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Sausage Fettuccine Bake

Rich and loaded with sausage, veggies and cheese, this family-pleasing dish will soon become a favorite. —Lisa Varner, Charleston, South Carolina
  • Total Time
    Prep: 25 min. Bake: 25 min. + standing
  • Makes
    2 casseroles (6 servings each)


  • 1-1/2 pounds uncooked fettuccine
  • 2 pounds bulk Italian sausage
  • 2 large onions, chopped
  • 1 medium green pepper, chopped
  • 2 cans (28 ounces each) diced tomatoes, undrained
  • 2 jars (4-1/2 ounces each) sliced mushrooms, drained
  • 4 teaspoons Italian seasoning
  • 4 cups (1 pound) shredded part-skim mozzarella cheese, divided
  • 2 cans (10-3/4 ounces each) condensed cream of mushroom soup, undiluted
  • 1/2 cup beef broth
  • 1 cup grated Parmesan cheese


  • Cook fettuccine according to package directions. Meanwhile, in a Dutch oven, cook the sausage, onions and green pepper over medium heat until meat is no longer pink; drain. Add the tomatoes, mushrooms and Italian seasoning. Bring to a boil. Reduce heat; simmer, uncovered, for 5 minutes.
  • Drain fettuccine; stir into meat mixture. Transfer half of the sausage mixture to two greased 13x9-in. baking dishes. Sprinkle each with 1 cup mozzarella cheese; top with remaining sausage mixture.
  • In a small bowl, whisk soup and broth; spread over casseroles. Sprinkle with Parmesan cheese and remaining mozzarella cheese.
  • Cover and freeze one casserole for up to 3 months. Cover and bake the remaining casserole at 350° for 20 minutes. Uncover; bake 5-10 minutes longer or until bubbly and cheese is melted. Let stand for 10 minutes before serving.
  • To use frozen casserole: Remove from the freezer 30 minutes before baking (do not thaw). Cover and bake at 350° for 70 minutes. Uncover; bake 5-10 minutes longer or until heated through. Let stand for 10 minutes before serving.
Nutrition Facts
1-1/2 cups: 531 calories, 22g fat (9g saturated fat), 60mg cholesterol, 1311mg sodium, 55g carbohydrate (10g sugars, 6g fiber), 30g protein.

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  • Clairece
    Oct 27, 2019

    We loved this! However, we did not use the mushroom soup or beef broth. We also used a can of basil garlic & oregano tomatoes instead of the plain canned tomatoes. Our other minor substitutions were using a red pepper instead of green and an Italian cheese blend instead of mozzarella cheese, plus we doubled the amount of mushrooms and increased the cheese a bit. We also added minced garlic to the meat mixture while it cooked and only made one 13x9 inch casserole for the two of us. Will definitely be making this again....very delicious!

  • huntnmama
    Jul 7, 2013

    The flavors were awesome! My husband said this would also be great with shrimp. I halved the recipe and we still had leftovers! Will definitely make again!

  • Classicrock
    May 23, 2013

    Very good, I will be making this again and again! Used NO green pepper. I made half in one 13"x9" dish. -Lori in WI.

  • voodoowitch
    Feb 14, 2013

    Question, did you make this with plain sausage or Italian sausage? The orinal magazine recipe calls for bulk Italian sausage but by reading "Johnsonville Ground Sausage" implies that it is plain sausage.

  • calbertson
    Jan 8, 2012

    This has become a new favorite. I did not have any fettuccine so I used rigatone pasta and it was delicious! All of the flavors blend and you have a very special dish.

  • keatinkp
    Mar 21, 2011

    Made this as written (with the exception I added garlic as my Italian Seasoning did not contain any), and not one person liked it. Threw most of it away as no one was willing to eat the left overs for lunch. Way too much green pepper, it was all we could taste. Not sure why it used fettuccine as rigatoni or penne would make more sense. This was a terrible waste of Italian Sausage and Permesan Reggiano. While it was quite simple to make, it was anything but delicious!

  • WTDD
    Feb 20, 2011

    Awesome...followed recipe and it was superb and my husband and I had fun making it together!!!

  • jblunt4
    Feb 18, 2011

    LOVE this recipe! Nice change from spaghetti and love the creamyness the cream of mushroom gives it!

  • Judy Anne Smith
    Feb 7, 2011

    My family loved it and my husband said it is even worthy for the guys at the Hunting Camp! Now that is fantastic!