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Italian Sausage with Bow Ties

We often have our favorite pasta when company comes over, and I’ve shared this Italian sausage recipe several times. Now many of my friends make it for their families, too. —Janelle Moore, Auburn, Washington
  • 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


  • Cook pasta according to package directions. Drain.
  • 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.
  • 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.
Nutrition Facts
1-3/4 cups: 751 calories, 44g fat (21g saturated fat), 119mg cholesterol, 989mg sodium, 67g carbohydrate (9g sugars, 4g fiber), 23g protein.

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  • Rachel
    Jul 16, 2020

    Good with my additions. Boiled pasta water, threw in a pound of cut green beans for 5 minutes. Scooped them out and ran under cold water. For the sauce added Italian seasoning, more garlic, good helping of salt and pepper, and used a 28oz can of crushed tomatoes with basil and 1 14oz can of stewed tomatoes. Tossed the beans in with the pasta. Saved a cup of pasta water for thinning because it thickens up as it sits. I thin it out a bit for saving leftovers.

  • Kelley
    Aug 19, 2019

    I agree with, Marcia. This was ok as is, but kind of bland. I added LOTS more seasonings...oregano, more basil, more salt, pepper, more garlic, and more red pepper flakes. After bringing to a boil, I covered and simmered it for 30 minutes to allow the flavors to come together. It was really good after the additions and the extra cooking time.

  • Robyn
    Jul 22, 2019

    I found this recipe years ago and have been making it ever since. This is one of my "Go Tos" when I don't know what to make. It's one of my family favorites!

  • Megan
    Mar 17, 2018

    One of my husband’s favorite dishes!! So delicious and simple to make!!

  • Grammy Debbie
    Feb 27, 2018

    Delicious as well as being quick and easy! I used a quart jar of our home-canned tomatoes and otherwise followed the recipe exactly. My husband loved it and it will go in our regular dinner menu rotation.

  • Marcia
    Jan 28, 2018

    This was a quick easy dish to make. Unfortunately, I wasn't impressed with the flavor as it was very bland. I added extra pepper flakes, salt and black pepper to give it some flavor. Probably will not make again.

  • kdfromm
    Sep 10, 2017

    Nice, quick dinner. I use hot Italian sausage and scale back on the amount of tomatoes. It has definitely become a favorite at home.

  • browns19fan
    Jul 19, 2017

    Absolutely delicious! I halved the recipe and added 1/4 pound each of sweet and hot sausage. I also used half-and-half because it was in my fridge. The cream really sets this dish apart; the sauce would be wonderful on any type of pasta. Next time I may add baby spinach, also. This is a definite keeper.

  • cynandtom
    Jul 7, 2017

    Wow! This dish was amazing, and I make a mean, well any kind of pasta actually, and I'm impressed! Great flavor! The only changes I made were using sausage that we keep cooked and chopped in the freezer to have on hand, some fresh parsley and some grated Parm in the sauce! I highly recommend!

  • shannondobos
    Jul 7, 2017

    My entire family loved this recipe. Usually my kids aren't fans of italian sausage, but the creamy tomato sauce really tones it down into just the perfect flavor for them. We loved this and will definitely make it again!