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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!

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Italian Sausage Bow Tie Pasta
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 talked 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 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. ?
A little surprise
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 crucial lesson that day about his future wife – always expect the unexpected! And sometimes, I play too much! ? Hehehe.
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
- bow tie pasta
- olive oil
- Italian sausage
- red pepper flakes
- onion
- garlic
- Italian-style plum tomatoes
- heavy cream
- spinach
- fresh parsley
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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!

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Italian Sausage Bow Tie Pasta
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Equipment
Ingredients
- 12 oz bow tie pasta
- 2 tablespoons olive oil
- 1 pound mild Italian sausage, casings removed
- ½ teaspoon red pepper flakes, optional
- ½ cup diced onion
- 4 cloves garlic, minced
- 1 can Italian-style plum tomatoes, drained and coarsely chopped, 28 oz.
- 1 ½ 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!
Nutrition
Nutrition information is automatically calculated, so should only be used as an approximation.
Originally published on September 6, 2012. Updated on May 9, 2020.
This is delicious! And easy!! I used crushed tomatoes and didn’t drain them. The sauce was perfect.
Very good! I thought I had bow tie pasta but didn’t. I wound up having to use egg noodles. It was great! Other than THAT, I made just as directed with no substitutions. I’d make this again.
Excellent. No heavy cream T home so made a Roux with whole milk and butter. Per husbands request used cheese raviolis but would be great with any pasta. Thanks