Italian Sausage Tomato and Cream with Bow Ties

Indulge in the irresistible comfort of Italian Sausage Tomato and Cream with Bow Ties—a decadent pasta dish that combines the bold flavors of savory Italian sausage, creamy tomato sauce, and tender farfalle. This one-pan wonder comes together in just 35 minutes, making it perfect for weeknight dinners yet elegant enough for entertaining. The hearty sauce is enriched with crushed tomatoes, heavy cream, and Parmesan cheese, balanced by the aromatic punch of garlic, onions, and fresh basil. Customize the spice level with mild or spicy sausage and a hint of red pepper flakes for an added kick. Tossed together with perfectly al dente bow-tie pasta, this dish is as visually stunning as it is satisfying. Serve it with a sprinkle of extra Parmesan and a crisp green salad for a restaurant-worthy meal at home.

Nutriscore Rating: 62/100

Prep Time:10 mins

Cook Time:25 mins

Total Time:35 mins

Servings: 4

Ingredients

• 12 ounces bow-tie pasta (farfalle)
• 1 pound mild or spicy Italian sausage
• 1 tablespoon olive oil
• 1 medium yellow onion, diced
• 3 cloves garlic cloves, minced
• 14 ounces crushed tomatoes
• 1 cup heavy cream
• 1 cup grated Parmesan cheese
• 0.25 cup fresh basil leaves, chopped
• 0.25 teaspoon red pepper flakes (optional)
• 1 teaspoon salt
• 0.5 teaspoon ground black pepper
• 0 as needed water (for boiling pasta)

Directions

Step 1

Fill a large pot with water, add a generous pinch of salt, and bring it to a boil.

Step 2

Cook the bow-tie pasta according to the package instructions until al dente. Reserve 1 cup of pasta water, then drain the pasta and set it aside.

Step 3

In a large skillet or sauté pan, heat the olive oil over medium heat.

Step 4

Remove the casing from the Italian sausage and crumble the sausage into the skillet. Cook, stirring occasionally, until the sausage is browned and cooked through, about 7-8 minutes.

Step 5

Use a slotted spoon to transfer the cooked sausage to a plate lined with paper towels, leaving the rendered fat in the skillet.

Step 6

Add the diced onion to the skillet and sauté until soft and translucent, about 3-4 minutes.

Step 7

Stir in the minced garlic and cook for 1 minute, until fragrant.

Step 8

Pour in the crushed tomatoes and stir to combine, scraping any browned bits from the bottom of the skillet.

Step 9

Reduce the heat to low and stir in the heavy cream. Let the sauce simmer for 5 minutes, stirring occasionally.

Step 10

Add the cooked sausage back to the skillet along with the Parmesan cheese, fresh basil, red pepper flakes (if using), salt, and black pepper. Stir to combine.

Step 11

Add the cooked bow-tie pasta to the skillet and toss to coat it evenly in the sauce. If the sauce is too thick, add a splash of the reserved pasta water to loosen it to your desired consistency.

Step 12

Serve immediately, garnished with extra Parmesan cheese and fresh basil if desired.

Nutrition Facts

Serving size	(1950.2g)

Amount per serving	% Daily Value*
Calories	3886.1

Total Fat 233.0g	0%
Saturated Fat 103.5g	0%
Polyunsaturated Fat 1.3g
Cholesterol 622.4mg	0%
Sodium 7369.6mg	0%
Total Carbohydrate 293.6g	0%
Dietary Fiber 19.6g	0%
Total Sugars 25.4g
Protein 153.1g	0%

Vitamin D 0IU	0%
Calcium 1243.4mg	0%
Iron 13.7mg	0%
Potassium 3065.5mg	0%

*The % Daily Value tells you how much a nutrient in a serving of food contributes to a daily diet. 2,000 calories a day is used for general nutrition advice.

Source of Calories

Fat: 54.0%

Protein: 15.8%

Carbs: 30.2%