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Creamy Italian Sausage Fettuccine Recipe


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3.9 from 42 reviews

  • Author: Emma
  • Total Time: 40 minutes
  • Yield: 4 servings 1x

Description

This Creamy Italian Sausage Fettuccine is a rich and flavorful pasta dish combining tender fettuccine with savory Italian sausage in a velvety Parmesan cream sauce. Perfect for a comforting weeknight dinner, it features aromatic garlic, sautéed onions, and a hint of Italian seasoning, all brought together in a luscious sauce that clings beautifully to every strand of pasta.


Ingredients

Scale

Pasta

  • 12 ounces fettuccine pasta

Meat and Oil

  • 1 pound Italian sausage (mild or spicy, casing removed)
  • 2 tablespoons olive oil

Vegetables and Aromatics

  • 1 medium onion, finely chopped
  • 3 cloves garlic, minced

Liquids and Dairy

  • 1 cup heavy cream
  • 1 cup chicken broth
  • 1 cup grated Parmesan cheese

Seasonings and Garnish

  • 1 teaspoon Italian seasoning
  • Salt and pepper to taste
  • Fresh parsley, chopped (for garnish)
  • Red pepper flakes (optional)

Instructions

  1. Boil Pasta: Start by bringing a large pot of salted water to a boil. Add the fettuccine pasta and cook according to package instructions, about 8-10 minutes, until al dente. Stir occasionally to prevent sticking.
  2. Drain Pasta: Drain the pasta in a colander and reserve about 1 cup of the pasta cooking water. Set the drained pasta aside.
  3. Cook Sausage: Heat the olive oil in a large skillet over medium heat for about 1 minute. Remove the casing from the Italian sausage and crumble it into the skillet. Cook for 5-7 minutes, stirring occasionally, until browned and cooked through.
  4. Sauté Vegetables: Add the finely chopped onion to the skillet and sauté for 3-4 minutes until translucent. Then add the minced garlic and cook for an additional 1-2 minutes until fragrant.
  5. Deglaze and Simmer: Pour in the chicken broth, scraping the bottom of the skillet to loosen any browned bits. Bring the mixture to a gentle simmer.
  6. Add Cream: Reduce the heat to low and stir in the heavy cream, combining well.
  7. Melt Cheese: Gradually add the grated Parmesan cheese, stirring continuously until melted and the sauce is creamy. If the sauce becomes too thick, adjust the consistency by adding some reserved pasta water.
  8. Season Sauce: Stir in the Italian seasoning, and season with salt and pepper to taste. Add red pepper flakes if you desire a spicy kick.
  9. Combine Pasta and Sauce: Gently add the drained fettuccine to the skillet and toss to coat the pasta evenly in the creamy sausage sauce. Adjust sauce thickness again with reserved pasta water as needed.
  10. Adjust Seasoning: Taste the pasta and adjust seasoning to your preference.
  11. Serve: Using tongs, twirl the fettuccine onto plates or bowls, ensuring each serving has plenty of sauce and sausage.
  12. Garnish: Sprinkle with freshly chopped parsley and additional Parmesan cheese if desired. Serve immediately while hot and creamy.

Notes

  • Reserve some pasta water to adjust sauce consistency as needed.
  • You can use either mild or spicy Italian sausage depending on your heat preference.
  • For a lighter version, substitute heavy cream with half-and-half, but the sauce will be less rich.
  • Adding red pepper flakes provides a nice optional heat.
  • Use freshly grated Parmesan for best flavor and smooth melting.
  • Make sure to cook pasta al dente to maintain texture when tossed with sauce.
  • Prep Time: 10 minutes
  • Cook Time: 30 minutes
  • Category: Main Course
  • Method: Stovetop
  • Cuisine: Italian