Creamy Sausage Bow Tie Pasta

Featured in Delicious Main Dish Recipes for Every Occasion.

This creamy bow tie pasta combines juicy Italian sausage and fresh spinach in a luxurious tomato cream sauce. With a hint of red pepper for mild heat, it’s quick, flavorful, and perfect for any dinner. Heavy cream and plum tomatoes make the sauce silky, coating each piece of pasta perfectly. Ready in 45 minutes, it's a total crowd-pleaser for busy evenings or a cozy gathering.
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Updated on Tue, 06 May 2025 12:48:54 GMT
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Picture this: a hearty bowl of Italian Sausage Bow Tie Pasta where plump farfalle swim in a velvety tomato cream mixture, dotted with golden-brown Italian sausage chunks and fresh green spinach. This meal strikes the perfect balance between rich comfort and bright freshness, making a fancy-looking dinner that's actually super easy to whip up in your own kitchen. I made this for some friends yesterday and they wouldn't stop asking how I did it. Want to know my trick? I take my time browning the sausage properly - that's what gives the whole dish its amazing taste.

Key Ingredients and Smart Shopping Advice

  • Italian Sausage: Go for sausage with visible spices and fennel seeds. Try mixing sweet and spicy kinds for more interesting flavor
  • Bow Tie Pasta: The rough-textured bronze-die kind grabs sauce way better. You'll notice the difference
  • Plum Tomatoes: If you can find San Marzano ones, grab them for their natural sweetness
  • Heavy Cream: Don't skimp here - the full-fat stuff makes the smoothest sauce
  • Fresh Spinach: The baby kind works best, but you can chop up regular spinach too
  • Fresh Garlic: Skip the jar stuff - fresh cloves taste so much better

Step-by-Step Cooking Guide

1. Getting the Pasta Right
Make your water super salty - like ocean water. Cook the pasta until it's just firm to the bite, about a minute less than what the box says. Save a cup of that starchy cooking water before draining. Trust me, you'll need it later to make your sauce perfect.
2. Making the Sausage Tasty
Get your olive oil hot in a big, heavy pan until it shimmers. Squeeze the sausage meat out of its casing and break it into chunks. Let it cook until it's really brown and crispy, about 8-10 minutes. Don't stir too much - that's how you get those yummy browned bits.
3. Building Flavor
Toss your onions into the sausage drippings and cook until they're see-through but not brown, about 5 minutes. Then throw in the garlic and red pepper flakes just until you can smell them, around 30 seconds. This builds up all the good flavors step by step.
4. Creating Your Sauce
Put in the chopped tomatoes and let them cook down a bit before pouring in the cream. Let it bubble gently and thicken up for 10-12 minutes. The sauce should be thick enough to coat a spoon but still runny enough to mix with pasta.
5. Putting It All Together
Add handfuls of spinach, letting each batch wilt down before adding more. Mix in your pasta and splash in some of that saved pasta water if it seems too thick. Let everything hang out together over low heat for 2-3 minutes.
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Secrets to Perfect Heat Management

Getting your sauce just right starts with knowing how to handle heat. Begin with a cold, heavy pan - cast iron or stainless steel works great because they spread heat evenly. Let your pan warm up slowly over medium-high heat for a few minutes. You'll know it's ready when a water droplet dances and disappears quickly. Keep your stove around 7-8 on the dial for searing sausage. Listen to your cooking - a steady sizzle means good temperature, while loud popping or smoke signals it's too hot. Your sausage should turn golden-brown in about 8-10 minutes. You'll notice it doesn't stick to the pan once it's properly browned, and the fat in the pan should shimmer without smoking. When you switch to making sauce, turn down the heat gradually over a minute. Your sauce should bubble gently - look for small bubbles breaking the surface every few seconds. Steam should rise in soft wisps, not big clouds. If you drag your spoon through it, the sauce should slowly flow back together.
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Prep Ahead and Store It Right

If you're making the sauce ahead, cooling it correctly matters a lot. Let it sit at room temperature for exactly one hour before storing. Only use glass containers since the tomatoes are acidic. Put plastic wrap directly on top of the sauce before closing the lid tight - this stops that weird skin from forming that can mess up the texture when you reheat it.

Pro Cooking Tips

  • Skip rinsing the pasta - that starch helps the sauce stick better
  • Take the cream out of the fridge early so it's not cold when you add it
  • Add salt little by little as you cook, tasting along the way
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Cheesy Italian Sausage Bow Tie Pasta | chefmelt.com

Wrapping Up

This Italian Sausage Bow Tie Pasta shows what Italian cooking is all about - good stuff cooked with care, coming together to make something amazing. Whether you're feeding your family or having friends over, this dish brings both comfort and a touch of fancy to your table.

Frequently Asked Questions

→ What kind of Italian sausage is best?
Choose sweet, mild, or spicy sausage. Turkey sausage works too!
→ Can I prepare it early?
Sure! Leftovers warm up easily for the next day.
→ How should I remove sausage casings?
Just slice the casing and take out the ground meat.
→ Is it okay to use different pasta types?
Absolutely. Go for any shape that grabs the sauce well.
→ Can I make it less rich?
Swap heavy cream for half-and-half, but expect a lighter texture.

Creamy Sausage Bow Tie Pasta

Tender bow tie pasta with crumbled sausage in a velvety tomato sauce, finished with fresh spinach and a touch of spice.

Prep Time
15 Minutes
Cook Time
30 Minutes
Total Time
45 Minutes

Category: Main Dish Recipes

Difficulty: Intermediate

Cuisine: Italian

Yield: 6 Servings

Dietary: ~

Ingredients

→ Pasta and Protein

01 1 pound mild Italian sausage (take off the casings)
02 12 ounces bow tie pasta

→ Produce

03 Fresh parsley, chopped (optional)
04 1 cup spinach leaves, sliced into thin pieces
05 4 cloves garlic, finely chopped
06 1/2 cup onion, diced

→ Sauce

07 1/2 teaspoon optional red pepper flakes
08 2 tablespoons olive oil
09 1 1/2 cups heavy cream
10 28 ounces canned plum tomatoes, chopped and drained

Instructions

Step 01

Boil a big pot of water. Follow the directions on the box to cook the pasta, then drain it.

Step 02

In a large pan, heat olive oil. Crumble the sausage as it cooks over medium-high heat, adding the red pepper if you'd like. Cook it until it's browned.

Step 03

Toss in garlic and onion with the sausage. Stir it around until the onion's soft.

Step 04

Pour in the tomatoes and heavy cream. Let it gently simmer and thicken for about 10 minutes.

Step 05

Mix in the spinach and let it cook for 3 minutes. Add the pasta to the pan and combine everything. Sprinkle parsley on top if you want.

Notes

  1. Feel free to pick any type of Italian sausage (like sweet, spicy, or mild)
  2. Take the sausage out of the casings before you cook it
  3. Leftovers warm up really well

Tools You'll Need

  • A large pan
  • Big pot for boiling pasta
  • Strainer
  • Tool to break up the sausage

Allergy Information

Please check ingredients for potential allergens and consult a health professional if in doubt.
  • Includes dairy (from the cream)
  • Has gluten (because of the pasta)

Nutrition Facts (Per Serving)

It is important to consider this information as approximate and not to use it as definitive health advice.
  • Calories: 748
  • Total Fat: 51 g
  • Total Carbohydrate: 52 g
  • Protein: 21 g