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Creamy Sausage and Tomato Pasta Recipe

Pasta is a staple in our house. We love it with the simplest of ingredients; butter and tomato sauce or with a homemade ragù sauce.

We’re an Italian-American family, so we cook it at least three times a week. My husband would actually eat it every day if he could.

Creamy Sausage and Tomato Pasta Photo

Years ago, my mother-in-law taught me to make a creamy béchemel sauce, or white sauce, as we call it at home.

I would consider this a staple in our house as well. It’s so easy and versatile!

Creamy Sausage and Tomato Pasta Picture

What is a béchemel sauce?

First off, this sauce is derived from and is a staple in French cuisine, although there is some debate that it was an Italian who created it for the French.

This sauce consists of butter, flour and milk. The butter and flour make a roux, then you add your milk to make it creamy and thick.

Some would suggest warm milk, which I’ve done before but not usually. Don’t worry if your sauce isn’t immediately thick, it will thicken as it sits over the heat.

A few tips about this sauce:

Never leave it alone, it can burn quickly.

Always keep stirring. This will help you get that creamy texture I was talking about before.

Creamy Sausage and Tomato Pasta Image

Can I add flavors to my sauce?

Absolutely! Actually, if you add garlic to this sauce it will resemble an alfredo sauce, which the family loves as well.

Creamy Sausage and Tomato Pasta Pic

What kind of pasta can you use?

Any kind is fine, although I find it hard to mix the béchemel over spaghetti or a long noodle like that. Best to keep it short and sweet!

The sauce is super easy too. I didn’t add too many herbs to the sauce due to the flavor of the pork sausage, but you are free to add them if you’d like.

File 1 - Creamy Sausage and Tomato Pasta

If you are looking for more pasta recipes, how about this easy cream shrimp pasta or this Italian sausage and artichoke pasta?

Creamy Sausage and Tomato Pasta Photo

Creamy Sausage and Tomato Pasta Recipe

Nancy Piran
Creamy Sausage and Tomato Pasta couldn’t be simpler. It’s a fantastic Italian supper for any night of the week.
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Prep Time 5 minutes
Cook Time 20 minutes
Total Time 25 minutes
Cuisine Italian
Servings 4
Calories 1413.13 kcal


  • 1 Pipette Pasta (or any short noodle)
  • 2 Olive Oil
  • 0.5 Onion chopped
  • 3 Roma Tomato diced
  • 1 Pork Sausage
  • 3 Fresh Spinach
  • 8 Butter
  • 4 All-Purpose Flour
  • 1.25 Milk
  • Salt for taste
  • 0.5 Parmesan Cheese (Shredded)


  • Cook pipette according to package. Set aside.
  • While it cooks place onion in sauté pan with olive oil. Cook for 3 minutes.
  • Add tomatoes. Cook for another 3 minutes or until softened.
  • Add sausage and continue to cook until meat is no longer pink, about 10 minutes.
  • Add in spinach and cook till wilted about 3 minutes. Set aside.
  • In small saucepan add butter and melt over medium heat.
  • Slowly whisk in flour. Slowly whisk in milk until mixture is smooth.
  • Whisk over medium low heat until thickened.
  • Pour sausage and cream sauce over pasta.
  • Top with parmesan cheese
  • Serve warm and ENJOY!


Calories: 1413.13kcalCarbohydrates: 95.19gProtein: 42gFat: 94gSaturated Fat: 41.13gSodium: 939mgFiber: 4gSugar: 9.25g
Keyword Italian, Parmesan Cheese, Pasta, Sauces, Sausage, Simmered, Spinach, Tomatoes
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