Italian Sausage with Bow Tie Pasta

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This Italian Sausage with Bow Tie Pasta is what I call a weeknight win. It started as a happy accident: I had some bow tie pasta and spicy Italian sausage in the fridge, and dinner needed to happen fast. I tossed them together with a quick tomato-based sauce, added a handful of herbs, and from the first bite, I knew it was a keeper. Since then, it’s become one of those go-to meals I turn to when I need something comforting and crave-worthy without a lot of fuss.

The way the bow tie pasta holds onto the sauce, catching all those little bits of browned sausage, is just perfection. The shape may be playful, but this dish is full of bold, hearty flavor. The sausage adds depth, the tomatoes bring a sweet acidity, and a bit of cream at the end mellows everything out into something irresistibly smooth. I never get tired of it, and neither does anyone I cook it for.

This dish is also wonderfully flexible. Sometimes I add spinach or mushrooms, and if I have some fresh basil lying around, it goes right on top. It comes together quickly, tastes like it simmered all day, and makes even the most ordinary evening feel just a little bit special. If you’re a fan of bold, rustic, Italian-inspired comfort food, you’re going to love this one.

Why You’ll Love This Italian Sausage with Bow Tie Pasta

There’s a reason this dish has earned a spot in my regular rotation. The flavors are deeply satisfying, thanks to the richness of Italian sausage and the slight sweetness of tomatoes. The pasta provides a perfect backdrop, catching bits of sauce in its folds for a fulfilling bite every time.

It’s ideal for busy nights because it’s fast to make but tastes like something you’d order at a cozy trattoria. You can also easily make it your own by using hot or mild sausage, swapping the bow ties for another pasta shape, or bulking it up with vegetables. And if you love pasta dinners that pack serious flavor like my Creamy Tuscan Sausage Pasta, Marry Me Chicken Pasta, or One Pot Creamy Beef and Garlic Butter Pasta, this is one you need to try next.

Ingredients

Italian sausage: The hero of the dish. It adds rich, savory flavor and a bit of spice that sets the tone for the whole recipe.

Bow tie pasta (farfalle): Its shape holds onto the sauce beautifully and adds visual appeal.

Crushed tomatoes: They bring a tangy-sweet tomato base that complements the meat.

Garlic and onion: A flavor base that adds depth and a delicious aroma.

Heavy cream: Just a splash transforms the sauce into something velvety and luscious.

Olive oil: Essential for sautéing and adding that rich Mediterranean base.

Salt, pepper, and Italian seasoning: These simple seasonings tie everything together perfectly.

Fresh parsley or basil (optional): Adds freshness and a pop of color at the end.

How to Make Italian Sausage with Bow Tie Pasta

Step 1: Cook the Pasta

Bring a large pot of salted water to a boil. Cook the bow tie pasta until al dente according to the package instructions. Drain and set aside.

Step 2: Brown the Sausage

In a large skillet over medium heat, add a bit of olive oil. Remove sausage from casing if needed, and crumble into the skillet. Cook until fully browned, about 6-8 minutes. Remove from skillet and set aside.

Step 3: Sauté Onion and Garlic

In the same skillet, add a touch more oil if needed. Sauté the chopped onion until translucent, about 3-4 minutes. Add garlic and cook for another 30 seconds until fragrant.

Step 4: Build the Sauce

Pour in the crushed tomatoes and season with salt, pepper, and Italian seasoning. Let simmer for about 10 minutes to allow flavors to blend.

Step 5: Stir in Cream and Sausage

Add the browned sausage back into the pan, then stir in the heavy cream. Let the sauce simmer gently for another 5 minutes.

Step 6: Combine Pasta and Serve

Toss the cooked bow tie pasta into the skillet and gently stir to coat every piece. Let it heat through for 2 minutes, then serve hot with fresh parsley or basil sprinkled on top.

Recipe Variations and Possible Substitutions

You can give this recipe a fresh spin depending on what you have in the kitchen. Swap the sausage with ground beef, turkey, or even a plant-based alternative for a different take. Use penne, rigatoni, or rotini if bow tie pasta isn’t available.

Add-ins like baby spinach, kale, or sliced mushrooms bring in extra nutrition and texture. A handful of sun-dried tomatoes or olives will boost the Mediterranean vibe. You can also add a dash of red pepper flakes for heat or a bit of shredded mozzarella or parmesan for a cheesy finish.

Serving and Pairing Suggestions

This pasta is hearty on its own, but I love serving it with garlic bread or a crisp side salad dressed with lemon vinaigrette. For a fancier presentation, pair it with roasted asparagus or grilled zucchini.

It also goes beautifully with a glass of red wine like Chianti or a light-bodied Pinot Noir. Want to impress guests? Serve with a rustic antipasto platter to start and a simple tiramisu to finish.

Storage and Reheating Tips

Leftovers can be stored in an airtight container in the refrigerator for up to 4 days. To reheat, warm it in a skillet over medium heat with a splash of cream or water to loosen the sauce. You can also microwave it in short intervals, stirring in between.

This dish also freezes well. Store in freezer-safe containers for up to 2 months. Thaw in the fridge overnight before reheating for best results.

FAQs

How long does Italian Sausage with Bow Tie Pasta last in the fridge?

It will keep well in an airtight container in the fridge for up to 4 days. The flavors even deepen a bit, making leftovers just as delicious.

Can I make Italian Sausage with Bow Tie Pasta ahead of time?

Absolutely! Cook it a day ahead and reheat gently on the stove. It’s a great make-ahead meal for busy weeks.

What if I don’t have heavy cream for Italian Sausage with Bow Tie Pasta?

You can substitute with half-and-half or even whole milk in a pinch. The sauce won’t be quite as rich, but it will still be creamy and flavorful.

Is Italian Sausage with Bow Tie Pasta spicy?

It depends on the sausage you use. Hot Italian sausage will bring a bit of heat, while mild sausage keeps it kid-friendly. You can always add crushed red pepper flakes for extra kick.

Related Recipe You’ll Like

If this dish made your heart (and taste buds) sing, you should definitely try my Creamy Garlic Chicken Breasts for another rich and satisfying dinner idea. Or take it vegetarian with Giant Zucchini Parmesan – it’s hearty, wholesome, and every bit as comforting.

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Don’t let this Italian Sausage with Bow Tie Pasta get lost in your scroll! Be sure to Pin it to your favorite pasta board on Pinterest so you can come back to it any time. Share it with your friends and family on Facebook or Instagram – especially those who love easy comfort meals that taste like a hug in a bowl. And if you make it, tag me so I can see your delicious creations!

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