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.
Fill a large pot with water, add a generous pinch of salt, and bring it to a boil.
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.
In a large skillet or sauté pan, heat the olive oil over medium heat.
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.
Use a slotted spoon to transfer the cooked sausage to a plate lined with paper towels, leaving the rendered fat in the skillet.
Add the diced onion to the skillet and sauté until soft and translucent, about 3-4 minutes.
Stir in the minced garlic and cook for 1 minute, until fragrant.
Pour in the crushed tomatoes and stir to combine, scraping any browned bits from the bottom of the skillet.
Reduce the heat to low and stir in the heavy cream. Let the sauce simmer for 5 minutes, stirring occasionally.
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.
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.
Serve immediately, garnished with extra Parmesan cheese and fresh basil if desired.
Calories |
3886 | ||
|---|---|---|---|
% Daily Value* |
|||
| Total Fat | 233.0 g | 299% | |
| Saturated Fat | 103.5 g | 518% | |
| Polyunsaturated Fat | 1.3 g | ||
| Cholesterol | 622 mg | 207% | |
| Sodium | 7370 mg | 320% | |
| Total Carbohydrate | 293.6 g | 107% | |
| Dietary Fiber | 19.6 g | 70% | |
| Total Sugars | 25.4 g | ||
| Protein | 153.1 g | 306% | |
| Vitamin D | 0.0 mcg | 0% | |
| Calcium | 1243 mg | 96% | |
| Iron | 13.7 mg | 76% | |
| Potassium | 3066 mg | 65% | |
*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.