian Sausage Pasta, Creamy Pasta Recipe