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Bow Tie Pasta with Italian Sausage Recipe – How to Make it in 8 Simple Steps

This is a plate of bow tie pasta with Italian sausage.

Our recipe features perfectly cooked bow tie pasta smothered in a flavorful, creamy sauce. The sauce includes the flavors of garlic and red pepper flakes. While the sauce is not very hot, if spicy foods aren’t your favorite, feel free to cut the amount of the red pepper flakes in half; or if you don’t want to take a chance, you can leave it out altogether. The pasta sauce will still be scrumptious.

This recipe has classic Italian seasoning, but most of the herbal flavor comes from the Italian sausage. If you want a stronger herbal flavor, sprinkle in a pinch of basil or a pre-mixed blend of Italian seasoning. You can use any version of Italian sausage that you want. If you like hot, feel free to choose the hot version, but the medium or mild versions will be delicious too.

This is a plate of bow tie pasta with Italian sausage.

Bow Tie Pasta with Italian Sausage Recipe

April Freeman
With the flavorings of garlic, parsley, basil, tomatoes, and oregano, who doesn’t like Italian food? This recipe for Bow Tie Pasta with Italian Sausage has all of the favorite Italian food flavors that most people come to expect at their favorite Italian restaurants. By using our easy-to-follow recipe, you can replicate the Italian restaurant experience in your own home.
Prep Time 10 mins
Cook Time 20 mins
Total Time 30 mins
Cuisine Italian
Servings 6 Servings


  • Large Pot
  • Colander
  • Large skillet
  • Spatula


  • 12 ounces Bow Tie Pasta
  • 2 tbsp Olive Oil
  • 1 pound Mild Italian Sausage
  • ½ teaspoon Red Pepper Flakes
  • 2 teaspoons Minced Garlic
  • 12 pcs Cherry Tomatoes halved
  • cups Half and Half
  • 1 cup Spinach Leaves chopped or torn into bite-sized pieces
  • 1 tbsp Chopped Fresh Parsley optional
  • 4 tbsp Parmesan Cheese


  • Fill a large pot with water and bring it to a boil over medium-high heat. When the pot boils, add the bow tie pasta and cook it at a rolling boil according to the package instructions. Drain the pasta in a colander, rinsing the pasta until it is fully cooled. Shake the pasta to fully drain all of the water from the noodles. Set the pasta aside, either in the sink or on a dish towel until you are ready to use it.
  • In a large skillet, heat the olive oil over medium heat until a few drops of water sizzle when you drip them into the oil. Add the Italian sausage. If you bought the kind of Italian sausage with casings, remove the casings before you cook the sausage.
  • Use a spatula to chop and crumble the meat into small bits. Stir the red pepper flakes into the sausage as you cook it. Add the garlic near the end of the cooking time and cook the garlic until it is a light golden brown.
  • When the meat is fully cooked, drain the grease from the pan.
  • Add the tomatoes and the half and half. Simmer the mixture on medium heat until the mixture gets thick. This should take about five to seven minutes. Be sure that you stir frequently so that you don’t scorch the creamy sauce.
    The creamy sauce is cooked in the skillet.
  • Add the spinach and cook at a low simmer for about three minutes.
    The spinach is then added into the skillet.
  • Add the cooked pasta to the pan, stirring it to coat it in the creamy sauce. Stir in the Parmesan cheese until it is fully incorporated into the sauce. Sprinkle the pasta and sauce with parsley as a garnish and serve accompanied by a Caesar salad and a crusty roll.
    The pasta is then added into the skillet.
  • Store leftovers in a container with a tightly fitting lid in the refrigerator for up to three days. Leftovers can be reheated by microwaving for about 30 seconds.


Suppose you can’t find Italian sausage? Or what if you do not eat pork, or you want to make an Italian sausage from a lower fat ground turkey or ground chicken? This is an option. The thing that makes Italian sausage is simply the herbs and spices used to flavor the ground meat.
This means that you can create your own Italian sausage by mixing the correct seasonings with whatever ground meat that you have on hand. Whether it is beef, chicken, turkey, or pork, Italian sausage is easy to make if you have the correct seasonings on hand.
To make your own Italian sausage, to one pound of ground meat of whatever kind that you like, add 2 teaspoons dried parsley, 2 teaspoons Italian seasoning, 1 ½ teaspoon black pepper, ½ teaspoon fennel, ½ teaspoon paprika, 1 teaspoon garlic powder, ½  teaspoon onion powder, 2 teaspoons salt, and ½ teaspoon red pepper flakes. Just blend the herbs and spices together in a small bowl, and sprinkle them over the meat as you chop and brown it in a skillet. Use your spatula to turn and mix the seasoning into the meat thoroughly.
Please note that the above-listed seasonings are in addition to the seasonings that are called for below in the actual Bow Tie Pasta with Italian Sausage Recipe. You will not need the herbs and spices listed in the previous paragraph if you are using a commercially made Italian sausage.
Keyword Bow Tie Pasta with Italian Sausage, Recipe, Side Dish

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