Rich, creamy, and bursting with flavor, this Italian Sausage Bow Tie Pasta is one of my husband's all-time favorite meals-and for good reason. Bow tie pasta meets a savory tomato-cream sauce, flavorful Italian sausage, and fragrant garlic and onions, all finished with fresh basil and Parmesan.

I've been making this Italian Sausage Bow Tie Pasta for years, and it's consistently been a favorite in our home. We first made it when our kids were still around, and even now, as empty nesters cooking in our RV, it's a dish that never disappoints.
The flavors are bold and comforting, yet the recipe is simple and adaptable, which is why it's become a staple in our kitchen.
Let's Gather Up the Ingredients

- Barilla Bow Tie Pasta (Farfalle): Sturdy pasta that holds up to the thick, creamy sauce. Plus, those little bow ties are just fun!
- Extra Virgin Olive Oil: Adds flavor and helps brown the sausage and sauté the aromatics.
- Italian Sausage: Provides rich, savory flavor. Sweet, mild, or spicy all work-sweet is my favorite because you can control the heat.
- Red Pepper Flakes: Gives the dish a gentle kick of spice to balance the creaminess.
- Onion: Adds natural sweetness and depth of flavor. Red onions are my go-to, but any onion works.
- Garlic: Builds aromatic flavor and enhances the overall richness of the sauce.
- Italian Diced Tomatoes: Form the base of the sauce. You can use plain diced tomatoes and season with oregano and basil if preferred.
- Heavy Cream: Makes the sauce velvety, creamy, and rich-essential for that luscious texture.
- Salt: Enhances all the flavors in the dish.
- Black Pepper: Adds subtle heat and rounds out the seasoning.
- Fresh Basil: Adds brightness, freshness, and a pop of vibrant green color.
- Parmesan: Freshly grated cheese melts beautifully into the sauce and adds a nutty, savory finish.
Tips for Success: To add extra freshness and color, feel free to toss in chopped green onions, spinach, or fresh tomatoes.
Now Let's Get Cooking
Since we spend a lot of time traveling in our RV, I've developed a one-pan version of this dinner that works perfectly in a small space.
A few years ago, a co-worker gave me a deep, oversized skillet for Christmas, and I use it all the time for meals like this. If you don't have a skillet that's deep enough to cook the pasta, you can absolutely make this using a pot for the pasta and a separate pan for the sauce-it just takes a little extra step.

Cook the bowtie pasta
Cook the pasta until it's just shy of "al dente" according to the package directions (you want it just short of being done so that you can finish the cooking process in the sauce).

Drain the pasta, but don't rinse it. The starch on the pasta will help to thicken the sauce.
Trust me on this. If the pasta sticks together a bit, just use your fingers to break it apart before adding it back into the sauce.

Brown the Italian sausage
Add the oil to the skillet over medium-high heat. Once hot, add the sausage using a wooden spoon to break it up into small pieces.

Cook until the sausage is evenly browned.

Next, add the onions and garlic. Cook until the onions have softened and are slightly translucent.

Make the sauce
Now stir in the tomatoes, cream, salt, fresh basil, and grated parmesan cheese.


Tips for success: I like to use fresh grated parmesan as opposed to shredded, just because it melts into the sauce more easily.
Simmer for about 5 minutes, then add the bow-tie pasta back into the pan.

The pasta finishes cooking right in the sauce, soaking up all the rich flavors from the onions, garlic, and Italian sausage. Once the sauce has reached your desired thickness and creaminess, give everything one final stir, and dinner is ready to serve.

This meal is so easy even my husband could make it!
Cooking for Two
For years, I was used to cooking for a full table-two growing boys with big appetites, plus my husband and me. Now that we're empty nesters, I've had to rethink the way I cook.
Scaling down recipes isn't always as simple as cutting everything in half, and when we're traveling, our RV fridge just isn't big enough to hold a bunch of leftovers. At the same time, I don't want to give up the meals we've always loved.
That's why I have started to write my recipes both ways-one for a family-sized portion and one designed just for two. Whether you're still cooking for a crowd or figuring out how to make your favorite dishes work in a smaller household, I want my recipes to be flexible and practical for wherever you are in life.
You will find the scaled-down version in the recipe card below.
For years, I was used to cooking for a full table-two growing boys with big appetites, plus my husband and me. Now that we're empty nesters, I've had to rethink the way I cook.
Scaling down recipes isn't always as simple as cutting everything in half, and when we're traveling, our RV fridge just isn't big enough to hold a bunch of leftovers. At the same time, I don't want to give up the meals we've always loved.
That's why I have started to write my recipes both ways-one for a family-sized portion and one designed just for two. Whether you're still cooking for a crowd or figuring out how to make your favorite dishes work in a smaller household, I want my recipes to be flexible and practical for wherever you are in life.
Substitutions and Variations
Vegetables: Feel free to toss in bell peppers, zucchini, or spinach to add extra color and flavor.
Pasta: Any short, sturdy pasta works-penne, rigatoni, or even rotini can stand up to the creamy sauce.
Sausage: Use sweet, mild, or spicy Italian sausage depending on your preference. You could also swap for ground turkey or chicken for a lighter option.
Cream: Half-and-half or whole milk can replace heavy cream if you want a slightly lighter sauce.
Cheese: Parmesan is ideal, but Pecorino Romano works well too. Pre-grated is fine in a pinch, though fresh will melt best.
How to serve
Serve this Italian Sausage Bow Tie Pasta straight from the skillet while it's hot and creamy. A Simple Caesar Salad, my Cheddar Bay Biscuits, and a slice of Gooey Butter Cake make it a complete, satisfying meal that's perfect for a weeknight dinner or a casual gathering.
Garnish the pasta with extra fresh basil and a sprinkle of Parmesan for a beautiful, flavorful touch.
Pair with
How to store leftovers
This recipe isn't just perfect for a quick weeknight dinner-the leftovers are just as tasty! Store any extras in an airtight container for up to 4 days. When it's time to reheat, add a splash of cream or water and stir before warming in the microwave for a minute or two.
Frequently Asked Questions
Yes, you can make a vegetarian version by replacing the Italian sausage with plant-based sausage or sautéed mushrooms for a meaty texture. Ensure to use vegetable broth instead of chicken broth to maintain the vegetarian profile.
Yes, you can cook the pasta and sauce separately and combine them when you're ready to serve. Just reheat gently on the stove and add a splash of cream or water to loosen the sauce if needed.
Yes, this dish freezes well. Store leftovers in an airtight container and freeze for up to 3 months. To reheat, thaw in the refrigerator overnight and warm on the stove, adding a bit of cream or water to reach the desired consistency.
The next time you're craving the flavors of an Italian restaurant, try making this at home-you'll be amazed at how easy it is to get a rich, restaurant-quality meal without leaving the kitchen.
This pasta has been a favorite in our house for years, whether for a simple weeknight dinner, a special occasion, or a family gathering. I hope your family enjoys it just as much as we do!
More Pasta Recipes to Try
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Easy Italian Sausage Bow Tie Pasta Recipe
Ingredients
- 1 16 oz pacakge bow tie pasta
- 2 tablespoons olive oil
- 1 pound sweet italian sausage, casings removed and crumbled
- ½ teaspoons red pepper flakes
- 1 medium onion, diced
- 3 cloves garlic, minced
- 2 14.5 oz cans Italian diced tomatoes
- 1 ½ cups heavy cream
- ½ teaspoons salt
- ½ cup grated parmesan
- 3 tablespoons fresh basil, chopped
Instructions
- Bring a large pot of salted water to a boil. Cook the bow tie pasta to al dente according to package directions.Drain, but don't rinse. The starch from the pasta will help to thicken the sauce.
- Heat the oil in a large, deep skillet over medium high heat. Once the oil starts to shimmer, add the sausage and pepper flakes. Cook until the sausage is evenly browned. Stir in the onions and garlic, and cook until the onion are tender.
- Stir in the tomatoes, cream and salt. Simmer for about 8 minutes and then add the pasta and stir well to combine. Let the pasta cook in the sauce for another 3-5 minutes or until it has thickend.
- Add the fresh basil and parmesan cheese. Combine well. Serve imediately.
Notes
- Reheats well. Add a splash of cream or water if it doesn't seem creamy enough.

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Easy Italian Sausage Bow Tie Pasta Recipe for Two
Ingredients
- ½ pound bow tie pasta
- 1 tablespoon olive oil
- ½ pound sweet Italian sausage casings removed and crumbled
- ⅛-¼ teaspoon teaspoon red pepper flakes
- ½ medium onion diced
- 1-2 cloves garlic minced
- 1 14.5 oz can Italian diced tomatoes
- ¾ cup heavy cream
- ¼ teaspoon salt
- ¼ cup grated Parmesan
- 1½ tablespoons chopped fresh basil
Instructions
- Bring a pot of salted water to a boil. Cook pasta to al dente according to package directions.
- Drain, but don't rinse.
- Heat olive oil in a large skillet over medium-high heat. Add sausage and red pepper flakes; cook until browned.
- Stir in onion and garlic; sauté until softened.
- Add tomatoes, cream, and salt. Simmer about 8 minutes.
- Add cooked pasta and toss to coat; let it cook 3-5 minutes to thicken.
- Stir in Parmesan and fresh basil. Serve immediately.











Ken Coppedge says
Definitely one of my many favorites of yours.
entertainingthervlife says
I'm glad you love it so much because it is super easy to make 😉
Pam Bales says
Very good I will be making this again and again. Thank you for sharing this recipe 😋
Ali says
This pasta was so good! It was perfect for dinner, and the leftovers worked great for lunches.
Sara Welch says
Enjoyed this for dinner tonight and it was a savory success! Easy, hearty and packed with flavor; my whole family loved it!
Nikki says
My family loved this meal! So simple to prepare and super delicious!
Jennifer Osborn says
Sausage and heavy cream? Hand me a fork and get out of my way! 😂🤤🤤🤤
Entertaining the RV Life says
LOL! You are my kind of girl!
Sophie says
The Easy Italian Sausage Bow Tie Pasta was a huge hit! Everyone at the dinner table loved it, and the flavorful combination of Italian sausage, tomatoes, and herbs was simply divine. It was such a quick and easy recipe to follow, making it perfect for a busy weeknight dinner.
Colleen says
My family loves this pasta and it's a go to meal for when I don't know what to make for dinner. Great recipe!
Holley says
This dish is restaurant quality! Easy to make and absolutely delicious!
Anjali says
This was so comforting and easy to make! We served it with a side salad and garlic bread for a quick weeknight dinner!
Kim says
I really enjoy a good weeknight pasta dish and this one looks perfect! I'm eager to try it.
Sapna says
I can see myself making this often. I love one pot meals.
Cynthia says
Easy and delicious! A real crowd pleaser. My family is already asking for a do-over!
Ieva says
Easy, delicious and definitely a crowd pleaser. Made this recipe for dinner last night, and cannot wait to have leftovers for lunch today!
Gianne says
The combination of the savory sausage and al dente pasta is simply delicious. It's super simple to make and always impresses guests. Definitely a go-to recipe for me!
Julia says
This was absolutely delicious! Next I’ll making this doubled to freeze for later! Thank you for another great recipe!
Anjali says
This is so hearty and delicious!! The perfect easy weeknight meal for our family - great with a side salad and garlic bread too!
Lindsay Breeze says
Delicious! I add sliced mushroom because we love them. Comes together very quickly. Despite having cream in it it doesn’t feel heavy. Love this recipe! Thanks!
Entertaining the RV Life says
Mushrooms are a great addition! I love them as well.
Michelle says
Such a quick and easy dinner that the whole family loved! Perfect for weeknights and so yummy
Katherine says
The whole family loved this sausage pasta dish - so flavorful!