Creamy Italian Sausage Pasta with Sun-Dried Tomatoes and Spinach
Turkey Italian sausage leaves behind a deeply seasoned fond in the pan the moment it browns, and building the sauce directly in those drippings makes this pasta taste like it simmered for hours.
This creamy Italian sausage pasta layers sun-dried tomatoes, fresh spinach, and a parmesan cream sauce with tender pasta and savory turkey sausage in every bite.

Why You Will Love This Recipe
- Browning the sausage first builds a deeply savory base for the entire sauce.
- Sun-dried tomatoes add a concentrated, slightly sweet tang that balances the cream.
- Fresh spinach wilts right into the sauce for an easy way to add greens.
- The whole dish comes together in one skillet in about 35 minutes.
- A comforting Italian-inspired dinner that still feels a little elevated.
Ingredients
- 12 ounces penne pasta
- 1 pound turkey Italian sausage, casings removed
- 2 tablespoons olive oil
- 1 small onion, diced
- 4 cloves garlic, minced
- 1/2 cup chopped sun-dried tomatoes, drained
- 1 cup chicken broth
- 1 1/2 cups heavy cream
- 1 cup grated parmesan cheese
- 3 cups fresh baby spinach
- 1 teaspoon Italian seasoning
- 1/4 teaspoon red pepper flakes, optional
- Salt and black pepper, to taste
- 2 tablespoons chopped fresh basil, for garnish

Crockery and Time To Create
- Large pot for boiling pasta
- Large deep skillet
- Wooden spoon
- Prep time: 10 minutes
- Cook time: 25 minutes
- Total time: 35 minutes
- Serves: 4
Ingredient Substitutions and Variations
- Ground turkey with extra Italian seasoning: replaces turkey Italian sausage if unavailable.
- Chicken breast, diced: replaces sausage for a different lean protein option.
- Half-and-half: replaces heavy cream for a slightly lighter sauce.
- Gluten-free penne: replaces regular pasta for a gluten-free version.
- Kale, stems removed and chopped: replaces spinach for a heartier green.
- Sun-dried tomato oil: use in place of olive oil when browning the sausage for extra flavor.
Step-by-Step Instructions
Cook the Pasta Boil the penne in salted water until al dente, about 11 minutes. Reserve 1/2 cup of the pasta water, then drain and set the noodles aside.
Brown the Turkey Sausage Heat the olive oil in a large skillet over medium-high heat. Add the turkey sausage, breaking it apart with a wooden spoon, and cook for 6 to 7 minutes until browned and crumbled, with no pink remaining.

Remove the Sausage and Sauté the Onion Transfer the browned sausage to a plate and set aside. In the same skillet, add the diced onion and cook for 3 to 4 minutes until softened.
Bloom the Garlic and Sun-Dried Tomatoes Add the minced garlic and chopped sun-dried tomatoes to the skillet. Cook for 60 seconds, stirring constantly, until fragrant.
Build the Cream Sauce Pour in the chicken broth and heavy cream, scraping up the browned bits left in the skillet. Stir in the Italian seasoning and red pepper flakes if using. Bring to a gentle simmer and cook for 4 to 5 minutes until it begins to thicken slightly.
Melt in the Parmesan Reduce the heat to low and whisk in the grated parmesan a little at a time until the sauce turns glossy and coats the back of a spoon.
Wilt in the Spinach Add the fresh spinach to the skillet a handful at a time, stirring gently until it wilts down into the sauce, about 1 to 2 minutes.

Toss in the Pasta Add the drained penne directly into the skillet. Toss gently with tongs, adding splashes of the reserved pasta water as needed, until the pasta is fully coated in the sauce.
Return the Sausage to the Pan Add the browned sausage back into the skillet, tossing gently to warm through and coat everything evenly in the sauce, about 1 to 2 minutes.
Garnish and Serve Plate the pasta immediately while it is hot and glossy, finishing with a sprinkle of chopped basil before serving.
Pro Tips for Best Results
- Let the sausage brown undisturbed for a minute or two at a time before breaking it apart further, since this builds better flavor.
- Keep the sauce at a gentle simmer, since boiling cream can cause it to separate.
- Save the pasta water before draining, since it helps loosen the sauce to the right consistency.
- Add the spinach in batches if your skillet feels crowded, since it wilts down significantly.
- Use freshly grated parmesan rather than pre-shredded for a smoother melting sauce.
Common Mistakes to Avoid
- Overcrowding the sausage in the pan: this steams it instead of browning, so give it room to crisp up.
- Boiling the sauce too hard: high heat can cause the cream to break, so keep it at a gentle simmer.
- Adding the spinach too early: wilting it before the sauce thickens can water everything down, so add it once the sauce is glossy.
- Using pre-shredded cheese: anti-caking coatings can make the sauce grainy, so grate your own when possible.
What to Serve With
- Garlic bread: perfect for scooping up any extra sauce left on the plate.
- A simple side salad: crisp greens with a light vinaigrette balance the richness of the cream sauce.
- Roasted zucchini: adds a light vegetable side that complements the Italian flavors.

Storage and Reheating
- Refrigerator: store in an airtight container for up to 3 days.
- Freezer: cream-based sauces can separate when frozen, so freezing is not recommended for best texture.
- Reheating: warm gently in a skillet over low heat with a splash of milk or cream, stirring until the sauce comes back together.
Nutrition Information
| Nutrient | Per Serving |
|---|---|
| Calories | 660 kcal |
| Protein | 30 g |
| Carbohydrates | 56 g |
| Fat | 35 g |
| Saturated Fat | 15 g |
| Cholesterol | 95 mg |
| Sodium | 820 mg |
| Fiber | 4 g |
| Sugar | 6 g |
| Nutrition values are estimates only and may vary based on specific ingredients and portion sizes used. | |
Health Benefits
Spinach adds iron, vitamin K, and a good dose of fiber, wilting easily into the sauce without needing any separate preparation.
Turkey Italian sausage keeps this dish on the leaner side while still delivering a savory, well-seasoned flavor throughout the pasta.
Conclusion
This creamy Italian sausage pasta is the dinner I make when I want something that tastes like it took all day but really comes together in one skillet. Give it a try this week, save it for your next cozy dinner, and share it with anyone who loves a good Italian-inspired comfort meal.
