This post may contain affiliate links. As an amazon associate, I earn from qualifying purchases. See my full Disclosure Policy for details.

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!

italian sausage and bow tie pasta recipe in bowl

Pin this now to find it later

Pin It

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

Would you like to save this?

We'll email this post to you, so you can come back to it later!

italian sausage and bow tie pasta in pan

How to make Bow Tie Pasta and Italian Sausage recipe:

  1. Bring a large pot of water to a boil. Cook the pasta according to package directions; drain.
  2. 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!
closeup of Italian Sausage Bow Tie Pasta in bowl

Other recipes you may enjoy

italian sausage with bow tie pasta recipe
4.47 from 1024 votes
Servings: 6 servings

Italian Sausage Bow Tie Pasta

By Jamie Sherman
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!
Prep: 15 minutes
Cook: 30 minutes
Total: 45 minutes

Would you like to save this?

We’ll email this post to you, so you can come back to it later!

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

Calories: 748kcal, Carbohydrates: 52g, Protein: 21g, Fat: 51g, Saturated Fat: 23g, Polyunsaturated Fat: 5g, Monounsaturated Fat: 20g, Cholesterol: 125mg, Sodium: 769mg, Potassium: 682mg, Fiber: 4g, Sugar: 7g, Vitamin A: 1548IU, Vitamin C: 17mg, Calcium: 118mg, Iron: 3mg

Nutrition information is automatically calculated, so should only be used as an approximation.

Like this? Leave a comment below!

Originally published on September 6, 2012. Updated on May 9, 2020.

Jamie

Jamie Sherman founded Love Bakes Good Cakes in February 2012. She is a self-taught home cook passionate about sharing easy, delicious, and family-friendly recipes. From comforting classics to irresistible desserts, I believe homemade food brings people together. Join me on my journey of creating and sharing meals that bring joy to every table!

You May Also Like

4.47 from 1024 votes (1,009 ratings without comment)

Leave a comment

Your email address will not be published. Required fields are marked *

Recipe Rating




This site uses Akismet to reduce spam. Learn how your comment data is processed.

100 Comments

  1. Felecity says:

    Great recipe. My kids enjoyed it. I added shredded parm cheese to help thicken sauce.

  2. Lorie says:

    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.

    1. Jamie says:

      Sure! I think that sounds great!

  3. Shawna says:

    I cooked this for dinner tanight AMAZING
    Thank you for sharing

  4. Carrie Martin says:

    Easy to make and very yummy.

  5. LaVonne says:

    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!

  6. Emily says:

    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.

  7. Carol says:

    I used less tomatoes and added mor red pepper flakes. And omitted spinach. Also topped with Parmesan cheese. Was very good

  8. Malisa S Thacker says:

    This was delicious & easy to make! My family loved it! I didn’t have enough bowtie pastas I added fettuccini ?

  9. Janel says:

    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!

    1. Donna McHargue says:

      i added parmesan cheese and some cream cheese–excellent

  10. Kim says:

    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