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Italian Sausage with Bow Ties Recipe
Italian Sausage with Bow Ties Recipe photo by Taste of Home

Italian Sausage with Bow Ties Recipe

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“Here’s a family favorite that’s requested monthly in our house," writes Janelle Moore from Federal Way, Washington. "The Italian sausage paired with creamy tomato sauce tastes out of this world. Not only is this dish simple to make, it tastes like you slaved over a hot stove for hours!”
TOTAL TIME: Prep/Total Time: 25 min.
MAKES:5 servings
TOTAL TIME: Prep/Total Time: 25 min.
MAKES: 5 servings


  • 1 package (16 ounces) bow tie pasta
  • 1 pound bulk Italian sausage
  • 1/2 cup chopped onion
  • 1-1/2 teaspoons minced garlic
  • 1/2 teaspoon crushed red pepper flakes
  • 2 cans (14-1/2 ounces each) Italian stewed tomatoes, drained and chopped
  • 1-1/2 cups heavy whipping cream
  • 1/2 teaspoon salt
  • 1/4 teaspoon dried basil
  • Shredded Parmesan cheese


  1. Cook pasta according to package directions. Meanwhile, in a Dutch oven, cook the sausage, onion and pepper flakes over medium heat for 4-5 minutes or until meat is no longer pink. Add garlic; cook 1 minute longer. Drain.
  2. Stir in the tomatoes, cream, salt and basil. Bring to a boil over medium heat. Reduce heat; simmer, uncovered, for 6-8 minutes or until thickened, stirring occasionally. Drain pasta; toss with sausage mixture. Garnish with cheese. Yield: 5 servings.
Originally published as Italian Sausage with Bow Ties in Simple & Delicious September/October 2007, p33

Full-Bodied White Wine

Enjoy this recipe with a full-bodied white wine such as Chardonnay or Viognier.

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Reviewed Sep. 8, 2015

"We loved this. The only thing we did different, was we did not add the red pepper flakes, because half of us in the house do not like spicier things. This is a recipe we'll be having again (and again!)."

Reviewed Apr. 12, 2015

"Great flavor to the sauce. Don't need to change a thing, but would probably have great variations too."

Reviewed Mar. 10, 2015

"This is the best pasta dish!!! I made it with grounded sweet Italian sausage was delicious. Used crushed tomatoes instead and Italian seasoning... had it with white Portuguese wine, yummy!!! My husband loved it!!! I found this on pinterest and love it!"

Reviewed Feb. 24, 2015

"OMG! !! I had sweet Italian sausage in my fridge for the longest. I knew I had to use it soon. Saw this recipe on Pinterest and it looked good and fairly simple to make. I needed the stewed tomatoes. This ingredient is needed because with the sausage its the main components. I put the heavy cream , used Italian seasoning for taste. And, it was the best thing I have made in a long time! !! My belly says, thank you! !!!"

Reviewed Oct. 20, 2014

"Easy and delicious!!! I also added precooked chicken and increased the cream by 1/4 cup (i only had heavy cream, not whipping cream but it worked just fine). Added more basil too because we love basil! This is so simple and tasty that it will become a regular on busy nights."

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