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Creamy Pesto Sausage Pasta

Creamy Pesto Sausage Pasta is filling dinner that is sure to satisfy the whole family for an easy weeknight meal. Grill the sausage and mushrooms for extra flavor. 

Complete any pasta dinner with a side green salad and easy garlic bread and have this easy dinner on the table in under an hour. 

Pan of pasta with sliced sausage links, tomatoes, basil.

We cook dinner just about every night of the week and prefer a big variety of dishes. This Creamy Pesto Sausage Pasta was definitely a favorite and will be on the menu again soon. It really hits the spot when you are craving comfort food and don’t want to stand in line at Olive Garden. 

Ingredients for Pesto Sausage Pasta

🟢 Ingredients Needed

  • Italian Sausage Links
  • Mushrooms
  • Pasta ~ We use spaghetti. 
  • Heavy Whipping Cream
  • Parmesan Cheese
  • Pesto
  • Kosher Salt
  • Tomatoes
  • Fresh Basil

🟢 Step by Step Instructions

  1. Wash mushrooms and pat dry with paper towels. Thread onto skewers. Spray with olive oil and season with salt and pepper or your favorite dry rub. Mushrooms on skewers and Italian sausages on a grill.
  2. Cook sausages and mushrooms over indirect fire with the grill closed about 10 minutes. Turn the sausages and mushrooms and continue to cook until sausages reach 165° using a digital meat thermometer. Collage, smoked Italian sausage links, mushrooms on skewers.
  3. Remove from grill and tent with foil while you prepare the pasta.Making creamy pesto spaghetti, sauce/pasta image collage.
  4. Cook spaghetti according to package directions and drain. 
  5. In a saucepan, add heavy cream, shredded parmesan cheese, pesto and salt. 
  6. Cook over medium heat, whisking until well combined and sauce is thickened. 
  7. Pour sauce over spaghetti and mix well. Sausage sliced, mushrooms on a cutting board.
  8. Slice the sausages and mushrooms.Pasta with sliced sausage, tomatoes.
  9. Mix into the pasta. 
  10. Garnish with diced tomatoes and basil. 

🟢 Tips and Notes

Storage: Store leftover pasta in an airtight container in the refrigerator up to 3 days.

Reheat: Place pasta in a pan with 1 – 2 tablespoons of milk, stir to combine. Cover and cook over medium heat, stirring occasionally until heated through.

Sausage Variations: Use any type of sausage that you prefer. Andouille or browned sweet Italian sausage are also great options. 

Pasta Variations: Linguine, angel hair or bucatini are great options. This recipe would also work with cheese tortellini. 

🟢 More Pasta Dinners to Try

The classic Lasagna is always a favorite for Italian night. Layers of delicious pasta, cheese and meat sauce is a casserole that everyone loves.

If we are having dinner guests, we love to serve Manicotti for a hearty and delicious meal. The cheese stuffed pasta in a delicious tomato sauce is a guaranteed hit every single time. 

Leftover ham makes an easy weeknight dinner with our Baked Ham Penne Pasta that has a rich and cheesy sauce with chunks of ham and tender penne pasta. 

Pan of grilled sausage and mushroom pasta with breadsticks.

A hearty pasta dinner is one of the most comforting and tasty meals to serve your family and this Creamy Pesto Sausage Pasta is sure to be a real family pleaser. It is full of rich Italian flavors and the smoky sausage and mushrooms really take it to the next level of deliciousness. 

If you love this recipes as much as we do, please leave a comment and a five star review. Be sure to help us share Pinterest, Facebook and Instagram.

Yield: 6 Servings

Creamy Pesto Sausage Pasta

Pasta with smoked sausage and tomatoes.

Creamy Pesto Sausage Pasta is filling dinner that is sure to satisfy the whole family for an easy weeknight meal. Grill the sausage and mushrooms for extra flavor. 

Prep Time 5 minutes
Cook Time 30 minutes
Total Time 35 minutes

Ingredients

  • 5 Italian sausage links
  • 16 ounces mushrooms, white or portabella
  • 2 tablespoons olive oil
  • 2 tablespoons dry rub
  • 12 ounces spaghetti
  • 2 cups heavy whipping cream
  • 4 ounces finely grated parmesan cheese
  • 1/2 cup pesto
  • 1/2 teaspoon kosher salt
  • 1/2 cup diced tomatoes
  • fresh basil, cut into ribbons, optional garnish

Instructions

  1. Prepare a grill fire to 350°.
  2. Wash mushrooms and dry on a paper towel.
  3. Toss mushrooms with olive oil and sprinkle with dry rub. Thread onto skewers.
  4. Cook sausage links and mushrooms over indirect fire with the grill closed for 8 - 10 minutes.
  5. Turn the sausages and mushrooms and continue to cook until sausage reaches 160° using a digital meat thermometer, about 15- 20 minutes total.
  6. Remove sausages and mushrooms to a baking sheet. Tent with foil to keep warm while you cook the pasta and sauce.
  7. Cook spaghetti in boiling water, drain well.
  8. Meanwhile, make the sauce in a saucepan, adding heavy cream, parmesan, pesto and kosher salt. Whisk together and cook over medium heat. Whisk often until sauce is thickened and heated through.
  9. Add the cooked spaghetti to the sauce and toss to coat.
  10. Slice the sausage links and mushrooms and stir into the pasta.
  11. Garnish with diced tomatoes and basil.

Notes

Storage: Store leftover pasta in an airtight container in the refrigerator up to 3 days.

Reheat: Place pasta in a pan with 1 - 2 tablespoons of milk, stir to combine. Cover and cook over medium heat, stirring occasionally until heated through.

Sausage Variations: Use any type of sausage that you prefer. Andouille or browned ground sausage are also great options. 

Pasta Variations: Linguine, angel hair or bucatini are great options. This recipe would also work with cheese tortellini. 

Nutrition Information:

Yield:

6

Serving Size:

1

Amount Per Serving: Calories: 824Total Fat: 67gSaturated Fat: 30gTrans Fat: 1gUnsaturated Fat: 35gCholesterol: 147mgSodium: 1065mgCarbohydrates: 31gFiber: 3gSugar: 7gProtein: 27g

Nutritional calculations are estimated and may not be accurate.

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2 Comments

  1. This was such a bold and hearty recipe, that does not disappoint! Such an incredible dish that is packed with flavor; hands down delicious!

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