Fettuccine with Creamy Tomato and Sausage Sauce – a delicious, savory, creamy tomato and sausage sauce, served over pasta, is a hearty and comforting meal, perfect for a chilly fall evening.
Sometimes there is nothing better than a hearty bowl of pasta, comforting and warm, on a chilly fall evening. This Fettuccine with Creamy Tomato and Sausage Sauce is one of my favorites.
I’ve been making this dish for years for myself and my husband and for adult guests. However, last week was the first time I made it for my kids. I wasn’t sure how it’d go over with my son, because he usually doesn’t like tomato based sauces, but he absolutely loved it. Yay!
This dish is so rich and luscious, it’s surprising how quick and easy it is to put together. It’s perfect for a special family dinner, it’s also great for entertaining.
The original recipe is from Bon Appétit, I’ve adapted it by tweaking the ingredients and lowering the heat level. If you prefer your pasta sauce spicy, you can increase the amount of crushed red pepper.
Sage is one of my favorite spices and it really comes through in this sauce, so savory and delicious. If you don’t have sage, basil, either dried or fresh, also works well. I’ve also made this dish using bowtie pasta, any shape that can hold up to a hearty sauce will work nicely.
Fettuccine in a delicious, savory, creamy tomato and sausage sauce, hearty and comforting -- perfect for a chilly fall evening.
Ingredients
- 1 tablespoon olive oil
- 1 cup chopped onion
- 3 garlic cloves, minced
- 1 lb sweet Italian sausages, casings removed
- ½ cup whipping cream
- 1 (28 oz) can diced tomatoes
- ¼ teaspoon Italian seasoning
- 1 tablespoon dried sage
- 1/8 teaspoon crushed red pepper
- 12 oz fettuccine
- salt and freshly ground black pepper to taste
- freshly grated Parmesan cheese (optional)
Instructions
- Heat olive oil in large heavy pot over medium heat. Add onion and garlic and sauté until beginning to soften, about 3 minutes.
- Add sausages and sauté until no longer pink, breaking up with spoon, about 5 minutes.
- Add in whipping cream and simmer for 5 minutes.
- Add in tomatoes, Italian seasoning, sage and crushed red pepper. Simmer until sauce thickens, stirring occasionally, about 15 minutes.
- While sauce is simmering, cook fettuccine, according to package directions, in a large pot of salted boiling water until al dente.
- Season sauce with salt and black pepper to taste.
- Serve sauce over fettuccine, top with freshly grated Parmesan cheese, if desired.
adapted from epicurious.com

So easy and SO good.
Kristen recently posted…Green Tea Ramen Soup: The Ultimate Cold/Flu Fighter
This is exactly the type of dish my family and I would enjoy again and again.
Michelle @ The Complete Savorist recently posted…BBQ Chicken Pita Bites
Looks and sounds delicious – I agree a big bowl of pasta can be just what you need some days!
Caroline recently posted…Maple-roasted buttercup squash
Looks delicious! How cool your son liked it too. My son is 11 now and if he doesn’t like it then too bad. But I try to make things he might like. 😉
Denise Wright recently posted…Sausage Broccoli and Butternut Squash Noodles
I love the flavors in this! Creamy spicy sauce with sausage and sage. Yum!
Analida’s Ethnic Spoon recently posted…Arugula Blend Salad with Pomegranate Dressing
This looks so scrumptious. Just a touch of cream, I’m sure, takes this dish to another level. YUM.
KC the Kitchen Chopper recently posted…Real Food Experience Challenge #2. Eat this Why?…Veggies, Fruits
Yum!
Thanks Greg!
Joy recently posted…Wordless Wednesday with Oh My Heartsie Girls
Sage is one of my favorites too. And I’m a big softie when it comes to cream sauces–I can’t resist them! Thank you for sharing with See Ya in the Gumbo!
Michelle recently posted…Happy 2015 {Grandma Buhler’s Eggnog}
Thanks Michelle!
Joy recently posted…Cranberry Banana & Pecan Mini Loaves
My mouth is watering Joy!
Nicole@Family Table Treasures recently posted…Top 10 Recipes of 2014
Thanks Nicole! Thanks for coming by 🙂
Joy recently posted…Cranberry Banana & Pecan Mini Loaves
Hi! Joy, Visiting from See Ya in the Gumbo. This looks so delicious! Pinning and going to make real soon. I just recently discovered how much I love cream in sauces. Got to try your pasta recipe. Happy New Year!
Denise recently posted…Mushroom Enchiladas
Thanks Denise! Hope you give it a try and enjoy! Happy New Year!
Joy recently posted…Cranberry Banana & Pecan Mini Loaves
This sounds perfect for a chilly winter evening and quick too! Thanks for sharing, visiting from Inspire Me Monday. Pinned to try 🙂
Christy recently posted…Party Green Beans and Ham
It is quick and easy! Thanks for the pin 🙂
Joy recently posted…Cranberry Banana & Pecan Mini Loaves
These are adorable. Thanks for sharing your fabulous recipes at Foodie Fridays. Hope to see you again this week.
Blessings,
Shari
Pure Grace Farms recently posted…Dried Fruit Chutney: The Perfect Fall Party Recipe
Thanks Shari!
Joy recently posted…Cranberry Banana & Pecan Mini Loaves
Yum. We eat a pasta dish weekly and this is a nice easy dish to prepare. Thanks for sharing it on Merry Monday.
Erlene recently posted…Merry Monday Link Party #29
It is so very easy, thanks for coming by!
Joy recently posted…Cranberry Banana & Pecan Mini Loaves
I love quick and easy dinners. This one looks good! Thanks for linking up at the Home Matters Linky Party!
~Bonnie
Bonnie recently posted…My Holiday Wish
Thanks Bonnie! Thanks for coming by 🙂
Yum! I am reading this post right before lunchtime … big mistake! It is making me so hungry, I can hardly stand it – this looks awesome. I will have to try this recipe. My daughter will love it as well! 🙂
Joan Merrell recently posted…Review – OZ Naturals Hyaluronic Acid Serum
Thanks so much Joan! I hope you give it a try and you and your daughter enjoy!
This looks fabulous! I’m always looking for new pasta recipes and this just made the “to make” list. Thank you for linking up with #FoodieFridays this week! Please stop by this week with some new tasty links and see if you were featured. Christie – http://akitchenhoor.blogspot.com/
Thanks Christie! I will definitely be back at #FoodieFridays!
Joy recently posted…Dutch Cobbler’s Cake
Looks so delicious!
Thanks for coming and linking up at The Weekend Social. Please be sure to come back next week starting Thursdays at 9PM EST The Midnight Baker ! I hope to see you there!
Judy@ http://www.bakeatmidnite.com
Judy recently posted…Mexican Chicken Enchilada Lasagna
Thanks Judy! I’ll definitely be back at The Weekend Social!
Joy recently posted…Banana Coconut Bread
This looks delicious. I forget about Italian sausage, but I LOVE pasta.
Stephanie recently posted…10 unique and tasty taco recipes
Thanks Stephanie, hope you give this a try and enjoy!!
Joy recently posted…Fettuccine with Creamy Tomato and Sausage Sauce
I love Italian sausage with pasta and sauce, this is a lovely dish.
Thanks Janette, hope you give this a try and enjoy!!
Joy recently posted…Fettuccine with Creamy Tomato and Sausage Sauce
ummmmm, I bet the cream really makes this extra special!
Jenna recently posted…Tablescapes, Transitioning to November
Thanks Jenna, this is really delicious, hope you give it a try and enjoy! Thanks for coming by! 🙂
Joy recently posted…Fettuccine with Creamy Tomato and Sausage Sauce
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