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Bowties with Italian Sausage in a Cream Basil Sauce

Rated as 4.88 out of 5 Stars

"This creamy pasta dish includes red pepper flakes and Italian sausage for a spicy dinner."
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servings 436 cals
Original recipe yields 5 servings


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  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.


  • Serving Suggestion: Garnish with a sprinkle of fresh basil or shaved parmesan cheese.

Nutrition Facts

Per Serving: 436 calories; 29.3 g fat; 24 g carbohydrates; 20.5 g protein; 64 mg cholesterol; 1009 mg sodium. Full nutrition

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Read all reviews 85
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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 agai...

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

Yummy!! Turned out great! :)

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 th...

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 ever...

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 ...

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...

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 ...

This is really good but I thought the sausage was a little overwhelming and will half it next time.