This creamy Sausage Alfredo Pasta combines penne pasta, smoked sausage, and a seasoned Alfredo sauce to deliver a restaurant-worthy meal. This dinner can be ready in about 30 minutes or less making it a perfect weeknight dinner.

For a lightened-up Sausage Alfredo pasta with veggies (onion, peppers, and mushrooms) try this Cajun Sausage Pasta.

Overhead image of the Sausage Alfredo pasta

Sausage Alfredo Pasta

Once you try this recipe, you’ll never want to use jarred sauce for Sausage Alfredo again!

This creamy Alfredo sauce is super easy to make and full of flavor! To keep it quick and simple (perfect for a weeknight dinner!), the only thing you need to chop is the sausage. You can use pre-minced garlic, and nothing else needs chopping.

The sauce is packed with flavor from minimal ingredients. We add some Cajun seasoning for a slight kick of heat and a smoky, garlicky, and peppery taste. If you prefer less heat, just use less seasoning. If you love heat, feel free to add more to suit your taste.

Quick Tip

Try some other favorite Alfredo recipes–this Chicken Alfredo Recipe, this lightened-up Chicken Alfredo, or this Chicken Broccoli Alfredo.

Process shoots--images of the sausage being cooked and browned and then being set aside and the butter and garlic being added to the pot

Can You Put Sausage In Alfredo?

You can’t go wrong with adding sausage to a creamy pasta recipe–it’s the perfect combination!

This particular recipe features smoked sausage in the sauce, but for a ground Italian sausage Alfredo sauce, try this Creamy Sausage Pasta!

Do You Cook Sausage Before Putting It In Sauce?

Yes! Even though smoked sausage is fully cooked, we recommend sautéing it first for this recipe. There are a couple reasons for doing this:

  • It builds flavor. The drippings and any browned bits left behind from cooking the sausage add so much flavor to the creamy Alfredo sauce.
  • It makes the sausage more flavorful. Color=flavor and adding some color to the sausage improves the texture and flavor of the sausage.

Process shots of Sausage Alfredo Pasta-- images of the cream sauce being made

Variations

Sausage Alfredo Variation Ideas

Make Shrimp and Sausage Alfredo

After sautéing and removing the sausage, add in some shrimp. Here’s what to do:

Add 1 tablespoon oil and 1 tablespoon butter to the same pan. While the butter melts, sprinkle 1/4 to 1/2 teaspoon of salt on the shrimp and toss gently. Once the butter is melted, place the shrimp in the pan in a single layer without overlapping. (If the pan is too crowded, the shrimp will steam instead of sautéing.) Cook for 1 minute, then use tongs to flip each shrimp and cook for 1 more minute on the other side. Transfer the cooked shrimp to a clean plate. Return the shrimp to the pan at the end!

Make Chicken and Sausage Alfredo

After sautéing and removing the sausage, cook the chicken as directed in the Buffalo Chicken Pasta recipe. Remove the chicken and let it rest under some foil. Then, dice or slice it thinly and add it back in at the end!

Or, make a chicken, shrimp, and sausage Alfredo by cooking each separately in the same pan (this builds up the flavors!) and then mixing everything together with the pasta at the end.

Process shots-- images of the cream sauce, pasta, and meat being all combined and mixed together

How To Make Sausage Alfredo

  1. Salt the pasta water: Salting the water is your only chance to season the pasta, so make sure the penne pasta is well salted while it cooks. Otherwise, the entire Sausage Alfredo Pasta will taste under-seasoned.
  2. Sauté sausage: After sautéing the sausage, put it on a plate and cover it with foil.
  3. Toss together sauce: Don’t clean the pan! We’ll make the sauce in the same pan, using the flavor left from the sausage. Add some Cajun seasoning to create a Cajun Sausage Alfredo–it adds a lot of flavor!
  4. Emulsify: The secret to great Italian pasta is emulsifying! Toss the hot pasta with the Alfredo sauce and reserved pasta water. This makes a smooth and flavorful sauce that clings to the pasta instead of settling at the bottom of the pot.

Up-close overhead image of the Sausage Alfredo Pasta ready to be enjoyed

Storage

Storing

Enjoy right away: This Sausage Alfredo tastes best right after the sauce is mixed together.

Storing leftovers: You can store leftovers, but you’ll need to add some more heavy cream to loosen the sauce when you reheat the pasta. Leftover pasta will be softer but still flavorful. Because of the pasta and dairy, this dish isn’t good for freezing and thawing.

What To Serve With Sausage Alfredo Pasta:

5 from 2 votes

Sausage Alfredo Pasta

This creamy Sausage Alfredo Pasta with penne, smoked sausage, and a flavorful Alfredo sauce is a perfect weeknight mealโ€”ready in just 30 minutes!
Prep Time: 15 minutes
Cook Time: 15 minutes
Total Time: 30 minutes
Servings: 4 servings

Equipment

  • Large pot
  • Large cast-iron pot or pan

Ingredients 
 

  • 1 (16-ounce) package penne pasta
  • Salt and pepper
  • 1 tablespoon olive oil
  • 1 (13-ounce) package smoked sausage thinly sliced
  • 6 tablespoons unsalted butter cut into tablespoons
  • 1-1/2 teaspoons minced garlic or 1 teaspoon garlic powder
  • 1 tablespoon cajun seasoning see note 1
  • 1/2 teaspoon paprika
  • 1/2 teaspoon dried oregano
  • 1 cup heavy cream
  • 1-1/2 cups freshly grated Parmesan cheese or Parmigiano Reggiano, see note 2
  • Fresh parsley optional, for garnish

Instructions 

  • Heads-up: youโ€™ll need to save pasta water before draining! Bring a large pot of water to boil. Once boiling, add 1 tablespoon salt. Add all the penne pasta and boil, stirring occasionally, until itโ€™s โ€œal denteโ€ according to package directions (lowest time indicated). Before draining, remove 1 cup pasta water. Drain but do not rinse in cold water.
  • Place a large, cast-iron pan/pot (big enough to hold all the pasta later) over medium-high heat. Drizzle in 1 tablespoon oil. Once oil is hot, add sliced sausage. Let sear, stirring occasionally, until nicely browned (smoked sausage is cooked through, so no need to get to a certain temperature). Use a slotted spoon to transfer to a large bowl, leaving grease behind (If there is more than 1 tablespoon, drain it off). Set sausage aside.
  • In same pot (donโ€™t wipe it out), add butter and melt over medium-high heat. Once melted, add garlic and sautรฉ for 1 minute. Pour in cream, Cajun seasoning, paprika, oregano, and pepper to taste (I add 1/4 teaspoon). As soon as mixture boils, turn heat down to medium low. Simmer until thickened, about 1โ€“3 minutes (see note 3).
  • Once thickened, remove from heat. Stir in finely grated Parmesan until melted and sauce is mostly smooth. Dump drained pasta on top of the sauce plus 1/2 cup of reserved pasta water. Return sausage and add optional parsley. Return to heat. Turn to medium and toss gently with tongs until pasta and sauce emulsify (cling together) nicely, about 1 minute. Add additional pasta water if needed (if itโ€™s looking dry/stodgy). Taste and add a pinch of salt if needed.
  • Remove from heat and serve right away! Garnish plates with fresh parsley plus a sprinkle more of cheese if desired.

Video

Recipe Notes

Note 1: This Cajun seasoning varies from brand to brand. I use McCormickโ€™sยฎ Perfect Pinch Cajun or Tony Chachereโ€™sยฎ Original Creole Seasoning (neither sponsored). You can also make your own Cajun seasoning mix. Whatever you use, add slowly and to taste. Cajun seasoning is often salted, so I donโ€™t add extra salt to the sauce.
Note 2: Parmesan cheese makes the biggest difference to the flavor in the recipe. Don't use canned or pre-shredded/grated Parmesanโ€”the sauce wonโ€™t work (cheese doesn't melt smoothly, and youโ€™ll be left with a big clump). Instead, use a block of cheese to grate finely on a grater or fine grater. If youโ€™re looking for some extra umph, try Parmigiano Reggianoโ€”itโ€™s incredible in this dish.
Note 3: The sauce should be thick enough to coat the back of a wooden spoon. Lift the spoon and immediately trace a line across the back of the spoon with your fingertip. If the line retains a clear track, the sauce is thick enough. If not, the sauce needs to simmer a bit longer.
Storage: This dish is best enjoyed immediately. You can store leftovers, but youโ€™ll need to add more heavy cream to loosen the sauce when you reheat the pasta. Because of the pasta and dairy, this dish isnโ€™t good for freezing or thawing.

Nutrition

Serving: 1serving | Calories: 1246kcal | Carbohydrates: 94g | Protein: 39g | Fat: 79g | Saturated Fat: 40g | Polyunsaturated Fat: 6g | Monounsaturated Fat: 26g | Trans Fat: 1g | Cholesterol: 210mg | Sodium: 1464mg | Potassium: 602mg | Fiber: 4g | Sugar: 5g | Vitamin A: 2586IU | Vitamin C: 1mg | Calcium: 412mg | Iron: 3mg

Nutrition information is automatically calculated, so should only be used as an approximation.

 

Meet Chelsea


Hello, and welcome to Chelseaโ€™s Messy Apron! Iโ€™m Chelsea, the recipe developer, food photographer, and writer behind the site. Iโ€™m passionate about creating simple, reliable, and delicious recipes that anyone can make.

Thanks for stopping byโ€”I hope you find something delicious to make!

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