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+ servings
4.15 from 120 votes
Close up of creamy farfalle pasta tossed with mushrooms and sausage in a creamy white wine sauce served in a white bowl.
Creamy Pasta with Sausage and Mushrooms
Prep Time
15 mins
Cook Time
25 mins
Total Time
40 mins

Satisfy your pasta cravings with creamy pasta with sausage and mushrooms. You'll love this recipe for a saucy, easy, one-dish weeknight meal!

Course: Dinner, Main Dish
Cuisine: Italian
Keyword: sausage pasta
Servings: 6 servings
Calories: 766 kcal
  • 1 lb farfalle pasta
  • 2 Tbsp olive oil
  • 1 lb sweet sausage, removed from casing and crumbled or chopped
  • 2 cloves garlic, minced
  • 8 oz button or wild mushrooms, sliced or coarsely chopped
  • 1 cup dry white wine
  • 3/4 cup heavy cream
  • 1/2 tsp red pepper flakes
  • 1 1/2 tsp kosher salt
  • 1/2 tsp freshly ground black pepper
  • 1/4 cup fresh parsley, finely chopped
  • 1/2 cup parmesan cheese, grated
  • minced parsley and grated parmesan for serving
  1. Cook pasta according to package instructions for al dente. Reserve 1 cup of the pasta water when draining.
  2. While the pasta is cooking, heat a large saute pan over med/high heat and add olive oil.
  3. Add sausage and cook until browned and cooked through, 10 - 12 minutes.
  4. Add garlic and cook 1 minute, then add the mushrooms, stirring well. Continue to cook about 5 minutes, stirring frequently so the garlic doesn't burn.
  5. Add the white wine and cook until reduced by half, about 5 minutes.
  6. Add cream and about 1/2 cup of the reserved pasta water (you can add more if needed as it cooks). Stir in the red pepper flakes, salt, pepper, parsley, and parmesan. Cook until the sauce has thickened, adding more pasta water if needed.

  7. Add the cooked pasta and toss well.
  8. Top with a sprinkle of parsley and parmesan to serve.
Recipe Notes
  • DO NOT pour that pasta water down the drain after the farfalle is cooked! The reserved pasta water has starch, salt, and is key in building a velvety, smooth sauce.
  • Any mushroom variety will work in this dish, but a mix of wild mushrooms (cremini, shiitake, oyster) adds an even deeper earthy flavor and a nice chewy texture.
  • Season with salt as you cook to help build the flavor. Think taste, season, taste, repeat!
Nutrition Facts
Creamy Pasta with Sausage and Mushrooms
Amount Per Serving
Calories 766 Calories from Fat 387
% Daily Value*
Fat 43g66%
Saturated Fat 17g106%
Cholesterol 105mg35%
Sodium 1285mg56%
Potassium 555mg16%
Carbohydrates 61g20%
Fiber 2g8%
Sugar 3g3%
Protein 25g50%
Vitamin A 770IU15%
Vitamin C 6.1mg7%
Calcium 150mg15%
Iron 2.4mg13%
* Percent Daily Values are based on a 2000 calorie diet.