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Italian Sausage with Bow Ties Recipe

Italian Sausage with Bow Ties Recipe

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
TOTAL TIME: Prep/Total Time: 25 min. YIELD: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


  • 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.

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.

Reviews for Italian Sausage with Bow Ties

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browns19fan User ID: 919833 269701
Reviewed 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 User ID: 2224843 269110
Reviewed 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 User ID: 5115022 269102
Reviewed 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!"

cynandtom User ID: 2224843 269075
Reviewed Jul. 6, 2017 Edited 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!"

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."

jbunnie25 User ID: 2973991 170071
Reviewed Oct. 17, 2014

"What can u use instead of stewed tomatoes?"

dollargirl User ID: 939213 172438
Reviewed Apr. 11, 2014

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

mrenda User ID: 5393618 108439
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."

fujofly User ID: 7657423 172431
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."

Kimberly Hines User ID: 1929928 209251
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."

aprilb30 User ID: 7366815 81165
Reviewed Dec. 26, 2013

"easy to make and a big hit with the whole family."

Bryndell User ID: 574682 155141
Reviewed Sep. 24, 2013

"I add baby bella mushrooms to mind and the kids love it!!!"

laurshay User ID: 6368444 154078
Reviewed Jul. 25, 2013

"This recipe was delicious! I felt like I was eating off the olive garden menu! Yummy!!! The only thing I did different was leave out the red pepper flakes (don't like spicy) and I used 12 oz of bow tie noodles instead of 16 oz which made it more saucy, which I like!!! We even has leftovers:-)"

peacharmadillo User ID: 3329993 133427
Reviewed Dec. 18, 2012

"this is relatively regular at our house. I usually opt for the lower fat version of everything and am still satisfied."

DawnLockhart User ID: 3466471 156585
Reviewed Aug. 21, 2012

"One of our all-time favourite pasta dishes! Everyone loves this - just as good as any restaurant pasta dish. Its easy to make and makes lots (much more than the 5 servings stated in the recipe)."

Crustee User ID: 6579126 209250
Reviewed Mar. 14, 2012

"This is very good! With all of that cream, how could it not be! I used ground sausage because I didn't realize until after I made this, that the photo shows link sausage. Nonetheless, it is very tasty. My sauce was a bit too runny, so I did a shaker of milk and flour to thicken it up. Also, don't skimp on the spices as you want a very bold sauce that gets weakened as soon as you toss it with the bland pasta. Bold sauce+bland pasta=perfect balance. I will make this again and again!"

ekatiakarpova User ID: 6312133 154077
Reviewed Feb. 7, 2012

"Very tasty!"

jessicadarracott User ID: 5619289 98594
Reviewed Jan. 11, 2012

"This recipe is absolutely AMAZING and so easy to make! It's definantly a household favorite. I wouldn't suggest mixing all of the noodles in at once though. I usually only use about half of a package when I make it, the flavor of the meat mixture is just too good to outweigh by the noodles, and I substitute pesto for the basil since I've always got some around. Also, since I have a hard time finding Italian sausage, I just buy a pound of regular pork sausage and add italian seasoning while browning.The flavor is miraculous."

rhonda1 User ID: 1537009 169637
Reviewed Nov. 2, 2011

"This is delicious and it is easy to make. A favorite"

cdnvr User ID: 6095627 209249
Reviewed Sep. 9, 2011

"This was excellent, but, I did make a couple of changes to make it a little healthier. Instead of 1-1/2 cups of heavy whipping cream, I only used 1/2 a cup of heavy whipping cream, then added in 1 cup of half and half. I also added in fresh cooked asparagus - it was sooo yummy. thinking of trying it with broccoli as well."

MsBettyC User ID: 6155137 167813
Reviewed Aug. 16, 2011

"My family loved this, including my son who "hates everything" except pizza!"

MelodyMahala User ID: 4582527 77048
Reviewed Jun. 2, 2011

"This was so good! It has a little kick to it so I'm glad I didn't buy the hot sausage. A little messy to make but well worth it!"

Peggy50 User ID: 4530588 81164
Reviewed May. 24, 2011

"When I started this recipe, I thought I had all the ingredients, as usually happens, I didn't. I only had one can of plain stewed tomatoes, so I added some chopped red and green pepper and tomato sauce and little Italian seasoning. It was still delicious even with the substitutions - my family loved it. I look forward to making it again, with the correct ingredients next time!"

Potroast911 User ID: 3101033 154076
Reviewed Apr. 21, 2011

"I made this recipe with tortellini instead of bow ties. It was good but needed more flavor, perhaps spicy Italian sausage, more garlic and more herbs."

Teresa317 User ID: 1900260 99857
Reviewed Apr. 9, 2011

"This has become a family favorite. A friend commented that it was just like eating at her favorite Italian restaurant."

meekins3 User ID: 4776002 98593
Reviewed Mar. 5, 2011


agnes24 User ID: 4430156 108428
Reviewed Jan. 28, 2011

"I will make this again. Reminded us of a vodka sauce. Very good."

marciedarcie User ID: 3127814 169148
Reviewed Jan. 7, 2011

"We didnt have the bulk sausage so we used links and it was still awesome! YUM!"

glitterpeaches User ID: 4364048 99856
Reviewed Dec. 1, 2010


justmbeth User ID: 1196484 98591
Reviewed May. 22, 2010

"My pasta-loving kids loved this! One recipe made more than 5 servings."

funnyface55 User ID: 1373039 172429
Reviewed Apr. 24, 2010

"An absolute favorite at our house. My grown son requests this meal all the time."

carolstec User ID: 274069 97753
Reviewed Apr. 14, 2010

"This is hands down my son's favorite recipe. If I ask him what he wants for dinner, this is what he asks for. I cut down on the fat by using part evaporated milk. I usually cook at least 3 batches of the sausage mixture and freeze 2 portions with my food saver. Then it is so quick to mix up the next couple of times I make it. I never drain the tomatoes. I"

arlunt User ID: 2888509 98586
Reviewed Jan. 23, 2010

"We love this recipe! It is one of my husband's favorite meals. We don't have it very often, so we use all the ingredients, including the cream. Yum!"

adh User ID: 643790 169636
Reviewed Jan. 1, 2010

"My husband and I love this! It is easy to make and it makes a lot. Much more than 5 portions. We had it left-over today and it was still good."

Nlheitzman User ID: 2707252 154072
Reviewed Sep. 22, 2009

"I have made this several times and just love it! Since there is just the 2 of us I only make half the recipe. It is sooo good!"

Classicrock User ID: 656532 169634
Reviewed Jul. 10, 2009

"I have made this several times.I've used kielbasa in place of the Italian sausage and only 12 oz. instead of 16 oz. pasta. It's yummy! -Lori"

scrambledwithcheese User ID: 1233902 154066
Reviewed Dec. 8, 2008

"Loved it! Might use slightly less cream next time. And I am sure you could use diced tomatoes instead of stewed."

mom2grlys User ID: 2394516 209248
Reviewed Dec. 1, 2008

" This is a favorite in my house.  We always have seconds for lunch the next day.  I have always made in per the recipe, so they would be bummed if I let out the cream.  I used half and half once...."this taste's different this time honey", but I think it would be healthier with our the cream.  I usually put less cream than called for (about 1/2) and it turns out great.  Made this many times.  Will try with the diced tomatoes next time, great idea! "

butterflynurse User ID: 2547676 108426
Reviewed Nov. 21, 2008

"I've made this dish twice for my family,without the cream, and they all love it, including me!It's fast, easy and delicious."

huskergirl12 User ID: 3241960 98583
Reviewed Nov. 21, 2008

"I used Italian-style diced tomatoes and left out the milk entirely. It turned out wonderfully! This is a new favorite at our house."

LostTime User ID: 761087 169147
Reviewed Oct. 23, 2008

"Yummy, yummy, yummy, and easy, easy, easy. This recipe is a keeper. I just read the comment above about not draining the stewed tomatoes, lol, I forgot to drain them, and the recipe still came out.  Next time I make it, I will drain the tomatoes so I can decide which way is better."

LHarris55 User ID: 972379 209247
Reviewed Oct. 22, 2008

"Any body tried this with fat-free Half & Half in place of the heavy cream? Would some other low-fat dairy product work?"

Maxi User ID: 13517 98582
Reviewed Oct. 18, 2008

"re: sodium count: suggest you check packages of items for sodium content, add numbers up and then divide by number of servings to get approximate count."

annieb314 User ID: 1061317 172427
Reviewed Oct. 17, 2008

"I make this all the time for our family. It is a terrific recipe - quick, easy, and delicious! To save even more time, I used Italian diced tomatoes instead. Then you just have to drain them - no chopping needed."

msnider User ID: 1335753 99855
Reviewed Oct. 17, 2008

"Do you have the sodium count for this dish?"

lisa53202 User ID: 1079567 209246
Reviewed Oct. 8, 2008

"Great recipe--fast and tasty! I do not drain the tomatoes."

Nlheitzman User ID: 2707252 156560
Reviewed Aug. 4, 2008

"Wonderful recipe! It is quick to make and the entire family loves it!"

Granmom43 User ID: 2750462 155140
Reviewed Jul. 25, 2008

"I love this recipe. It's quick and simple, not alot of ingredients, thats what I like."

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