Bow Ties with Sausage, Tomatoes and Cream

Bow Ties with Sausage, Tomatoes and Cream

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"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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45 m servings 656 cals
Serving size has been adjusted!

Original recipe yields 6 servings



  • Calories:
  • 656 kcal
  • 33%
  • Fat:
  • 42.1 g
  • 65%
  • Carbs:
  • 50.9g
  • 16%
  • Protein:
  • 20.1 g
  • 40%
  • Cholesterol:
  • 111 mg
  • 37%
  • Sodium:
  • 1088 mg
  • 44%

Based on a 2,000 calorie diet

See full nutrition

Nutritional Information

1 Serving
Servings Per Recipe:
Amount Per Serving
  • * Percent Daily Values are based on a 2,000 calorie diet. Your daily values may be higher or lower depending on your calorie needs.
  • ** Nutrient information is not available for all ingredients. Amount is based on available nutrient data.
  • (-) Information is not currently available for this nutrient. If you are following a medically restrictive diet, please consult your doctor or registered dietitian before preparing this recipe for personal consumption.

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  • Prep

  • Cook

  • Ready In

  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.


  1. 2877 Ratings

Most helpful positive review

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. I...

Most helpful critical review

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.

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. I...

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...

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... 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 ...

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 ...

This dish is fantastic and you don't have to change a thing. Just make sure before you serve it, you mix the pasta with the sauce - that is the key. I do have to comment about the last posting....

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...

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 crea...

I loved this!!! I used fresh red and yellow Campari tomatoes instead of canned - I cut them on a cutting board and saved the juice and added it to the sauce as well. I also added red and orange ...

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