This Italian Sausage Bow Tie Pasta is easy – and reminds me of something you would get at an Italian restaurant. Our family loves it … and I hope yours does too!

Brian and I had our first “date” at Olive Garden. At the time, Brian lived out of town so he had a little further to go to get to that Olive Garden than I did. Or so I thought. I arrived early and decided to sit in my car and wait for him to arrive (which wasn’t a long wait). We were talking to each other on the phone while he was driving into town … and I guess he missed the part about telling me he was in the parking lot – because he kind of snuck up on me … and gave me a mini heart attack by knocking on my window.
After giving him a hard time, we went inside and enjoyed a nice meal together … and talked a lot! I absolutely love that we can talk for hours and hours …. and we have the cell phone bills to prove it. ?
Towards the end of the date, when they bring the check – they also bring you those little Andes mints. I may have flicked one of those mints at him (imagine elementary school – when you flicked the paper football through your friend’s hands that were the “uprights”) which totally caught him off guard. He had no idea it was coming and it hit him in the chest. The look on his face was priceless. I like to believe that’s when we both knew it was love. ? He also learned a very important lesson that day about his future wife – always expect the unexpected! And sometimes, I play too much! ? Hehehe.
Italian Sausage Bow Tie Pasta
My husband loves Italian food. It’s probably his favorite. From time to time, I like to surprise him with dishes I know he’ll like. This Italian Sausage Bow Tie Pasta is an easy one! It reminds me of something you would get at an Italian restaurant.
Italian Sausage Bow Tie Pasta is full of perfectly cooked pasta in a creamy tomato sauce with plenty of chopped spinach and chunks of spicy or sweet Italian sausage. It’s bound to be a new family favorite.
Recipe for Italian Sausage Bow Tie Pasta
Here’s everything I used to make this Italian Sausage Bow Tie Pasta:
** Ingredients are at a glance. Be sure to scroll down to the recipe card for the full amounts and printable recipe. **
- bow tie pasta
- olive oil
- Italian sausage
- red pepper flakes
- onion
- garlic
- Italian-style plum tomatoes
- heavy cream
- spinach
- fresh parsley

How to make Bow Tie Pasta and Italian Sausage recipe:
- Bring a large pot of water to a boil. Cook the pasta according to package directions; drain.
- Meanwhile, in a large skillet add the olive oil then cook and crumble the sausage and red pepper flakes over medium-high heat until cooked through and browned. Add onion and garlic. Cook until the onion is tender. Add the tomatoes and heavy cream. Simmer until the mixture thickens, about 10 minutes. Add the spinach and cook an additional 3 minutes. Add the cooked pasta to the sauce. Sprinkle with parsley, if desired.
A few tips for Italian Sausage with Bow Tie Pasta:
- Use whatever kind of Italian sausage you prefer – mild, sweet, or hot. You can even use turkey Italian sausage if you prefer! I usually use mild because of personal preference.
- If you buy the Italian sausage with casings, be sure to cut the casings open and use the ground meat.
- No heavy cream? For every 1 cup of heavy cream, melt 1/4 cup of butter and slowly whisk in 3/4 cup milk. This works for most recipes that require heavy cream, but it will not whisk into stiff peaks.
- Leftovers are great reheated for lunch the next day!

More pasta recipes:
- Italian Chicken with Peperonata and Noodles
- Alfredo Sauce
- Slow Cooker Spaghetti Sauce
- Creamy Stovetop Mac & Cheese
- Chicken Bacon Ranch Pasta Casserole
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Italian Sausage Bow Tie Pasta
This Italian Sausage Bow Tie Pasta is easy - and reminds me of something you would get at an Italian restaurant. Our family loves it … and I hope yours does too!
Ingredients
- 1 pkg. (12 oz.) bow tie pasta
- 2 tbsp. olive oil
- 1 lb. mild Italian sausage, casings removed
- 1/2 tsp. red pepper flakes (optional)
- 1/2 cup diced onion
- 4 cloves garlic, minced
- 1 can (28 oz.) Italian-style plum tomatoes, drained and coarsely chopped
- 1-1/2 cups heavy cream
- 1 cup packed spinach leaves, cut into thin strips
- Fresh parsley, minced (optional)
Instructions
- Bring a large pot of water to a boil. Cook pasta according to package directions; drain.
- Meanwhile, in a large skillet add the olive oil then cook and crumble the sausage and red pepper flakes over medium-high heat until cooked through and browned. Add onion and garlic. Cook until onion is tender. Add the tomatoes and heavy cream. Simmer until the mixture thickens, about 10 minutes. Add the spinach and cook an additional 3 minutes. Add the cooked pasta to the sauce. Sprinkle with parsley, if desired.
Notes
- Use whatever kind of Italian sausage you prefer – mild, sweet, or hot. You can even use turkey Italian sausage if you prefer! I usually use mild because of personal preference.
- If you buy the Italian sausage with casings, be sure to cut the casings open and use the ground meat.
- Leftovers are great reheated for lunch the next day!
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Nutrition Information:
Yield: 6 Serving Size: 1Amount Per Serving: Calories: 623Total Fat: 54gSaturated Fat: 27gTrans Fat: 1gUnsaturated Fat: 28gCholesterol: 133mgSodium: 606mgCarbohydrates: 16gFiber: 2gSugar: 5gProtein: 19g
Please note that the nutritional information listed on this page is an estimation based on the products I used. Ingredients and nutritional information can vary greatly between brands. Always be sure to read labels.
Originally published on September 6, 2012. Updated on May 9, 2020.
Jamie this is such a sweet post.
Love Italian!
This recipe is sure to be prepared for my man tooo.
ps I also just "pin" to my recipes
Thank you 🙂
I love Italian sausage! And, I live off pasta, this dish is perfect, cant wait to try it.
Sounds yummy! Pinned.
Great story Jamie! Your recipe for the bowtie pasta sounds delicious! I love all the ingredients and make one very similar but since I like changing things up sometimes, this will be perfect!
I love creamy pasta dishes! Thanks for sharing again at Foodie Friends Friday! Cindy
Hi Jamie,
I will just love this dish, it has a great flavor combination. Hope you are having a fabulous weekend and thank you so much for sharing with Full Plate Thursday.
Come Back Soon!
Miz Helen
This looks delish! What great flavors. Thanks for sharing at Church Supper. Have a blessed week & come back soon~EMM
This looks AMAZING! And I have all the ingredients in the house. This is going to be on table this week. Thanks so much for sharing over at Hunk of Meat Monday!
Love Olive Garden….cute story :). Thanks so much for sharing this at Must Try Monday. It looks great!
I make a dish almost exactly like this – it's one of my favorites.
Great story! Thanks for sharing. Also YUM on the pasta. I've just started using Italian sausage with pasta dishes and I love it!
Michelle
Oh my, this looks like one I need to try soon!! Thanks so much for linking up to Tasty Thursdays on The Mandatory Mooch!! I hope you will link up again. The party will be live tonight. http://www.mandatorymooch.blogspot.com
Thanks, Nichi
I know my family would love this. And spinach is something I'm just nuts over. Thank you for sharing with See Ya In the Gumbo. I'm happy to have this recipe!
Pasta dishes are probably my favorite dish.Thank you for this recipe.
What a fun and sweet story about your first Olive Garden trip!!! We love a good pasta dish here, so I can't wait to try this one.
Y'all are too cute! And this meal sounds great!
Thanks for linking it to Mom's Test Meal Mondays! 🙂
Any substitute of heavy cream ?
For every 1 cup of heavy cream, melt 1/4 cup of butter and slowly whisk in 3/4 cup milk. This works for most recipes that require heavy cream, but it will not whisk into stiff peaks.
This was FANTASTIC!!!! Ever better then I imagined! Thank you for the great recipe!!
Simple and delicious meal! Everyone loved it, even the kiddos. Definitely making this again.
This was delicious! I didn’t have heavy cream so I used 1/4 c of butter and 1 1/4 c Half n half. I used fire roasted diced tomatoes. Didn’t think it would be tasty but it was. Simple recipe. Thanks
This was delicious! Super easy and looks like an elegant dish. I couldn’t find the Italian style plum tomatoes so I used cans of diced basil/garlic/oregano tomatoes. And also topped it off with shredded Parmesan cheese. My family absolutely loved this. Thanks so much!
i added parmesan cheese and some cream cheese–excellent
This was delicious & easy to make! My family loved it! I didn’t have enough bowtie pastas I added fettuccini ?
I used less tomatoes and added mor red pepper flakes. And omitted spinach. Also topped with Parmesan cheese. Was very good
Love this recipe, easy and very tasty. I kept everything the same except the pasta, I used Orecchiette became
That’s what I had on hand.
Yum! My husband says this is one of my better homemade pasta dishes and I agree. I halved the recipe for two and still have leftovers. I used a 14 oz. can of diced tomatoes with basil, garlic and oregano. I also added sweet red peppers and some fresh mushrooms to the skillet. It doesn’t take long to prepare either!
Easy to make and very yummy.
I cooked this for dinner tanight AMAZING
Thank you for sharing
Do you think I could add a mixture of parmigiana cheese and fresh mozzarella to the top and it be good? Trying this tonight for the first time.
Sure! I think that sounds great!
Great recipe. My kids enjoyed it. I added shredded parm cheese to help thicken sauce.
Oh!
Fairly easy to make, I added Italian green beans- kept the spinach. I was dubious about the red pepper flakes, but they only added another flavor layer…. not too much “heat”. I cooked sausage links, then cut them into bite size pieces as opposed to “crumbling”. Also, concerned using the heavy cream, but it incorporated and held all yummies together. This recipe is definitely a delicious KEEPER… Thank You.
“warning”
This recipe makes a TON OF good eating!!!
PURE HEAVEN!!
This recipe was super easy and fast! Perfect blend of ingredients. I didn’t have bow tie pasta on hand so I substituted with penne pasta. This one is a hit and will be added as a regular dish in our family! 😊
This was a hit. I added diced yellow pepper and sliced fresh mushrooms along with the onion & diced garlic. I didn’t have plum tomatoes so I substituted a can of diced fire roasted tomatoes. LOVED this recipe.
This was delicious! I made it in my instant pot. Browned the sausage/garlic/onions; added the tomatoes and pasta; and about 1c water. High pressure 5 min, QR, then turned to sautés; adding spinach and 1/2 evaporated milk. Finished with fresh grated Parmesan. Really good, like you said restaurant quality!!! Will be in rotation!
This is my family’s new favorite pasta recipe and that is saying something because my youngest child says “Pasta is life.”
This is a delish and quick week night meal. Topped ours with fresh Parm. Loved it thank you for sharing!!