If you’re looking for a comforting and delicious dinner that’s easy to whip up, this creamy Italian sausage bow tie pasta is the perfect choice.

With savory sausage, tender pasta, and a luscious tomato-cream sauce, this dish brings together simple ingredients for a meal that feels like a restaurant favorite.
Ready in just 30 minutes, it’s ideal for busy weeknights or a cozy weekend meal with family and friends.
Whether you’re a beginner in the kitchen or an experienced cook, this recipe is sure to become a new favorite.
Ingredients
- 1 pound Italian sausage (casings removed)
- 1/2 cup onion, chopped
- 4 cloves garlic, minced
- 1 can (28 oz.) Italian-style plum tomatoes, drained and roughly chopped
- 1 1/2 cups heavy cream
- 1 cup spinach leaves, coarsely chopped
- 1 box (12 oz.) bow tie pasta
- 2 tablespoons olive oil
- Optional: Red pepper flakes, to taste
Instructions
Step 1: Cook the Pasta
- Begin by boiling the bow tie pasta in a large pot of salted water according to the package directions.
- Once the pasta is tender, drain it and set it aside.
Step 2: Prepare the Sausage
- In a large skillet, heat the olive oil over medium heat.
- Add the Italian sausage, breaking it into small pieces with a spoon.
- Cook until the sausage is browned and fully cooked through.
Step 3: Add Some Heat (Optional)
- If you want a bit of a kick, sprinkle in some red pepper flakes with the sausage.
Step 4: Sauté the Vegetables
- Add the chopped onion and minced garlic to the skillet.
- Sauté until the onion becomes soft and translucent, and the garlic is fragrant, about 2-3 minutes.
Step 5: Combine with Tomatoes
- Stir in the chopped plum tomatoes.
- Let them cook for about 3-4 minutes to blend the flavors.
Step 6: Make the Creamy Sauce
- Pour the heavy cream into the skillet.
- Bring the mixture to a simmer and cook for about 5 minutes, or until the sauce starts to thicken.
Step 7:Mix in the Pasta and Spinach
- Add the cooked bow tie pasta and chopped spinach leaves to the skillet.
- Toss everything together gently, allowing the spinach to wilt and the pasta to be evenly coated with the sauce.
Step 8: Serve
- Remove from heat and serve warm.
- If you like, top with grated Parmesan cheese or fresh herbs for extra flavor.
FAQs
Can I use another type of sausage instead of Italian sausage?
Yes, you can use other types of sausage, such as turkey sausage, chicken sausage, or even a vegetarian sausage if you prefer. Just be mindful of any differences in seasoning and adjust to taste.
Can I substitute the heavy cream with something lighter?
If you’d like to make the dish lighter, you can substitute heavy cream with half-and-half or a combination of milk and cream cheese. Keep in mind that this may affect the creaminess of the sauce.

Simple Creamy Italian Sausage Bow Tie Pasta
Ingredients
- 1 lb Italian sausage (casings removed)
- ½ cup onion chopped
- 4 cloves garlic minced
- 1 can (28 oz.) Italian-style plum tomatoes drained and roughly chopped
- 1 ½ cups heavy cream
- 1 cup spinach leaves coarsely chopped
- 1 box (12 oz.) bow tie pasta
- 2 tbsp olive oil
- Optional: Red pepper flakes, to taste
Instructions
Cook the Pasta
- Begin by boiling the bow tie pasta in a large pot of salted water according to the package directions. Once the pasta is tender, drain it and set it aside.
Prepare the Sausage
- In a large skillet, heat the olive oil over medium heat. Add the Italian sausage, breaking it into small pieces with a spoon. Cook until the sausage is browned and fully cooked through.
Add Some Heat (Optional)
- If you want a bit of a kick, sprinkle in some red pepper flakes with the sausage.
Sauté the Vegetables
- Add the chopped onion and minced garlic to the skillet. Sauté until the onion becomes soft and translucent, and the garlic is fragrant, about 2-3 minutes.
Combine with Tomatoes
- Stir in the chopped plum tomatoes. Let them cook for about 3-4 minutes to blend the flavors.
Make the Creamy Sauce
- Pour the heavy cream into the skillet. Bring the mixture to a simmer and cook for about 5 minutes, or until the sauce starts to thicken.
Mix in the Pasta and Spinach
- Add the cooked bow tie pasta and chopped spinach leaves to the skillet. Toss everything together gently, allowing the spinach to wilt and the pasta to be evenly coated with the sauce.
Serve
- Remove from heat and serve warm. If you like, top with grated Parmesan cheese or fresh herbs for extra flavor.
can i skip the heavy cream, got lactose issues here, thanks Sandra?
Looks dope for a college budget. Gonna try it.
never thought of sausages in pasta before gonna give this a whirl
I usually don’t go for pasta, but this might just change my mind. Wonder how it turns out with gluten-free options.
Great, another pasta dish. Because that’s exactly what my diet needed.
Wow, like we’ve never seen pasta with sausage before. Innovate much, Sandra?
can i make this with like, cereal, no time for sausages
sure if u want to eat it through a straw lol
I needed a new recipe for my weekly binge-watching sesh. This pasta might just be it. Cheaper than pizza!
spicy sausage in here? genius! gonna toss in some jalapenos too!