Looking for a pasta dish that’s both hearty and elegant? This Bow Tie Pasta with Sausage, Tomatoes, and Cream is the perfect combination of bold flavors and creamy texture. With sweet Italian sausage, juicy plum tomatoes, and a luscious cream sauce, this recipe is guaranteed to impress your family or guests. I discovered this recipe on I Wuv Cooking, and it has quickly become one of my go-to comfort meals.

What Makes This Recipe Special?
This pasta dish strikes the perfect balance between creamy and savory, with just a hint of heat from red pepper flakes. The combination of al dente bow tie pasta and the rich sausage-tomato cream sauce makes this meal both indulgent and satisfying. Plus, it’s easy to prepare and ideal for both weeknight dinners and special occasions.
Bow Ties with Sausage, Tomatoes, and Cream Recipe
This one-pan sauce comes together in less than 30 minutes and pairs beautifully with bow tie pasta.
Ingredients
- 1 (12-ounce) package bow tie pasta
- 2 tablespoons olive oil
- 1 pound sweet Italian sausage, casings removed and crumbled
- 1/2 teaspoon red pepper flakes
- 1/2 cup diced onion
- 3 cloves garlic, minced
- 1 (28-ounce) can Italian-style plum tomatoes, drained and coarsely chopped
- 1 1/2 cups heavy cream
- 1/2 teaspoon salt
- 3 tablespoons minced fresh parsley
Directions
- Cook the Pasta:
Bring a large pot of lightly salted water to a boil. Add the bow tie pasta and cook until al dente, about 8–10 minutes. Drain and set aside. - Prepare the Sausage:
Heat olive oil in a large, deep skillet over medium heat. Add the crumbled sweet Italian sausage and red pepper flakes, cooking until the sausage is evenly browned. - Add Aromatics:
Stir in the diced onion and minced garlic. Cook until the onion becomes tender and fragrant, about 3–5 minutes. - Make the Sauce:
Add the drained and chopped plum tomatoes, heavy cream, and salt to the skillet. Stir well and let the mixture simmer for 8–10 minutes, or until it thickens slightly. - Combine Pasta and Sauce:
Add the cooked bow tie pasta to the skillet with the sauce. Stir until the pasta is well coated and heated through. - Garnish and Serve:
Sprinkle the dish with fresh parsley and serve immediately. Enjoy this creamy, flavorful pasta with a side of garlic bread or a crisp green salad.
Tips for Perfect Bow Tie Pasta with Sausage
- Customize the Heat: If you like a spicier dish, increase the amount of red pepper flakes or use spicy Italian sausage instead of sweet.
- Use Fresh Herbs: Substitute basil or oregano for parsley if you want a different herbaceous flavor.
- Cheese It Up: Grate fresh Parmesan cheese over the pasta before serving for an extra layer of richness.
- Leftover Magic: This dish reheats beautifully—just add a splash of cream or milk when warming it up to restore the sauce’s creamy consistency.
Why You’ll Love This Recipe
This Bow Tie Pasta with Sausage, Tomatoes, and Cream is a restaurant-quality dish you can easily recreate at home. The creamy tomato sauce, hearty sausage, and perfectly cooked pasta create a meal that feels both comforting and indulgent. Whether you’re cooking for a family dinner or hosting guests, this recipe is sure to be a hit.
Did you try this recipe? Let me know in the comments! For more incredible meal ideas, visit I Wuv Cooking and explore their collection of delicious recipes. Don’t forget to share this recipe with anyone who loves a great pasta dish!
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