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

This recipe pairs well with a full-bodied white wine.

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Reviewed Apr. 11, 2014

My family loved this! Very easy to make - good enough for entertaining.

Reviewed Mar. 25, 2014

This was really good! I didn't have heavy cream so I used half cup whole milk and half cup parmesan cheese.. tasted wonderful.

Reviewed Feb. 6, 2014

Really good. Followed previous reviewers tip of adding spinach which is a brilliant idea, added color and a nice taste. Next time will make more sauce and add more tomato. Would also be nice with some sundried tomatoes.

Reviewed Jan. 16, 2014

I made this dish with our venison sausage and it was amazing! It was our Christmas dinner this year. Fantastic recipe. Next time I'll add spinach for color.

Reviewed Dec. 26, 2013

Easy to make and a big hit with the whole family.

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