I absolutely love how this Creamy Sausage and Spinach Pasta Recipe comes together with such a rich, comforting sauce that clings perfectly to every bite of rigatoni. From the first time I made it, I was hooked on how easily the hearty Italian sausage combined with silky cream and fresh spinach creates a dish that’s both satisfying and bright with flavor. If you’re looking for a pasta that feels fancy yet comes together quickly on a busy weeknight, this recipe is exactly what you need.

You’ll find that this pasta dish is incredibly forgiving and flexible—whether you’re cooking for a family dinner or want something cozy for yourself, it hits the spot every time. The gentle heat from crushed red pepper and the herbal touch of rosemary or Italian seasonings make it interesting without overwhelming your palate. Trust me, once you try this Creamy Sausage and Spinach Pasta Recipe, it’ll be a go-to in your repertoire.

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Why You’ll Love This Recipe

  • Simple, Speedy Cooking: You can have this ready in about 25 minutes, perfect for busy nights.
  • Creamy & Flavorful: The sauce is luscious without being too heavy, balancing cream, cheese, and spices beautifully.
  • Family Friendly: Everyone in my house, even picky eaters, goes crazy for this dish—especially when I add extra spinach.
  • Versatile & Customizable: You can switch sausage types or add your favorite greens to keep it fresh and exciting.

Ingredients You’ll Need

Each ingredient in this recipe plays a role in building rich flavor and creaminess while keeping it easy to source. I always recommend using good quality Italian sausage and fresh spinach when possible, but alternatives work too.

  • Rigatoni (or short pasta): Its ridges hold onto the creamy sauce wonderfully, but penne or shells work great too.
  • Ground Italian sausage: Packs the dish with savory, spiced goodness—choose mild or spicy based on your preference.
  • Heavy cream: This gives the sauce its silky texture; avoid substitutes for the best results.
  • Chicken broth: Adds depth and balances the richness of the cream.
  • Parmesan cheese: Freshly grated makes a huge difference in flavor and smoothness.
  • Garlic powder: Enhances savory notes without overpowering.
  • Crushed red pepper: Adds just a hint of heat—feel free to adjust to your spice tolerance.
  • Fresh rosemary or dried Italian seasonings: Rosemary gives a fresh piney flavor; dried herbs are a handy stand-in.
  • Spinach leaves (or escarole): Adds bright freshness and nutrition; spinach wilts down to meld beautifully with the sauce.
Note: You’ll find the complete list of ingredients, along with their exact measurements, in the printable recipe card at the bottom of this post.

Variations

I love tweaking this Creamy Sausage and Spinach Pasta Recipe depending on season and what’s in my fridge. Don’t be shy about making it your own — you’ll often find I swap ingredients or add extras to keep it interesting.

  • Vegetarian twist: I’ve used mushrooms and sun-dried tomatoes instead of sausage for a rich plant-based version that still feels indulgent.
  • Spice it up: Adding a pinch more crushed red pepper or a dash of hot sauce turned this dinner into a crowd-pleaser for spicy food lovers in my family.
  • Greens swap: When spinach wasn’t in season, I stirred in escarole – just as tasty and adds a bit of bite.
  • Cheese change-up: Sometimes I finish with pecorino romano instead of parmesan for a sharper flavor edge.

How to Make Creamy Sausage and Spinach Pasta Recipe

Step 1: Cook the pasta perfectly

Start by bringing a large pot of salted water to a rolling boil. Salt is key here—it seasons the pasta from the inside out. Cook your rigatoni until just al dente, according to the package instructions, then drain and set aside. I always save a cup of pasta water just in case I want to loosen up the sauce later.

Step 2: Brown the sausage

Place your ground Italian sausage in a large saucepan over medium-high heat. Break it apart with a spatula and cook until browned and no longer pink—this usually takes about 6-8 minutes. Don’t rush this step; those browned bits add amazing flavor to your sauce. Once done, transfer the sausage to a plate and set aside.

Step 3: Build the creamy sauce

In the same pan you cooked the sausage, pour in the heavy cream and chicken broth. Add the grated Parmesan, garlic powder, crushed red pepper, and chopped rosemary or dried Italian seasonings. Stir everything together and let it simmer gently for about 10 minutes—this allows the sauce to thicken nicely. Keep an eye on it and stir occasionally to prevent burning.

Step 4: Incorporate spinach and sausage

Toss in your fresh spinach leaves and cook just until they wilt—this usually takes a couple of minutes. Then, add the browned sausage back into the sauce and stir to combine. This step brightens the dish and balances the richness of the cream with that fresh green flavor.

Step 5: Combine pasta with the sauce

If your pan is large enough, add the cooked rigatoni directly into the sauce and toss gently to coat each piece. If not, combine everything in a large serving bowl. If the sauce feels too thick, loosen it with a splash of reserved pasta water or extra broth. Taste and adjust seasoning if necessary—sometimes a little extra Parmesan or pepper does wonders.

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Pro Tips for Making Creamy Sausage and Spinach Pasta Recipe

  • Don’t Skip Salting the Pasta Water: This is your main seasoning; it ensures the pasta isn’t bland even before it meets the sauce.
  • Brown the Sausage Well: Those caramelized bits really deepen the flavor—take your time and don’t overcrowd the pan.
  • Simmer Gently: Let the sauce thicken slowly on low heat to avoid curdling the cream.
  • Wilt Greens Last: Spinach cooks super fast and should stay bright and tender, not mushy.

How to Serve Creamy Sausage and Spinach Pasta Recipe

Creamy Sausage and Spinach Pasta, Italian sausage pasta with spinach, quick comforting pasta recipes, easy sausage pasta dinner, indulgent creamy pasta dish The dish shows a close-up of a white bowl filled with rigatoni pasta mixed with a creamy beige sauce that coats the pasta evenly. There are small pieces of browned ground meat scattered throughout and bright green spinach leaves mixed in, adding color contrast. Thin shreds of pale cheese are visible on top, melting into the sauce, with a sprig of fresh green rosemary placed near the edge. The bowl rests on a white marbled surface, giving a clean and simple background.

Garnishes

I actually love finishing this dish with an extra sprinkle of freshly grated Parmesan and a little cracked black pepper on top—simple, but it amps up the cheesy goodness beautifully. Sometimes I add a few torn basil leaves or a drizzle of good quality olive oil for added freshness and aroma.

Side Dishes

This pasta shines paired with a crisp green salad tossed in a tangy vinaigrette to cut through the creaminess. I also like to serve it with crusty garlic bread to scoop up every last bit of sauce—trust me, no sauce gets left behind!

Creative Ways to Present

For a dinner party, I’ve served this pasta in individual shallow bowls garnished with edible flowers and fresh herbs for a pop of color. Playing with plating can elevate the experience and make what feels like a simple weeknight meal appear totally special.

Make Ahead and Storage

Storing Leftovers

I store leftovers in an airtight container in the fridge, and it will stay good for up to 3 days. The pasta might soak up some sauce, so stirring in a splash of broth when reheating helps refresh the creaminess.

Freezing

While I prefer fresh for optimal texture, this dish does freeze okay. Freeze in portions without pasta if possible, then reheat with fresh pasta to avoid mushiness. Otherwise, freeze the whole dish in a well-sealed container for up to 2 months.

Reheating

Reheat gently on the stove over low heat, adding a splash of chicken broth or cream to loosen the sauce. Microwaving works if you cover the bowl and stir halfway through, but I prefer the stove method for a creamier finish.

FAQs

  1. Can I use a different type of pasta for this Creamy Sausage and Spinach Pasta Recipe?

    Absolutely! While rigatoni holds sauce beautifully due to its ridges, penne, shells, or even farfalle will work just fine. Just make sure to adjust cooking times accordingly so your pasta stays al dente.

  2. Is it okay to use turkey sausage instead of Italian sausage?

    Yes, turkey sausage can be a leaner alternative. Just keep in mind it has slightly less fat and seasoning, so you might want to add a pinch more garlic powder or Italian seasoning to compensate.

  3. Can I make this Creamy Sausage and Spinach Pasta Recipe dairy-free?

    You can try substituting heavy cream with full-fat coconut milk and use a dairy-free cheese substitute. The texture won’t be quite the same, but with the right seasonings, it’s a tasty alternative.

  4. What’s the best way to keep the spinach from getting too soggy?

    Add the spinach towards the very end of cooking the sauce and cook just until wilted, about 2 minutes. Overcooking it tends to make it mushy and dull in color.

Final Thoughts

This Creamy Sausage and Spinach Pasta Recipe is one of those dishes I keep coming back to because it’s hearty, flavorful, and always feels special without being complicated. If you haven’t tried making a creamy pasta with sausage before, I really encourage you to give this a shot—it’s a warm hug in a bowl and perfect for any pasta lover. Once you make it your own with your favorite herbs or add-ins, it’ll become just as much a staple in your kitchen as it is in mine.

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Creamy Sausage and Spinach Pasta Recipe

5 Stars 4 Stars 3 Stars 2 Stars 1 Star 4.8 from 78 reviews
  • Author: Megane
  • Prep Time: 10 minutes
  • Cook Time: 15 minutes
  • Total Time: 25 minutes
  • Yield: 6 servings
  • Category: Main Course
  • Method: Stovetop
  • Cuisine: Italian

Description

A rich and creamy pasta dish featuring spicy Italian sausage, tender spinach, and a luscious Parmesan cream sauce. Perfect for a comforting weeknight dinner, this Creamy Sausage and Spinach Pasta combines hearty flavors with simple ingredients for an easy yet satisfying meal.


Ingredients

Units Scale

Pasta

  • 1 lb rigatoni or short pasta

Sausage and Sauce

  • 1 lb ground Italian sausage
  • 2 cups heavy cream
  • 1 cup chicken broth
  • 1 cup grated Parmesan cheese
  • 2 teaspoons garlic powder
  • 1/2 teaspoon crushed red pepper
  • 1 teaspoon chopped fresh rosemary or dried Italian seasonings

Greens

  • 2 cups spinach leaves or escarole

Instructions

  1. Cook Pasta: Bring a large pot of salted water to a boil. Add the rigatoni or short pasta and cook according to package directions until al dente. Drain the pasta and set it aside.
  2. Brown Sausage: In a large saucepan over medium heat, cook the ground Italian sausage, stirring occasionally, until browned and no longer pink inside. Once cooked, remove the sausage from the pan and set aside.
  3. Prepare Cream Sauce: To the same pan, add the heavy cream, chicken broth, grated Parmesan cheese, garlic powder, crushed red pepper, and rosemary or Italian seasonings. Stir to combine well and bring the mixture to a simmer. Let it simmer gently for about 10 minutes, stirring occasionally, until the sauce thickens to your desired consistency.
  4. Wilt Greens: Add the spinach leaves or escarole to the simmering cream sauce and cook for a few minutes until the greens have wilted but still retain their bright color.
  5. Combine Sausage and Pasta: Return the cooked sausage to the pan with the cream sauce and greens, stirring to incorporate evenly. Finally, add the cooked pasta into the pan (if the pan is large enough) or transfer everything into a large serving bowl and toss gently to combine all ingredients thoroughly.

Notes

  • The original recipe calls for fresh rosemary, but if you don’t have it on hand or prefer a different flavor, dried Italian seasonings work well as a substitute.
  • Ensure not to overcook the pasta to keep a pleasant al dente texture, as it will continue to absorb sauce and soften slightly when combined.
  • This dish can be customized by substituting spinach with escarole or kale for a different green flavor and texture.

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