A very rich and filling meal. The addition of sausage makes this recipe unique.

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Ingredients

4
Original recipe yields 4 servings
The ingredient list now reflects the servings specified

Directions

  • In a large pot with boiling salted water cook fettuccini until al dente. Drain.

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  • In a large skillet cook sausage until brown. Drain and set aside.

  • To make the Alfredo sauce, melt butter in medium saucepan over low heat. Add heavy cream and Locatella cheese and cook, stirring frequently, until mixture comes to a soft boil. If desired, add parsley.

  • Pour Alfredo sauce over fettuccini noodles and top with the cooked sausage.

  • Serve immediately as sauce will separate upon cooling.

Nutrition Facts

855 calories; 67.5 g total fat; 199 mg cholesterol; 755 mg sodium. 43.4 g carbohydrates; 21.1 g protein; Full Nutrition

Reviews (21)

Read More Reviews

Most helpful positive review

Rating: 5 stars
02/20/2007
This is excellent but very rich. I use double the pasta for the same amount of sauce and usually use thin spaghetti instead of fettuccine. The cheese is Locatelli (not Locatella) which is Pecorino Romano. I have also made it using regular sausage rather than Italian sausage. I should also add that I now make the sauce in the microwave just keeping an eye on it until it starts to boil. Comes out fine and saves a lot of time. Read More
(43)

Most helpful critical review

Rating: 3 stars
02/18/2011
Um. I don't know about this. It was ok I guess I sauteed some garlic with the sausage and then after tasting it I wound up adding parm and romano cheese. That was just personal prefrence I like really bold flavors. I think it was the sausage that I wasn't fond of strange texture maybe? I guess I am sticking with my normal recipe and using grilled chicken though. Thank you for the recipe anyway it worked when I had completely forgotten to marinate chicken lol =) Read More
(6)
27 Ratings
  • 5 star values: 20
  • 4 star values: 5
  • 3 star values: 2
  • 2 star values: 0
  • 1 star values: 0
Rating: 5 stars
02/20/2007
This is excellent but very rich. I use double the pasta for the same amount of sauce and usually use thin spaghetti instead of fettuccine. The cheese is Locatelli (not Locatella) which is Pecorino Romano. I have also made it using regular sausage rather than Italian sausage. I should also add that I now make the sauce in the microwave just keeping an eye on it until it starts to boil. Comes out fine and saves a lot of time. Read More
(43)
Rating: 5 stars
02/20/2007
This is excellent but very rich. I use double the pasta for the same amount of sauce and usually use thin spaghetti instead of fettuccine. The cheese is Locatelli (not Locatella) which is Pecorino Romano. I have also made it using regular sausage rather than Italian sausage. I should also add that I now make the sauce in the microwave just keeping an eye on it until it starts to boil. Comes out fine and saves a lot of time. Read More
(43)
Rating: 4 stars
11/26/2007
I only gave this recipe 4 stars after reading the reviews and realizing how rich the sauce would be. After making a few changes it now rates 5 (according to the family). Instead of 1 cup heavy cream I used 1/2 cup of 2% milk and 1/2 cup of heavy cream. I also used only 1/4 cup of butter. (I made these changes for 2 reasons one to reduce calories and the other to lighten the richness of the sauce). This turned out very creamy and light but not heavy and rich!! No leftovers at my house. Will definately make again Read More
(31)
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Rating: 5 stars
03/19/2007
great stuff... I couldn't find that particular cheese so I used a mix of romano parmesan and asiago cheeses... the cheese didn't really melt into the sauce but it still worked great for me... wonderful taste... i used cheese tortilini... everyone enjoyed it... Read More
(17)
Rating: 5 stars
03/12/2008
100% yummm Read More
(10)
Rating: 5 stars
04/14/2009
Made sauce with Heavy cream substitute taken from frugal living and it was fantastic....Will definitely use this again Read More
(10)
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Rating: 5 stars
04/06/2011
Once I read that Locatella (Locatelli) is really Pecorino Romano this was a snap and unbelievably delicious. I used light cream instead of heavy whipping cream and mixed in a bit of Parmesan with the Pecorino Romano. I also cooked some red pepper in with the sausage and added some chopped asparagus to the pasta while it was cooking. Oh and then I added some scallions in with the parsley so I changed it up a bit but made it a bit healthier with the veggies. It was SOOOOO... absolutely delicious it's getting added to my "guest dinners" list! Read More
(8)
Rating: 5 stars
01/25/2011
Delcious. Used romano cheese with a dash of parmesan and penne pasta (what I had on hand). Also I used spicy italian sausage - it was great will always make this way. Took me about 20 minutes from start to finish and tasted great. Thanks! Read More
(7)
Rating: 4 stars
02/23/2009
I tried this recipe with the addition of shrimp and scallops...it was delicious! Read More
(7)
Rating: 5 stars
12/24/2006
Fantastic taste it was the hit at my sister's surprise birthday party. No lefovers. I did add cornstarch to the recipe. Read More
(7)
Rating: 3 stars
02/18/2011
Um. I don't know about this. It was ok I guess I sauteed some garlic with the sausage and then after tasting it I wound up adding parm and romano cheese. That was just personal prefrence I like really bold flavors. I think it was the sausage that I wasn't fond of strange texture maybe? I guess I am sticking with my normal recipe and using grilled chicken though. Thank you for the recipe anyway it worked when I had completely forgotten to marinate chicken lol =) Read More
(6)