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Creamy Italian Sausage Fettuccine Recipe

5 Stars 4 Stars 3 Stars 2 Stars 1 Star 4.1 from 72 reviews
  • Author: admin
  • Prep Time: 10 minutes
  • Cook Time: 30 minutes
  • Total Time: 40 minutes
  • Yield: 4 servings
  • Category: Main Course
  • Method: Stovetop
  • Cuisine: Italian

Description

This Creamy Italian Sausage Fettuccine is a rich and indulgent pasta dish featuring tender fettuccine noodles tossed in a luscious sauce made with Italian sausage, heavy cream, Parmesan cheese, and aromatic herbs. Perfect for a comforting family dinner, this recipe balances savory sausage with a creamy, cheesy sauce that clings beautifully to the pasta.


Ingredients

Scale

Pasta

  • 12 ounces fettuccine pasta

Meat and Oil

  • 1 pound Italian sausage (mild or spicy)
  • 2 tablespoons olive oil

Vegetables and Aromatics

  • 1 medium onion, finely chopped
  • 3 cloves garlic, minced

Liquids and Dairy

  • 1 cup heavy cream
  • 1 cup chicken broth
  • 1 cup grated Parmesan cheese

Seasonings and Garnishes

  • 1 teaspoon Italian seasoning
  • Salt and pepper to taste
  • Fresh parsley, chopped (for garnish)
  • Red pepper flakes (optional)


Instructions

  1. Boil Pasta: Start by bringing a large pot of salted water to a boil. Add the fettuccine pasta and cook according to package instructions, typically 8-10 minutes, until al dente. Stir occasionally to prevent sticking.
  2. Drain Pasta: Drain the pasta in a colander, reserving about 1 cup of the pasta water. Set the drained pasta aside for later use.
  3. Heat Oil: In a large skillet over medium heat, add the olive oil and heat for about one minute until shimmering.
  4. Cook Sausage: Remove the casing from the Italian sausage and crumble it into the skillet. Cook for 5-7 minutes, stirring occasionally, until the sausage is browned and cooked through.
  5. Sauté Vegetables: Add the chopped onion to the skillet and sauté for 3-4 minutes until translucent. Then add the minced garlic and cook an additional 1-2 minutes until fragrant.
  6. Deglaze Skillet: Carefully pour in the chicken broth, scraping the bottom of the skillet to release browned bits. Bring the mixture to a gentle simmer.
  7. Add Cream: Reduce heat to low and stir in the heavy cream, mixing thoroughly to combine.
  8. Melt Cheese: Gradually add the grated Parmesan cheese while stirring continuously until the sauce becomes creamy and smooth. If the sauce is too thick, add reserved pasta water to reach desired consistency.
  9. Season Sauce: Add Italian seasoning and season with salt and pepper to taste. Optionally, add red pepper flakes for heat.
  10. Toss Pasta in Sauce: Gently add the drained fettuccine to the skillet and toss until the pasta is well coated with the creamy sausage sauce. Adjust thickness by adding more pasta water if necessary.
  11. Adjust Flavor: Taste and adjust seasoning if needed.
  12. Plate Pasta: Using tongs, twirl the fettuccine onto plates or into bowls, ensuring each portion has an even distribution of sausage and sauce.
  13. Garnish & Serve: Sprinkle with freshly chopped parsley and additional Parmesan cheese if desired. Serve immediately while hot and creamy.

Notes

  • Reserve some pasta water as it helps to adjust sauce consistency perfectly without diluting flavor.
  • You can use mild or spicy Italian sausage depending on your spice preference.
  • For a lighter version, substitute heavy cream with half-and-half, but the sauce will be less rich.
  • Freshly grated Parmesan cheese melts better and offers superior flavor compared to pre-grated varieties.
  • Leftovers can be stored in the refrigerator for up to 3 days; reheat gently to prevent sauce from separating.