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Italian Sausage Bow Tie Pasta – Hearty, Saucy & Weeknight-Ready

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A creamy, bold, and comforting Italian pasta dish made with crumbled sausage, bow tie pasta, and a rich tomato-Parmesan cream sauce—perfect for busy nights or relaxed dinners.

Ingredients

Scale
  • 12 oz bow tie pasta (farfalle)

  • 1 tbsp olive oil

  • 1 lb Italian sausage (casings removed)

  • 1 yellow onion, diced

  • 3 cloves garlic, minced

  • 1 (15–28 oz) can crushed tomatoes

  • ½ cup heavy cream or half-and-half

  • ½ cup freshly grated Parmesan cheese

  • 1 tsp Italian seasoning

  • Pinch of red pepper flakes (optional)

  • Salt & pepper to taste

  • 2 cups baby spinach (optional)

  • Fresh basil or parsley for garnish

Instructions

  1. Cook pasta in salted water until al dente. Reserve ½ cup pasta water, then drain.

  2. In a large skillet, heat olive oil. Brown sausage until cooked through. Add onion and cook 3–4 minutes. Add garlic and sauté 30 seconds.

  3. Stir in crushed tomatoes, Italian seasoning, salt, pepper, and red pepper flakes. Simmer 5–7 minutes.

  4. Reduce heat. Stir in cream and Parmesan. Let melt.

  5. Add cooked pasta and spinach. Toss to coat. Add pasta water as needed.

  6. Serve hot, garnished with fresh herbs and extra cheese.

Notes

  • For extra richness, top with shredded mozzarella and broil until bubbly.

  • Add sautéed mushrooms or bell peppers for extra flavor.

  • Reheats well with a splash of broth or milk.