Bowties with Italian Sausage in a Cream Basil Sauce Recipe -
Bowties with Italian Sausage in a Cream Basil Sauce  Recipe

Bowties with Italian Sausage in a Cream Basil Sauce

Recipe by  

"This creamy pasta dish includes red pepper flakes and Italian sausage for a spicy dinner."

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Ingredients Edit and Save

Original recipe makes 5 servings Change Servings


  1. Bring a large pot of salted water to a boil. Cook pasta for 8-10 minutes, or until al dente, drain and rinse with cold water. Set aside.
  2. In a large skillet, heat oil over medium heat. Add decased sausage to skillet and crumble with a wooden spoon as it cooks. Add red pepper flakes and continue sauteing until sausage is no longer pink. Add onion and garlic to skillet and continue until onion softens. Stir in tomatoes and salt, (if using fresh tomatoes saute them for 3 minutes until softened) then add light cream and parmesan cheese; simmer gently until mixture thickens (about 5 minutes). Stir in the cooked pasta and basil and heat through, about 3 minutes.
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  • Serving Suggestion: Garnish with a sprinkle of fresh basil or shaved parmesan cheese.

Reviews More Reviews

Jun 12, 2012

OMG! This is by far the BEST recipe I have ever tried on this site! It's absolutely delicious and the flavor is AMAZING!!!!!!! Plus my boyfriend LOVED it ;) I defenitely will be making this again and again!

Jun 11, 2012

Very tasty! Good flavor. I mixed the meat mixture with pasta and added some shredded cheese.

Nov 05, 2012

Yummy!! Turned out great! :)

Nov 01, 2013

This is the only pasta recipe I usually make. We can't afford to eat pasta very much - so when we do I have to make sure it is a GREAT recipe! The sweet Italian sausage makes it worth all of the carbs!

Mar 19, 2013

I didn't have bow ties so I used rigatoni thinking the sauce would fill the tubes of the pasta making each bite an explosion of flavor. I was so so so right. Dinner was 5 star and lunch for every one was a 5 star heaven. I will make this again.

Aug 16, 2014

WOW!!this is now one of my families favorite recipes! I did change the sausage to J.C. Potters hot breakfast sausage simply because that's what we like!Everthing else I tried to follow closely but could not find but (no KIDDING)2 twigs of basil--so I used that and added 1/2 teaspoon of dried basil and that worked very well. I was lucky enough to have fresh garden tomatoes and believe fresh is always better if possible.This is a very addicting recipe and oh so good!!I gave dd and sil half (it Made A lot),Sil said he could eat the whole bowl--- We ALL agreed*****

Mar 23, 2013

Although I made some alterations I did not change the core of the recipe and this was a family approved recipe. I used ground hot sausage instead of sweet out of family preference. I used heavy cream because that is what I could find. Penne instead of bow ties because I did not realize I was out. I used canned tomatoes instead of fresh but when reading the directions it sounds like either fresh or canned could be used. Lastly dried basil instead of fresh because I could not find any locally. Fresh basil would have been better but it was still a tasty sauce with the dried.

Mar 22, 2013

De-lish! I used Half & Half for the cream and a can of diced tomatoes, drained. Also, I didn't have quite enough fresh basil, so I also added a little dried - believe me when I say I'm no fresh vs. dried herb snob, but the Fresh Basil really made the difference. I will definitely make this again. I really love the "light" consistency of the sauce with the tomato & basil. Thanks, Johnsonville Kitchens!


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  • Calories
  • 546 kcal
  • 27%
  • Carbohydrates
  • 25.1 g
  • 8%
  • Cholesterol
  • 105 mg
  • 35%
  • Fat
  • 40.9 g
  • 63%
  • Fiber
  • 1.9 g
  • 7%
  • Protein
  • 21.3 g
  • 43%
  • Sodium
  • 1022 mg
  • 41%

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

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