Bow Ties with Sausage, Tomatoes and Cream Recipe -
Bow Ties with Sausage, Tomatoes and Cream Recipe
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Bow Ties with Sausage, Tomatoes and Cream
The perfect, satisfying pasta dish for busy weeknights. See more
  • READY IN 45 mins

Bow Ties with Sausage, Tomatoes and Cream

Recipe by  

"A friend gave this recipe to me a few years back, and my family can't seem to get enough of it. It sounds strange with cream in it, but that just enhances the flavor and texture. This is a very easy recipe."

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Ingredients Edit and Save

Original recipe makes 6 servings Change Servings
  • PREP

    15 mins
  • COOK

    30 mins

    45 mins


  1. Bring a large pot of lightly salted water to a boil. Cook pasta in boiling water for 8 to 10 minutes, or until al dente; drain.
  2. Heat oil in a large, deep skillet over medium heat. Cook sausage and pepper flakes until sausage is evenly brown. Stir in onion and garlic, and cook until onion is tender. Stir in tomatoes, cream, and salt. Simmer until mixture thickens, 8 to 10 minutes.
  3. Stir cooked pasta into sauce, and heat through. Sprinkle with parsley.
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Reviews More Reviews

Most Helpful Positive Review
Oct 23, 2007

Hello! I am the submitter of this great recipes. I'm amazed at the wonderful reviews, but wonder why some have so much trouble with the sauce. The sauce is not to be poured over the pasta. It's supposed to be added and then mixed to the pasta. Therefore, it absorbs into the pasta and is never too thin or runny.

Most Helpful Critical Review
Dec 05, 2011

Made as directed while wondering where the flavor was supposed to come from. Wondering led to reality. This is flavorless without adding basil or oregano or something. Zzzzzz on flavor.

May 13, 2007

Delicious - hearty and satisfying. We used turkey italian sausage and fat free half and half to cut down on the fat, and 2 cans of Italian diced tomatoes instead of plum tomatoes. I also added about 5 oz. frozen chopped spinach (thawed) to boost nutrition and flavor. My whole family loved it!

Dec 29, 2003

This had a great flavor, and my husband really enjoyed it. However, the recipe does not say to drain the grease before adding the cream. I didn't, and it turned out really greasy--as well as a strange orange color :-). I will definately drain the grease next time. I am also going to substitute ground italian sausage. The links didn't provide a unique-enough texture for all the trouble I went to. Other than that, I would highly recommend it!

Mar 19, 2007 problem with this recipe. Made large batch for Mr P last night so he could heat up the leftovers this evening as I'll be working late. Trouble is, he liked it so much that he scoffed most of it in one go - so he'll be on very slim rations indeed! Made exactly as per recipe, only substituting spicy Italian sausage for sweet and basil for parsley as that's what I had to hand. Extremely tasty and presents well - would definitely serve to guests (if Himself doesn't neck the lot first). Thanks for a very quick, easy and delicious recipe.

Apr 24, 2007

This dish was SO good and really easy to make. I used penne instead of the bow tie pasta and I took the advice of other reviewers and used canned Italian style diced tomatos. That saved me from a lot of chopping. Instead of heavy cream, I used half and half and used corn starch to thicken up the sauce. This made the dish a bit healthier. Since my husband loves spicy food, I used Spicy Italian Sausage and still added the crushed red pepper. When my husband ate it, he was kidding around and asking me which restaurant I purchased this from. I will definitely make this again!!!

Dec 29, 2003

EXCELLENT DISH!! I used only 1 14.5oz can diced tomatoes and then added 1/2 tsp dried Italian seasoning to the tomatoes before adding them to the mixture. In addition, while sauting the onions and garlic, I added 1/2 chopped green bell pepper (maybe next time I'll add a whole one) for color and more texture. It was wonderful. Although all the adults found it to be the perfect amt of spice, my daughter thought it to be on the hot side. So for her sake, I may reduce the red pepper flakes to 1/4 tsp. I can't wait to pass on the recipe!

Apr 19, 2008

This was awesome. Made this two nights ago and my husband is still commenting on how much he loved. I made exactly as written except substituted fat free half and half for about 1/2 of the cream...just to cut down on fat. Next time I make I will omit the oil...don't believe it is necessary as the italian sausage made enough on its own. Also, I used the sweet (mild) italian sausage and it was plenty spicy. Thanks for the terrific recipe! Made this in no time at all! 5/19/08 Made again tonight. Used all fat free half and half. Also omitted the oil. It was absolutely, without doubt, just as great, without lots of the fat!


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  • Calories
  • 656 kcal
  • 33%
  • Carbohydrates
  • 50.9 g
  • 16%
  • Cholesterol
  • 111 mg
  • 37%
  • Fat
  • 42.1 g
  • 65%
  • Fiber
  • 3.4 g
  • 14%
  • Protein
  • 20.1 g
  • 40%
  • Sodium
  • 1088 mg
  • 44%

* Percent Daily Values are based on a 2,000 calorie diet.

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