There’s something irresistibly comforting about a plate of creamy pasta, especially when it’s infused with the bold flavors of garlic and Parmesan and paired with hearty sausage. This Creamy Garlic Parmesan Fettuccine with Savory Sausage is the ultimate comfort dish, perfect for family dinners, a date night, or even a cozy solo indulgence.
This recipe combines the rich silkiness of a Parmesan cream sauce with the smoky, savory notes of beef sausage. Tossed with tender fettuccine, every bite is a symphony of flavor and texture. And while it sounds luxurious, it’s simple enough to whip up on a weeknight.
Let’s dive into the recipe, where every step is designed to make your kitchen smell divine and your taste buds sing.
Why You’ll Love This Recipe
- Indulgent yet simple: A creamy, cheesy sauce that comes together in just one skillet.
- Customizable: You can swap in your favorite sausage or add vegetables like spinach or sun-dried tomatoes for extra nutrition.
- Crowd-pleaser: Perfect for serving to guests or picky eaters alike.
- Restaurant quality at home: You’ll feel like a chef in your own kitchen!
Ingredients You’ll Need
- 12 oz (340g) fettuccine pasta
- 1 lb (450g) beef sausage, sliced into bite-sized pieces
- 3 tablespoons unsalted butter
- 3 cloves garlic, minced
- 1 teaspoon Italian seasoning
- 1 ½ cups (360ml) heavy cream
- 1 cup (100g) freshly grated Parmesan cheese
- Salt and freshly ground black pepper, to taste
- Fresh parsley, chopped (for garnish)

How to Make Creamy Garlic Parmesan Fettuccine with Savory Sausage
Step 1: Cook the Pasta
Start by bringing a large pot of salted water to a rolling boil. Add the fettuccine and cook until al dente, following the package instructions. Before draining, reserve 1 cup of pasta water—this will be your secret weapon for achieving the perfect sauce consistency. Set the cooked pasta aside.
Pro Tip: Salting your water generously is key to flavorful pasta. It should taste like the sea!
Step 2: Sauté the Sausage
Heat a large skillet over medium heat and add 1 tablespoon of butter. Once melted, add the sliced sausage and sauté until browned and heated through, about 5-7 minutes. Remove the sausage from the skillet and set it aside on a plate.
Story Time: The sizzle of sausage in the pan always reminds me of family dinners when everyone would gather around the stove to sneak a taste before the meal was ready. It’s the sound of anticipation!
Step 3: Prepare the Garlic Butter Sauce
In the same skillet, melt the remaining 2 tablespoons of butter over medium heat. Add the minced garlic and sauté for 1-2 minutes until fragrant. Be careful not to let the garlic burn—it should be golden and aromatic, not bitter. Stir in the Italian seasoning for an herbaceous kick.
Step 4: Create the Creamy Sauce
Pour in the heavy cream, stirring gently to combine with the garlic and seasoning. Bring the mixture to a gentle simmer, then reduce the heat to low. Slowly whisk in the grated Parmesan cheese, allowing it to melt completely into the sauce. You’ll end up with a rich, velvety texture. Season with salt and freshly ground black pepper to taste.
Pro Tip: Always add Parmesan gradually to avoid clumping. Freshly grated cheese works best for that silky finish.
Step 5: Combine Pasta and Sausage
Return the cooked sausage to the skillet, letting it soak up some of the creamy sauce. Add the drained fettuccine and toss everything together until the pasta is thoroughly coated. If the sauce feels too thick, stir in a little reserved pasta water, a few tablespoons at a time, until you reach the perfect consistency.
Step 6: Serve
Divide the pasta into bowls, twirling it neatly with tongs for that picture-perfect presentation. Garnish with freshly chopped parsley for a pop of color and extra Parmesan if desired. Serve immediately and enjoy every creamy, cheesy bite!
Helpful Tips
- Pasta Water: Don’t forget to reserve it! It’s a lifesaver for thinning out sauces without losing flavor.
- Sausage Options: For a spicier kick, try using hot Italian sausage or andouille.
- Vegetarian Version: Skip the sausage and add roasted vegetables like mushrooms or bell peppers.
Recipe Details
- Prep Time: 15 minutes
- Cook Time: 20 minutes
- Total Time: 35 minutes
- Yield: 4 servings
- Category: Dinner
- Method: Stovetop
- Cuisine: Italian-American

Note
- This dish is best enjoyed fresh, as the cream sauce may thicken when reheated. If you do reheat, add a splash of milk or cream to revive the sauce.
- Feel free to play around with the seasoning! A pinch of red pepper flakes adds heat, while a squeeze of lemon brightens the flavors.
Nutritional Information
Per Serving: Calories: 680 | Protein: 25g | Carbohydrates: 55g | Fat: 42g | Saturated Fat: 21g | Sodium: 960mg | Fiber: 2g | Sugar: 2g
Frequently Asked Questions
Can I use a different type of pasta?
Absolutely! While fettuccine is traditional for creamy sauces, penne, linguine, or even spaghetti work well.
What’s the best way to store leftovers?
Store leftovers in an airtight container in the refrigerator for up to 3 days. Reheat gently on the stovetop with a splash of milk or cream to loosen the sauce.
Can I freeze this dish?
Cream-based sauces don’t freeze well as they can separate. It’s best to enjoy this dish fresh or within a few days.

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Conclusion
This Creamy Garlic Parmesan Fettuccine with Savory Sausage is the kind of dish that feels like a warm hug on a plate. It’s rich, satisfying, and incredibly easy to make. Whether you’re cooking for a special occasion or simply treating yourself, this recipe is sure to become a favorite in your rotation. So grab a fork, twirl some fettuccine, and savor every delicious bite.
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Creamy Garlic Parmesan Fettuccine with Savory Sausage
Description
There’s something irresistibly comforting about a plate of creamy pasta, especially when it’s infused with the bold flavors of garlic and Parmesan and paired with hearty sausage. This Creamy Garlic Parmesan Fettuccine with Savory Sausage is the ultimate comfort dish, perfect for family dinners, a date night, or even a cozy solo indulgence.
This recipe combines the rich silkiness of a Parmesan cream sauce with the smoky, savory notes of beef sausage. Tossed with tender fettuccine, every bite is a symphony of flavor and texture. And while it sounds luxurious, it’s simple enough to whip up on a weeknight.
Let’s dive into the recipe, where every step is designed to make your kitchen smell divine and your taste buds sing.
Ingredients
- 12 oz (340g) fettuccine pasta
- 1 lb (450g) beef sausage, sliced into bite-sized pieces
- 3 tablespoons unsalted butter
- 3 cloves garlic, minced
- 1 teaspoon Italian seasoning
- 1 ½ cups (360ml) heavy cream
- 1 cup (100g) freshly grated Parmesan cheese
- Salt and freshly ground black pepper, to taste
- Fresh parsley, chopped (for garnish)
Instructions
Step 1: Cook the Pasta
Start by bringing a large pot of salted water to a rolling boil. Add the fettuccine and cook until al dente, following the package instructions. Before draining, reserve 1 cup of pasta water—this will be your secret weapon for achieving the perfect sauce consistency. Set the cooked pasta aside.
Pro Tip: Salting your water generously is key to flavorful pasta. It should taste like the sea!
Step 2: Sauté the Sausage
Heat a large skillet over medium heat and add 1 tablespoon of butter. Once melted, add the sliced sausage and sauté until browned and heated through, about 5-7 minutes. Remove the sausage from the skillet and set it aside on a plate.
Story Time: The sizzle of sausage in the pan always reminds me of family dinners when everyone would gather around the stove to sneak a taste before the meal was ready. It’s the sound of anticipation!
Step 3: Prepare the Garlic Butter Sauce
In the same skillet, melt the remaining 2 tablespoons of butter over medium heat. Add the minced garlic and sauté for 1-2 minutes until fragrant. Be careful not to let the garlic burn—it should be golden and aromatic, not bitter. Stir in the Italian seasoning for an herbaceous kick.
Step 4: Create the Creamy Sauce
Pour in the heavy cream, stirring gently to combine with the garlic and seasoning. Bring the mixture to a gentle simmer, then reduce the heat to low. Slowly whisk in the grated Parmesan cheese, allowing it to melt completely into the sauce. You’ll end up with a rich, velvety texture. Season with salt and freshly ground black pepper to taste.
Pro Tip: Always add Parmesan gradually to avoid clumping. Freshly grated cheese works best for that silky finish.
Step 5: Combine Pasta and Sausage
Return the cooked sausage to the skillet, letting it soak up some of the creamy sauce. Add the drained fettuccine and toss everything together until the pasta is thoroughly coated. If the sauce feels too thick, stir in a little reserved pasta water, a few tablespoons at a time, until you reach the perfect consistency.
Step 6: Serve
Divide the pasta into bowls, twirling it neatly with tongs for that picture-perfect presentation. Garnish with freshly chopped parsley for a pop of color and extra Parmesan if desired. Serve immediately and enjoy every creamy, cheesy bite!
Notes
- This dish is best enjoyed fresh, as the cream sauce may thicken when reheated. If you do reheat, add a splash of milk or cream to revive the sauce.
- Feel free to play around with the seasoning! A pinch of red pepper flakes adds heat, while a squeeze of lemon brightens the flavors.