Easy Creamy Italian Sausage Pasta

5 Stars 4 Stars 3 Stars 2 Stars 1 Star

No reviews

This easy creamy Italian sausage pasta is delicious and simple to make in under 30 minutes. Featuring flavorful Italian sausage, bow tie pasta, and a creamy homemade tomato sauce, this easy pasta dish will become an instant family favorite!


Units Scale


  1. First begin boiling salted water in a saucepan over medium-high heat. Once water is boiling, add in bowtie pasta, and cook noodles to al dente, according to package instructions.
  2. Next use a knife to finely dice a small onion. Using a handheld grater, freshly shred parmesan cheese in a bowl. Set both aside for later.
  3. In a large nonstick skillet, add extra virgin olive oil. Next add ground Italian sausage, and begin breaking apart with a wooden spoon. Cook over medium high heat until fully cooked.
  4. Next separate the ground sausage from the olive oil in the pan, and add in the minced garlic. Next add the finely diced onion, stir, and cook the mixture until the onions begin to soften, about 1-2 minutes. Stir everything together until evenly combined.
  5. Next add in the Italian seasoning, and add salt and ground black pepper to taste. Pour in the diced tomatoes and tomato sauce and stir until evenly incorporated. Cook over medium heat for 5 minutes.
  6. Lastly, pour in the heavy cream, unsalted butter, and shredded parmesan cheese and stir until combined. Let the mixture simmer until it thickens (about 5 minutes).
  7. Drain the cooked bowtie pasta and stir into the sauce until evenly combined.
  8. If desired, top with additional shredded parmesan cheese and enjoy!
YouTube video


  • Cover and store leftover pasta in the fridge for up to 3 days
  • Substitute penne or rotini pasta for bowties, if desired