The Flourishing Abode

Homemade Sausage Alfredo Recipe Is Better Than Most Restaurant Pasta!

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Anjali Arora

Anjali Arora

creamy-sausage-alfredo-pasta-in-black-skillet-on-white-marble

Main Course

There’s something undeniably comforting about twirling silky strands of pasta through a rich, sausage-studded Alfredo sauce—like a Tuscan holiday tucked into a weeknight dinner.

This recipe leans into that philosophy, pairing the velvety sauce with seared sausage for bold, smoky depth. It also tastes incredible alongside Elote Salad and chilled Pina Colada, for a fusion feast that feels like summer in every bite.

I like finishing it with freshly cracked pepper and Parmigiano-Reggiano for that restaurant-style flourish. Whether you’re a home cook looking to level up or just craving a little indulgence, this dish invites creativity, comfort, and a touch of culinary wanderlust.

What’s So Great About This Dish?

sausage-alfredo-fettuccine-served-in-white-ceramic-plate-on-marble
  • I first made this on a rainy Sunday, and now it’s my go-to for cozy dinners when takeout won’t cut it—it just hits differently when it’s homemade.
  • The sausage gives it a smoky, satisfying bite that balances the creaminess, perfect if you like bold flavors without too much fuss.
  • I’ve swapped in turkey sausage and even added sautéed spinach for a lighter take—easy customizations keep it fresh every time.
  • A small bowl makes a surprisingly filling lunch—great for portion control if you’re watching your calories but still want big flavor.
creamy-sausage-alfredo-pasta-in-black-skillet-on-white-marble

Homemade Sausage Alfredo Recipe

Homemade Sausage Alfredo is a rich, creamy dish made with tender pasta, savory sausage, and a Cajun-spiced Parmesan cream sauce. Quick to prepare and incredibly satisfying, it’s perfect for weeknights when you want comfort food with a bold, flavorful twist.
Prep Time 5 minutes
Cook Time 15 minutes
Total Time 20 minutes
Course Main Course
Cuisine Italian
Servings 6 people
Calories 663 kcal

Equipment

  • Large pot
  • Colander
  • Large skillet
  • Wooden spoon or spatula
  • Measuring spoonsMeasuring cup

Ingredients
  

  • 2 cups heavy cream
  • 1 package Hillshire Farm Smoked Sausage, diagonally cut into 1/4-inch slices
  • 2 tsp Cajun seasonin
  • ½ cup grated Parmesan cheese

Instructions
 

  • Start by bringing a large pot of lightly salted water to a boil.
    boiling-lightly-salted-water-in-stainless-steel-pot-on-marble
  • Cook the pasta according to package instructions, stirring occasionally, until it’s al dente—usually about 10 minutes depending on the shape—then drain it and set it aside.
    cooking-fettuccine-pasta-in-stainless-steel-pot-over-white-marble
  • While the pasta is cooking, place a large skillet over medium-high heat and sauté the sausage for about 5 minutes, turning occasionally so it browns evenly.
    sliced-sausage-browning-in-cast-iron-skillet-on-marble
  • Add the cream and Cajun seasoning to the skillet and bring the mixture to a boil.
    This image shows browned sausage simmering with cream and Cajun seasoning in a black cast-iron skillet over a white marble cooktop.
  • Reduce the heat and let it simmer gently for 3 to 4 minutes until it begins to thicken, then remove it from the heat.
    sausage-with-cream-and-cajun-seasoning-in-skillet-on-marble
  • Stir in the Parmesan cheese until melted and smooth.
  • Finally, add the drained pasta to the skillet, toss to coat evenly with the sauce, and serve hot.
    sausage-alfredo-fettuccine-served-in-white-ceramic-plate-on-marble

Notes

  • Use smoked sausage or spicy Italian sausage for added depth of flavor.
  • Grate Parmesan fresh for the best texture and taste—it melts more smoothly than pre-shredded.
Calories663kcal
Carbohydrates34g
Fiber2g
Fat51g
Protein18g
Cholesterol156g

Try More Italian Recipes Like This!

  1. Pumpkin Risotto
  2. Vegan Creamy Sun-Dried Tomato Pasta 
  3. Crockpot Italian Chicken
  4. Italian Keto Antipasto Salad 
  5. Vegan Green Olive Pasta Sauce 

Tags:

homemade recipes / Italian recipes

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