Thank you so much for being here, truly! If you’re in search of a pasta dish that feels restaurant-fancy but comes together with pantry staples (and under 40 minutes!), this White Pasta With Sausage is about to become a new favorite. It’s the kind of meal that gets rave reviews at the table, and yep—it reheats like a dream.

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What is Creamy Garlic Parmesan Sausage Fettuccine?

This dish is a rich and savory pasta made with golden seared sausage, al dente fettuccine, and a creamy garlic parmesan sauce that clings to every strand. It’s the perfect balance of hearty and silky, with just the right amount of garlic bite and cheesy comfort.

Why You’ll Love This Recipe

Ultra comforting but still simple enough for a quick dinner
Packed with flavor thanks to garlic, sausage, and real parmesan
Customizable—use your favorite sausage or pasta
One-pan sauce = less mess, more cozy
Perfect for leftovers (hello, next-day lunch goals)

What It Tastes Like

This fettuccine is bold, buttery, and garlicky in all the right ways. The sausage adds a savory depth that pairs beautifully with the creamy parmesan sauce, while the garlic rounds everything out with a warm, aromatic finish. Think alfredo, but way more flavorful.

Ingredients

12 oz fettuccine (or pasta of your choice)
1 tbsp olive oil
1 lb Italian sausage (sweet or spicy, casings removed)
4 cloves garlic, minced
2 tbsp butter
1 tbsp all-purpose flour
1½ cups heavy cream
¾ cup freshly grated parmesan cheese
Salt and pepper, to taste
Optional: chopped parsley, red pepper flakes, or extra parmesan for serving

Tools You’ll Need

Large pot for pasta
Deep skillet or sauté pan
Whisk
Tongs or pasta fork
Cheese grater

Ingredient Additions & Substitutions

Swap the pasta: Penne, linguine, or rigatoni all work!
Lighten it up: Use half-and-half instead of heavy cream
Go spicy: Use hot Italian sausage + red pepper flakes
Add greens: Toss in spinach or kale right before serving
Want it even cheesier? Stir in a touch of cream cheese!

How to Make Creamy Garlic Parmesan Sausage Fettuccine

Step 1: Cook the Pasta

Bring a large pot of salted water to a boil and cook the fettuccine until al dente. Reserve ½ cup of pasta water, then drain and set aside.

Step 2: Brown the Sausage

Heat olive oil in a large skillet over medium heat. Add the sausage and break it up with a spoon. Cook until browned and fully cooked through, about 6–8 minutes. Transfer to a plate.

Step 3: Make the Garlic Parmesan Sauce

In the same skillet, melt butter and add the garlic. Cook until fragrant (about 1 minute). Stir in flour and cook for another minute to form a roux. Gradually whisk in the cream, then bring to a gentle simmer.

Step 4: Add the Cheese & Sausage

Stir in the grated parmesan until melted and smooth. Add the cooked sausage back into the sauce and stir to combine. Season with salt and pepper.

Step 5: Toss It All Together

Add the drained pasta to the sauce. Use tongs to toss until well-coated. Add a splash of reserved pasta water if the sauce is too thick. Finish with parsley, more cheese, or red pepper flakes if desired.

What to Serve with This Fettuccine

Garlic bread (always a win)
Caesar salad for a crisp, cool contrast
Roasted vegetables like broccoli or asparagus
A glass of dry white wine or sparkling water with lemon

For a complete cozy night in, pair it with one of these tried-and-true favorites:

Chicken Ramen Bowl – creamy, spicy, and just the right amount of kick
Honey Balsamic Brussels Sprouts – crispy and sweet-tangy perfection
Avocado Grilled Cheese Sandwich – gooey, fresh, and totally comforting

Tips for Creamy Pasta Perfection

Use freshly grated parmesan for the best melt and flavor
Don’t overcook the pasta—al dente is key so it holds up to the sauce
If your sauce thickens too much, loosen it with pasta water
Reheat gently on the stove with a splash of cream or broth

Storage & Reheating

Fridge: Store in an airtight container for up to 3 days
Reheat on the stove or in the microwave with a splash of milk or cream
Freezing not recommended due to the dairy in the sauce—it may separate

Frequently Asked Questions

Can I use a different type of sausage?

Absolutely! Chicken sausage, turkey sausage, or even plant-based sausage works great.

Can I make this ahead of time?

Yes! Just keep the pasta and sauce separate until you’re ready to reheat and serve.

Is this recipe spicy?

Not unless you use spicy sausage or add chili flakes—but you totally can if you love heat!

Wrapping It All Up

This Creamy Garlic Parmesan Sausage Fettuccine is rich, flavorful, and absolutely weeknight-worthy. It’s one of those recipes that looks fancy, tastes indulgent, and somehow still feels totally doable. Whether you’re feeding the family or treating yourself to a comfort-packed bowl of joy—you can’t go wrong with this one.

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Share the Love!

If you make this pasta (and I really hope you do), tag me on Pinterest @TheKitchenJoyy with #Mmmrecipes so I can drool over your delicious dinner! Let’s keep those comforting, creamy recipes coming 🧄🧀🍝