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Creamy Alfredo sauce sausage pasta with fettuccine, Italian sausage, mushrooms, spinach, shaved Parmesan, and garlic toast.

Alfredo Sauce Sausage Pasta

Charlotte
A quick, creamy pasta dish combining Italian sausage and homemade Alfredo sauce. Ready in about 30 minutes and perfect for busy weeknights.
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Prep Time 10 minutes
Cook Time 20 minutes
Total Time 30 minutes
Course Main Course
Cuisine Italian-American
Servings 4 servings
Calories 720 kcal

Ingredients
  

Pasta & Protein

Sauce & Seasonings

Instructions
 

  • Bring a large pot of salted water to a boil. Cook pasta according to package directions until al dente. Reserve 1 cup of pasta water, then drain and set aside.
  • Heat a large skillet over medium-high heat. Add the sausage, breaking it into pieces, and cook until browned and cooked through, about 6–8 minutes. Transfer to paper towels to drain.
  • Reduce heat to medium, melt butter in the skillet, and sauté garlic for 30 seconds. Pour in heavy cream and bring to a gentle simmer. Whisk in Parmesan in small handfuls until smooth. Season with salt, pepper, and nutmeg. Thin with reserved pasta water if necessary.
  • Return sausage to the skillet, add the drained pasta, and toss to coat in the sauce over low heat. Adjust consistency with pasta water. Garnish with parsley, extra Parmesan, and red pepper flakes.

Notes

  • Use freshly grated Parmesan for the best texture.
  • Swap half-and-half for heavy cream to cut calories, adding a bit of cream cheese to thicken if needed.
  • Add spinach or peas at the end for a quick vegetable boost.

Nutrition

Calories: 720kcalCarbohydrates: 62gProtein: 28gFat: 38gSaturated Fat: 18gSodium: 900mgSugar: 3g
Keyword alfredo sauce sausage pasta
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