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

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We often have our favorite pasta when company comes over, and I’ve shared the recipe several times. Now many of my friends make it for their families, too. —Janelle Moore, Auburn, Washington
Featured In: Top 10 Quick Dinners
TOTAL TIME: Prep/Total Time: 25 min.
MAKES:6 servings
TOTAL TIME: Prep/Total Time: 25 min.
MAKES: 6 servings


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

Nutritional Facts

1-3/4 cups: 751 calories, 44g fat (21g saturated fat), 119mg cholesterol, 989mg sodium, 67g carbohydrate (9g sugars, 4g fiber), 23g protein.


  1. Cook pasta according to package directions. Drain.
  2. Meanwhile, in a 6-qt. stockpot, cook and crumble sausage with onion and pepper flakes over medium heat until no longer pink, 5-7 minutes. Add garlic; cook 1 minute. Drain.
  3. Stir in tomatoes, cream, salt and basil; bring to a boil over medium heat. Reduce heat; simmer, uncovered, until thickened, 6-8 minutes, stirring occasionally. Stir in pasta; heat through. Serve with cheese. Yield: 6 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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PrplMonky5 User ID: 6612040 267717
Reviewed Jun. 6, 2017

"I really wasn't that impressed with this. It tasted ok, but I felt like it needed something more. It didn't help that after reheating the leftovers, there was virtually no sauce left. Somehow the noodles had soaked it up during the reheat process (I'm guessing?). Since we enjoy having leftovers for lunches during the week, this is a big negative for us. I probably won't make this again."

kdfromm User ID: 8406252 265347
Reviewed Apr. 30, 2017

"Nice, quick dinner."

redgirl4634 User ID: 5896029 258734
Reviewed Dec. 27, 2016

"Made this with mild Italian sausage and a 28 oz can of basil infused crushed tomatoes since my husband can't stand chunks of tomato. This was really good and also got rave reviews from my 4 year old son."

[email protected] User ID: 989506 256251
Reviewed Nov. 1, 2016

"A Big THANK YOU for submitting this recipe. I have been making this dish for years, since it was first published. My family requests it often. I have made it exactly as shown with great results and also have substituted 1/2 and 1/2 for the cream and added 1 to 2 tablespoons of corn starch to thicken it up a bit. When I didn't have the cream. I also add the juice from the tomatoes for a little more sauce. Served with a salad and garlic bread.....YUM!"

smarrero56 User ID: 8689886 241800
Reviewed Jan. 15, 2016

"Loved this recipe, and the last time I made it I used chicken instead of Italian sausage. I also used a jar of sun-dried tomates instead of canned tomatoes. Will make this again and again!"

my3gifts User ID: 8530521 232524
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!)."

Not_Spacy User ID: 6034953 224732
Reviewed Apr. 12, 2015

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

cyrivera User ID: 8287485 222497
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!"

joanie82 User ID: 8270936 221322
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! !!!"

katherine911 User ID: 7967892 133438
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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