Italian Sausage Fettuccine Pasta

Fettuccine alfredo on a plate with a mix of meat sauce and alfredo sauce.

4.64 from 41 votes

Italian Sausage Fettuccine Pasta is a flavorful, creamy, and absolutely delicious pasta dish that is perfect for weeknight dinners.

Prep Time30

Cook Time20

Total Time50

Course: Dinner, Main Meal

Cuisine: American, Italian

Keyword: Fettuccine Alfredo, Fettuccine Alfredo Pasta

Servings: Servings

Calories: 1164kcal

Author: Great Grub, Delicious Treats

Ingredients

For the Italian Sausage Tomato Sauce

2 pound ground hot Italian sausage
1 onion, diced
1 teaspoon garlic powder
1 teaspoon slap ya mama
1 teaspoon black pepper
½ teaspoon red pepper flakes
(2) 15 ounce cans tomato sauce
12 ounce can tomato paste
1 teaspoon oregano
1 teaspoon basil

For the Creamy White Sauce

½ cup butter
1 tablespoon flour
2 cups heavy cream
6 ounce shredded Parmesan cheese
Salt and pepper, to taste
½ cup pasta water
16 ounce box fettuccine pasta
2 ½ cups mozzarella cheese, shredded

Instructions

Preheat the oven to 350° and spray a large 9 x 13 baker with non-stick cooking spray. Set aside.
Cook pasta per package directions for al dente.
In a large skillet, or frying pan, over medium high heat, cook Italian sausage and onions until sausage is no longer pink and onions are tender. Drain and return to pan.
Add seasonings, stir and pour tomato sauce and tomato paste into the meat mixture. Stir to combine, cover and let simmer, stirring occasionally while making the white sauce.
In a medium saucepan, over medium heat, melt butter and then stir in flour. Stir to combine.
Pour heavy whipping cream into the pan and continue stirring until incorporated.
Add Parmesan cheese, stir until melted and add salt and pepper.
Add pasta water to cheese sauce, stir.
Add cooked fettuccine to cheese sauce and stir.
Pour pasta and cheese sauce into the prepared baking dish followed by the sausage mixture on top.
Cover with mozzarella cheese and bake uncovered for 20 minutes or until the cheese is melted.
Serve with a side salad and garlic bread.

Notes

Nutritional values are approximate.

Please note that these values can change with different brands and any modifications made to the recipe. For the most accurate information, use a nutritional calculator with the exact brands and measurements.

Creamy White Sauce from my Creamy Rigatoni recipe

Nutrition