Spicy Sausage and Pasta Recipe

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I had to ask a former neighbor for this recipe after smelling the aroma of it cooking one day. It's simple and delicious, and I'm glad I got the recipe.—May Murphy, Fayetteville, Pennsylvania
TOTAL TIME: Prep: 10 min. Cook: 25 min.
MAKES:6 servings
TOTAL TIME: Prep: 10 min. Cook: 25 min.
MAKES: 6 servings


  • 1 cup uncooked elbow macaroni
  • 1 pound turkey Italian sausage, casings removed
  • 1 large green pepper,chopped
  • 1 medium onion, chopped
  • 1 can (14-1/2 ounces) stewed tomatoes, cut up
  • 1 tablespoon sugar
  • 1 teaspoon chili powder
  • 1-1/2 cups (12 ounces) reduced-fat sour cream

Nutritional Facts

1 cup: 304 calories, 13g fat (7g saturated fat), 65mg cholesterol, 683mg sodium, 26g carbohydrate (0 sugars, 3g fiber), 20g protein. Diabetic Exchanges: 2 lean meat, 2 vegetable, 1-1/2 fat, 1 starch.


  1. Cook macaroni according to package directions. Crumble sausage into a large nonstick skillet. Add green pepper and onion. Cook over medium heat until meat is no longer pink. Stir in the tomatoes, sugar and chili powder.
  2. Bring to a boil. Reduce heat; cover and simmer for 15 minutes, stirring occasionally. Reduce heat to low. Stir in the sour cream until blended. Drain macaroni; add to skillet. Cook and stir until heated through. Yield: 6 servings.
Originally published as Spicy Sausage and Pasta in Country Woman January/February 2004, p36

Medium-Bodied Red Wine

Enjoy this recipe with a medium-bodied red wine such as Chianti, Sangiovese, Malbec or Zinfandel.

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mamaknowsbest User ID: 5826120 134731
Reviewed Sep. 20, 2013

"My husband's family has been making this recipe for the past 30 yesars. It is a great, quick meal. Kids love it. Sometimes we do not add sourcream at end but serve on the side for those who don't like tangy sour cream taste. On occasion we have added a can of drained corn or black beans to extend the servings. Great recipe!"

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