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Sausage Fettuccine

Sausage Fettuccine is a super simple weeknight dinner with just a few ingredients that can be on the dinner table in under 30 minutes. It’s a great option for nights you don’t know what to cook.

Bowl of sausage fettuccine pasta.

We love to make homemade Sweet Italian Sausage to have in the freezer for quick and easy meals. We love it in Sausage and Pepper Rice and Sausage Potato Soup. This quick sausage pasta was an instant favorite and is going to be on repeat.

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Ingredients for Sausage Fettuccine Recipe

  • Sweet Italian Sausage
  • Fettuccine – spaghetti works too.
  • Water
  • Kosher Salt
  • Petite Diced Tomatoes
  • Pesto
  • Parmesan Cheese – optional for garnish.

Step By Step Directions for Sausage Fettuccine

Fettuccine pasta draining in a colander.
  1. Add water to a large pan or dutch oven. Add the pasta and kosher salt, you don’t have to wait for the water to boil. Stir pasta occasionally, bring the water to a boil and continue cooking until pasta reaches desired doneness. Reserve 1 cup of pasta water before draining in a colander.
Collage making Italian Sausage with tomatoes and pesto.
  1. Place a skillet over medium-high heat. When the skillet is hot, add the sausage, breaking it up with a wooden spoon or spatula.
  2. Continue to cook sausage, stirring to brown well on all sides.
  3. Add canned tomatoes with juice and pesto, stirring to combine.
  4. Pour in reserved pasta water and cook 2-3 minutes. Season with salt if needed, my tomatoes were unsalted, so I added about 1 teaspoon of salt to the sauce.
Sausage and fettuccine with tomatoes in a pan.Sausage Fettuccine is a super simple weeknight dinner with just a few ingredients that can be on the dinner table in under 30 minutes. It's a great option for nights you don't know what to cook.
  1. Toss pasta and sauce together.
Pasta with parmesan cheese in a bowl.
  1. Garnish with freshly grated parmesan cheese if desired.

Recipe Notes

  • Storage: Store leftover pasta in an airtight container in the refrigerator 3-4 days.
  • Reheat: Place pasta in a pan and cook over medium heat. Add a couple of tablespoons of water and cook, stirring often until heated through.
  • Additions: Sautéed onions, mushrooms, bell peppers and carrots are great additions to this sausage pasta.
  • Pesto Substitute: Add 1 tablespoon olive oil, 1 tablespoon granulated garlic, 2 tablespoons of dried basil.

Side Dishes for Sausage Fettuccine

More Delicious Sausage Pasta Recipes to Try

Bowl of sausage fettuccine pasta.

The best thing about this Sausage Fettuccine is that it’s made with just 5 ingredients and can be on the table in about 25 minutes. It’s loaded with delicious flavor and is a family favorite.


If you love this recipe as much as we do, please leave a comment and a five star review. Help us share on Pinterest, Instagram and Facebook!

Bowl of fettuccine with tomatoes and sausage.
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Sausage Fettuccine

Sausage Fettuccine is a super simple weeknight dinner with just a few ingredients that can be on the dinner table in under 30 minutes. It's a great option for nights you don't know what to cook.
Cook Time25 minutes
Course: Pasta
Cuisine: Italian
Keyword: fettuccine, Italian sausage pasta, quick dinner
Servings: 4 Servings
Calories: 707kcal
Author: Milisa

Ingredients

  • 16 ounces fettuccine
  • 2 quarts water
  • 1 tablespoon kosher salt plus more to season the sauce if needed
  • 1 pound Sweet Italian Sausage
  • 1 can petite diced tomatoes
  • 1/4 cup pesto
  • Parmesan cheese grated, optional for garnish

Instructions

  • Add water to a large pan or dutch oven. Add the pasta and kosher salt, you don’t have to wait for the water to boil. Stir pasta occasionally, bring the water to a boil and continue cooking until pasta reaches desired doneness. Reserve 1 cup of pasta water before draining in a colander.
  • Place a skillet over medium-high heat. When the skillet is hot, add the sausage, breaking it up with a wooden spoon or spatula.
  • Continue to cook sausage, stirring to brown well on all sides.
  • Add canned tomatoes with juice and pesto, stirring to combine.
  • Pour in reserved pasta water and cook 2-3 minutes. Season with salt if needed.
  • Toss pasta and sauce together.
  • Garnish with freshly grated parmesan cheese if desired.

Notes

  • Storage: Store leftover pasta in an airtight container in the refrigerator 3-4 days.
  • Reheat: Place pasta in a pan and cook over medium heat. Add a couple of tablespoons of water and cook, stirring often until heated through.
  • Additions: Sautéed onions, mushrooms, bell peppers and carrots are great additions to this sausage pasta.
  • Pesto Substitute: Add 1 tablespoon olive oil, 1 tablespoon granulated garlic, 2 tablespoons of dried basil.

Nutrition

Serving: 1g | Calories: 707kcal | Carbohydrates: 95g | Protein: 36g | Fat: 21g | Saturated Fat: 6g | Polyunsaturated Fat: 3g | Monounsaturated Fat: 4g | Trans Fat: 0.1g | Cholesterol: 157mg | Sodium: 3124mg | Potassium: 802mg | Fiber: 7g | Sugar: 11g | Vitamin A: 767IU | Vitamin C: 44mg | Calcium: 139mg | Iron: 14mg

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