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Overhead image of a wooden spoon in a skillet full of Italian sausage pasta.
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Creamy Italian Sausage Pasta

Craving big, bold flavors without the fuss? This creamy, spicy Italian sausage pasta is your answer! It comes together in just 30 minutes, and the luscious, cheesy white wine sauce is to die for.
Prep Time10 minutes
Cook Time20 minutes
Total Time30 minutes
Course: dinner, lunch, Main Course
Cuisine: American, Italian
Servings: 4 servings

Ingredients

  • 12 oz. medium pasta shells or other short pasta like elbows, bow-tie, rigatoni, etc.
  • 1 lb. hot Italian sausage or 19 ounces hot Italian sausage links casing removed
  • 1 medium white onion minced
  • 5 garlic cloves minced
  • 2/3 cup dry white wine like sauvignon blanc
  • 2 cups heavy cream half and half can be substituted but will have a thinner consistency
  • 1.5 cups Parmesan cheese freshly grated
  • 4 ounces pepper jack cheese shredded
  • 1 tsp Italian seasoning
  • ½ tsp red pepper flakes
  • Salt and pepper

Instructions

  • In a large skillet over medium-low heat, add in sausage. Use a spatula to break it into small pieces as it cooks. Cook for 4 minutes, flip, and add in onions and garlic. Continue cooking for about 3 minutes.
  • Use paper towels to collect excess grease from the bottom of the pan.
  • Add in wine and simmer until it reduces by half. Meanwhile, get a pot of water boiling and cook the pasta to al dente according to the package instructions.
  • Pour the cream into the pan sauce and bring to a low simmering boil. Add in salt, pepper, red pepper flakes, and Italian seasonings. Sprinkle in the Parmesan cheese and pepper jack, mixing until it melts into the sauce.
  • Fold in the cooked pasta until it’s evenly coated. Serve and enjoy!