If you are craving a dish that combines rich flavors, creamy textures, and a hint of spice, you have to try this Creamy Tuscan Sausage Pasta Recipe. It’s the kind of meal that feels like a warm hug after a long day—comforting, yet elegant and packed with layers of taste. The marriage of savory Italian sausage, vibrant sun-dried tomatoes, and fresh spinach all swimming in a luscious, cheesy cream sauce takes pasta night to a whole new level. Trust me, once you make this, it will quickly become a favorite in your recipe rotation.
Ingredients You’ll Need
Gathering the right ingredients is the first step to creating a truly memorable meal. This recipe is wonderfully straightforward, and each component plays a vital role: from the hearty sausage that builds depth, to the silky cream that brings it all together. Here’s what you need:
- Penne pasta: A sturdy shape that holds the creamy sauce perfectly with every bite.
- Olive oil: Adds a fruity richness and helps brown the sausage beautifully.
- Italian sausage (ground): Packed with herbs and spices, it’s the flavor powerhouse of the dish.
- Garlic (minced): Intensifies the savory aroma and taste with just a quick sauté.
- Sun-dried tomatoes (chopped): Provide tangy sweetness and a chewy texture contrast.
- Chicken broth: Adds a subtle savory base to the sauce, balancing the cream’s richness.
- Italian seasoning: A blend that layers in classic Mediterranean herbs for authentic flavor.
- Red pepper flakes: Bring a gentle heat that wakes up all the other ingredients.
- Heavy cream: The star ingredient that transforms the sauce into velvety perfection.
- Parmesan cheese (freshly grated): Infuses a nutty, salty bite and helps thicken the sauce.
- Baby spinach: Adds freshness, a pop of green color, and subtle earthiness.
- Salt and pepper: To taste, ensuring the dish is perfectly seasoned.
- Fresh basil leaves (torn, for garnish): Bring brightness and beautiful aroma when served.
How to Make Creamy Tuscan Sausage Pasta Recipe
Step 1: Cook the Pasta
Start by bringing a large pot of well-salted water to a rolling boil. Cook your penne according to the package until just al dente—this ensures it’ll have a slight bite and won’t turn mushy once mixed with the sauce. Don’t forget to save 1 cup of that starchy pasta water before draining; it’s pure gold for adjusting your sauce’s consistency later.
Step 2: Brown the Sausage
While the pasta is cooking, heat olive oil in a large skillet over medium-high heat. Add the ground Italian sausage and break it up into bite-sized pieces with a wooden spoon. Let the sausage brown until cooked through, about 5 to 7 minutes. The caramelized bits that form on the pan add incredible flavor, so don’t rush this step! Transfer the sausage to a plate and set aside.
Step 3: Build the Sauce Base
Turn the heat down to medium and toss in the minced garlic. Sauté just until fragrant, about one minute, making sure it doesn’t burn. Then stir in the chopped sun-dried tomatoes, chicken broth, Italian seasoning, and red pepper flakes. This mix builds all the savory, tangy, and slightly spicy undertones that’ll make your sauce pop.
Step 4: Add Cream and Cheese
Pour in the heavy cream and bring the sauce to a gentle simmer, letting it thicken for 3 to 5 minutes. Once thickened, stir in freshly grated Parmesan cheese, allowing it to melt and enrich the sauce even more. This step creates the signature luscious creaminess that defines the Creamy Tuscan Sausage Pasta Recipe.
Step 5: Finish With Sausage and Spinach
Return the cooked sausage to the skillet and add baby spinach. Stir everything together and cook just until the spinach wilts, about 1 to 2 minutes. This adds freshness and a lovely green contrast that balances the decadent sauce.
Step 6: Combine Pasta and Sauce
Finally, add the drained penne pasta to the skillet, tossing it in the sauce until every piece is coated in that creamy goodness. If the sauce feels too thick, add a splash of the reserved pasta water to loosen it up until it reaches your perfect consistency.
How to Serve Creamy Tuscan Sausage Pasta Recipe

Garnishes
A sprinkle of torn fresh basil leaves and some extra Parmesan cheese on top add brightness and a fresh herbal note that elevates the dish visually and flavor-wise. Basil’s beautiful aroma perfectly complements the creamy, savory base.
Side Dishes
To round out your meal, serve this pasta alongside a crisp green salad with vinaigrette or some warm, crusty garlic bread. Both offer contrasting textures and flavors that make every bite more exciting.
Creative Ways to Present
For a dinner party, plate this pasta in shallow bowls, garnish with basil, and drizzle a little good-quality olive oil on top for shine. Alternatively, serve it family-style straight from the skillet so everyone can help themselves to heaping portions of this soul-soothing dish.
Make Ahead and Storage
Storing Leftovers
This Creamy Tuscan Sausage Pasta Recipe keeps beautifully in an airtight container in the fridge for up to 3 days. The flavors actually deepen overnight, making leftovers just as tasty as the fresh dish.
Freezing
If you want to freeze portions, it’s best to do so before adding the fresh spinach to avoid sogginess. Freeze in airtight containers or heavy-duty freezer bags for up to 2 months. When ready, thaw overnight in the fridge before reheating.
Reheating
Warm your leftovers gently on the stovetop over low heat, stirring frequently. Add a splash of cream or reserved pasta water if the sauce seems too thick or dry. Microwaving works too—just heat in short bursts and stir in between to maintain that creamy texture.
FAQs
Can I use a different type of pasta?
Absolutely! While penne works best for holding the sauce, rigatoni, fusilli, or even farfalle would be delicious alternatives that soak up the creamy sauce beautifully.
Is it possible to make this recipe gluten-free?
Yes, just swap the regular penne pasta for your favorite gluten-free pasta. The cooking times might vary slightly, so keep an eye on the texture to ensure it’s perfectly al dente.
Can I substitute the heavy cream for a lighter option?
You can try half-and-half or whole milk for a lighter sauce, but keep in mind it won’t be quite as rich or thick. Adding a bit more Parmesan can help boost the flavor if you go lighter on the cream.
How spicy is this dish?
The red pepper flakes add a gentle warmth rather than heat. Feel free to adjust the amount according to your spice preference or omit it entirely if you want a milder version.
Can I prepare parts of the recipe in advance?
You can cook the sausage and chop the sun-dried tomatoes ahead of time to save prep. The sauce and pasta are best combined just before serving to keep everything fresh and at its best texture.
Final Thoughts
This Creamy Tuscan Sausage Pasta Recipe is truly a gem—simple ingredients coming together to create something spectacularly comforting and flavorful. Whether you’re cooking for family, friends, or a cozy night in, this recipe promises to deliver smiles and satisfied appetites. Give it a whirl; I’m confident it’ll become one of your cherished go-to dishes!
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Creamy Tuscan Sausage Pasta Recipe
- Prep Time: 5 minutes
- Cook Time: 21 minutes
- Total Time: 26 minutes
- Yield: 4 servings 1x
- Category: Main Course
- Method: Stovetop
- Cuisine: Italian
Description
This Creamy Tuscan Sausage Pasta is a luscious and flavorful dish featuring tender penne pasta smothered in a rich sauce made with Italian sausage, sun-dried tomatoes, garlic, spinach, and a creamy Parmesan-infused broth. Perfect for a cozy weeknight dinner, it combines savory, spicy, and creamy elements with fresh basil garnish for an authentic Italian-inspired meal.
Ingredients
Pasta
- 1 pound penne pasta
Sausage and 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
Garnish
- Fresh basil leaves (torn, for garnish)
Instructions
- Cook the pasta: Bring a large pot of well-salted water to a boil. Add the penne pasta and cook according to package directions until al dente. Before draining, reserve 1 cup of the pasta water. Drain the pasta and set aside.
- Brown the sausage: While the pasta cooks, heat olive oil in a large skillet over medium-high heat. Add the ground Italian sausage, breaking it up with a wooden spoon. Cook until browned and fully cooked through, approximately 5 to 7 minutes. Transfer the sausage to a plate and set aside.
- Sauté aromatics and build sauce: Reduce the skillet heat to medium. Add the minced garlic and sauté until fragrant, about 1 minute. Stir in the chopped sun-dried tomatoes, chicken broth, Italian seasoning, and red pepper flakes. Pour in the heavy cream, bring the mixture to a simmer, and cook for 3 to 5 minutes until the sauce thickens slightly.
- Incorporate cheese, sausage, and spinach: Stir the freshly grated Parmesan cheese into the sauce until melted and smooth. Return the cooked sausage to the skillet and add the baby spinach. Cook, stirring occasionally, until the spinach wilts, about 1 to 2 minutes. Season with salt and pepper to taste.
- Combine pasta and sauce: Add the drained penne pasta to the skillet. Toss thoroughly to coat the pasta in the creamy sauce. If the sauce is too thick, gradually add reserved pasta water until it reaches your desired consistency.
- Garnish and serve: Serve the pasta hot, garnished with torn fresh basil leaves and additional Parmesan cheese if desired. Enjoy this comforting and flavorful dish immediately.
Notes
- For a lighter version, substitute heavy cream with half-and-half or whole milk, though the sauce will be less rich.
- To reduce spiciness, decrease or omit the red pepper flakes.
- Sun-dried tomatoes packed in oil can add extra richness; drain before chopping if desired.
- Reserve pasta water is key to adjusting sauce consistency and helping the sauce cling to the pasta.
- Leftovers can be refrigerated for up to 3 days; reheat gently to avoid curdling the cream.


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