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Makeover Creamy Italian Sausage Pasta

This slimmed-down version of a savory supper has just half the calories, 20% of the fat, 15% of the saturated fat and about 40% of the cholesterol. Yet the full-flavor result is one her family—and your—can enjoy without the guilt.—Taste of Home Test Kitchen, Greendale, Wisconsin
  • Total Time
    Prep/Total Time: 25 min.
  • Makes
    6 servings


  • 8 ounces uncooked spiral pasta
  • 3/4 pound turkey Italian sausage links, casings removed
  • 3/4 cup chopped sweet red pepper
  • 1/2 cup chopped onion
  • 1 tablespoon all-purpose flour
  • 1 cup fat-free half-and-half
  • 1 cup milk
  • 1/2 cup white wine or chicken broth
  • 1/2 cup grated Romano cheese
  • 1/4 teaspoon salt
  • 1/4 teaspoon pepper
  • 1/8 teaspoon paprika
  • 1 tablespoon minced fresh parsley


  • Cook pasta according to package directions. Meanwhile, in a large nonstick skillet, cook the sausage, red pepper and onion over medium heat until sausage is no longer pink and vegetables are tender; drain and return to the pan.
  • In a small bowl, combine the flour, half-and-half, milk, wine or chicken broth, cheese, salt, pepper and paprika until blended. Add to the sausage mixture. Bring to a boil; cook and stir for 1 minute or until thickened. Remove from the heat.
  • Drain pasta. In a large bowl, combine sausage mixture and pasta. Before serving, sprinkle with parsley.
Nutrition Facts
1 cup: 343 calories, 11g fat (4g saturated fat), 61mg cholesterol, 600mg sodium, 38g carbohydrate (0 sugars, 2g fiber), 21g protein. Diabetic Exchanges: 2 starch, 2 lean meat, 1 fat, 1/2 reduced-fat milk.
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  • Charlie2sips
    Dec 15, 2015

    Sounds good but very confusing recipe. Do you use all of the 1 C. FF Half & Half, 1 C. Milk, Wine and Chicken broth or do you choose one of these to use? The way it is worded it sounds like you are to pick one of these. Maybe that is why some say it was too thin because they used all of these ingredients.

  • Hopechurchlady2
    May 18, 2015

    This was just ok. I asked my husband if it was a keeper and we both shook our heads no.

  • kafaughn
    May 6, 2013

    I also added garden fresh chopped tomatoes.

  • julzrulz9
    Apr 14, 2013

    Great recipe, has a really rich creamy sauce, very filling and won't ruin my diet!

  • Kanselment
    Jan 31, 2013

    Made with one can of drained diced tomatoes (with onion and celery) instead of red pepper. Used rice wine instead of chicken broth. Was amazing!

  • usjanrdms
    Oct 18, 2011

    Delicious and easy to make. Used lower sodium chicken broth and did not add salt

  • kathydimar
    May 4, 2011

    I make this all the time with gluten-free pasta and corn starch to thicken. So good!

  • Mary_1959
    Aug 20, 2010

    Very good, but I thought the sauce was a little thin. Next time I'll tinker with that part.

  • williamsegraves
    Jul 22, 2009

    This was scrumptious!! I used regular Italian Sausages instead of Turkey, and I preferred the wine option. Absolutely delicious!

  • sbuffman
    Nov 19, 2008

    So good! One I will be making again for sure! Thanks!