20-Minute Creamy Italian Sausage Pasta

Why You’ll Love This Recipe

I love this recipe because it’s quick, easy, and full of bold, comforting flavors. The creamy sauce coats every strand of fettuccine perfectly, while the seasoned sausage gives it that rustic Italian taste. The spinach adds freshness and color, making the dish balanced and satisfying. It’s a complete meal made in one pan, ready in just 20 minutes, and perfect for weeknights or cozy weekends.

Ingredients

(Note: All ingredient amounts are listed in the recipe card below.)

300g pkt Coles Fresh Fettuccine Pasta
1 tbsp extra virgin olive oil
500g halal Italian-style sausages
2 garlic cloves, crushed
1/2 tsp dried chilli flakes (optional)
250ml (1 cup) chicken stock
300ml thickened cream
60g baby spinach leaves
Chopped fresh continental parsley leaves, to serve
Finely grated parmesan, to serve

20-Minute Creamy Italian Sausage Pasta Directions

I start by cooking the fettuccine in a large saucepan of salted boiling water for about 2 minutes, just until al dente. I drain the pasta, reserving about 1/4 cup (60ml) of the starchy pasta water for later.

Meanwhile, I heat the olive oil in a large deep frying pan over medium-high heat. I remove the sausage meat from its casings and break it into small pieces as I add it to the pan. I cook the sausage for about 4–5 minutes, stirring occasionally, until it’s browned all over and cooked through.

Next, I add the crushed garlic and the chilli flakes (if I’m using them) and cook for about 30 seconds, just until fragrant. Then, I pour in the chicken stock and let it simmer for 1–2 minutes to reduce slightly and pick up all the flavor from the pan. I add the cream and bring it to a gentle boil, then lower the heat and let it simmer for 3–4 minutes until the sauce thickens slightly.

Once the sauce is ready, I stir in the spinach, drained pasta, and the reserved pasta water. I toss everything together for a couple of minutes until the spinach wilts and the pasta is fully coated in the creamy sauce. Finally, I season to taste and serve it topped with fresh parsley and a generous sprinkle of grated parmesan.

Servings and Timing

This recipe serves 4 people and takes about 20 minutes total — 5 minutes of prep and 15 minutes of cooking. It’s ideal for a fast, satisfying dinner that feels restaurant-quality without the fuss.

Variations

I sometimes use penne or rigatoni instead of fettuccine for a change in texture. For extra flavor, I stir in a spoonful of sun-dried tomato pesto or add roasted cherry tomatoes before serving. If I want a lighter version, I replace half the cream with milk or evaporated milk. For a spicy kick, I add more chilli flakes or a drizzle of chilli oil. To make it extra cheesy, I stir a handful of grated parmesan directly into the sauce before tossing the pasta.

Storage/Reheating

I store any leftovers in an airtight container in the fridge for up to 2 days. To reheat, I warm it gently in a frying pan over low heat, adding a splash of milk or cream to bring back the sauce’s creaminess. It’s best enjoyed fresh, but even the next day, the flavors deepen beautifully. I don’t recommend freezing it, as the cream sauce can separate when thawed.

FAQs

Can I use dried pasta instead of fresh?

Yes, I just cook it according to the packet instructions and drain it slightly al dente before adding to the sauce.

Can I make this without chilli?

Of course — the dish still has plenty of flavor even without spice.

What can I use instead of cream?

I sometimes use evaporated milk or a mix of milk and cream for a lighter version.

Can I add vegetables?

Yes, I often add mushrooms, cherry tomatoes, or peas for extra color and nutrition.

Can I use another type of pasta?

Any pasta shape works well — penne, spaghetti, or rigatoni are all great options.

How do I make it extra creamy?

I add a little more cream or stir in some grated parmesan while the sauce is simmering.

Can I make this ahead of time?

The sauce can be made in advance, but I toss the pasta in just before serving to keep it fresh.

Can I use vegetable stock instead of chicken?

Yes, vegetable stock works perfectly and gives a slightly lighter flavor.

What can I serve with this?

A simple green salad or garlic bread makes a perfect pairing.

How do I keep the sauce from drying out?

I save a bit of the pasta water — it helps keep the sauce silky and smooth when reheating.

Conclusion

This 20-Minute Creamy Italian Sausage Pasta is a comforting, flavorful meal that’s as easy as it is delicious. I love how the creamy sauce, hearty sausage, and tender pasta come together in one quick dish that always feels special. It’s the perfect example of how simple ingredients can create something truly satisfying — a real weeknight winner that never disappoints.

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