Spicy Sausage Pasta

5 from 4 votes

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This Spicy Sausage Pasta is a hearty and flavorful dish that will leave everyone satisfied. Pasta smothered in a creamy white sauce and a hot sausage topping – delicious!

Cowboy Spaghetti on a yellow plate.
Featured with this Recipe
  1. Ingredients in Spicy Sausage Pasta
  2. Tips For Making Spicy Sausage Pasta
  3. Frequently Asked Questions
  4. Other Delicious Pasta Recipes
  5. How to Make Spicy Sausage Pasta
  6. Spicy Sausage Pasta Recipe

So, funny story, when my niece was in college, she really wanted to impress a boy by making him a delicious dinner. She said she wanted to make him something that was really hearty, but not just something typical like steak and potatoes. I told her about this Spicy Sausage Pasta – it is not only my husband’s all-time favorite pasta, but possibly his favorite dinner altogether. I suggested she make it. She called me a few days later and reported that it was a huge hit! Not only did the boy love it but all her roommates and their boyfriends gobbled up the leftovers! This Italian sausage pasta dish is definitely a crowd pleaser!

Ingredients in Spicy Sausage Pasta

  • Hot Italian Sausage – use pork sausage or turkey sausage.
  • Onion
  • Red Bell Pepper
  • Mushrooms
  • Garlic
  • Pepperoni
  • Pastrami – for the best tasting pastrami, order from the deli counter at the grocery store.
  • Jalapenos
  • Black Olives
  • Red Pepper Flakes
  • Butter
  • Heavy Cream
  • Kosher Salt and Black Pepper
  • Grated Parmesan Cheese – use fresh grated for the best flavor.
  • Pasta – Use any shape you’d like for your Spicy Sausage Pasta! This works for long noodles like spaghetti or linguine and for short shapes like cavatappi, ziti, rigatoni, or penne pasta.

Tips For Making Spicy Sausage Pasta

Don’t worry, this Spicy Italian Sausage Pasta really isn’t TOO spicy! You can always add or take away ingredients to make it as spicy or mild as you would like. You can also use normal sausage as opposed to hot sausage. Also, if you want to make this meal REALLY easy, substitute the homemade sauce for about 2-3 cups of store-bought Alfredo sauce– it won’t be quite as good as homemade but it will still taste delicious. To make your homemade sauce extra smooth and creamy, reserve some of the pasta water after boiling and add to the sauce.

Frequently Asked Questions

What are the different types of Italian sausage?

Usually Italian sausage comes in hot or sweet. For this recipe we use hot.

Do you cook the meat before the sauce?

In this recipe, you cook the creamy sauce and then let it simmer while you cook the meat.

How do I store leftovers?

Store leftovers in an airtight container in the fridge. This recipe does not freeze well because of the cream in the sauce.

Read More:35+ Quick and Easy To Follow Dinner Ideas Your Family Will Surely Love

Other Delicious Pasta Recipes

If you’re like me and you’re obsessed with pasta, you have to try some of our other delicious pasta recipes!

How to Make Spicy Sausage Pasta

spicy sausage pasta

Spicy Sausage Pasta

5 from 4 votes
This Spicy Sausage Pasta is a hearty and flavorful dish that will leave everyone satisfied. Pasta smothered in a creamy white sauce and a hot sausage topping – delicious!
Prep Time 10 mins
Cook Time 15 mins
Total Time 25 mins
Course Dinner, Main Course
Cuisine Italian
Servings 4





  • Melt a little of the butter in a medium saucepan and add half of the garlic. Saute on medium heat for about a minute, then add remaining butter, whipping cream, and pepper. Bring to a slight simmer and add the parmesan cheese.
  • Lower heat and stir until cheese is completely melted in and sauce thickens. In a large pan heated on medium-high heat, piece sausage in small chunks and cook thoroughly. Add onions, peppers, mushrooms and remaining garlic. When onions become clear, add remaining ingredients and saute for about 8 minutes or until everything is hot and cooked through.
  • Remove sauce from heat and toss with cooked pasta noodles. Top pasta with skillet mixture, parmesan cheese, and hot red pepper flakes (to taste).

Nutrition Information

Calories: 832kcalCarbohydrates: 15gProtein: 32gFat: 73gSaturated Fat: 37gCholesterol: 194mgSodium: 2548mgPotassium: 674mgFiber: 3gSugar: 4gVitamin A: 2864IUVitamin C: 56mgCalcium: 477mgIron: 3mg

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About the author

Erica Walker

Erica lives in Boise, Idaho with her husband, Jared, an attorney, and her three beautiful girls. Beyond the world of recipes, she loves adventuring with everything from kayaking, to cruising, to snowboarding and taking the family along for the thrill ride.

More about Erica Walker

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  1. 5 stars
    This is my kind of comfort food! Hearty, delicious and perfect for busy weeknights; the whole family loved it!