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.

Anonymous

Recipe Summary

prep:
15 mins
cook:
30 mins
total:
45 mins
Servings:
6
Yield:
6 servings
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Ingredients

6
Original recipe yields 6 servings
The ingredient list now reflects the servings specified
Ingredient Checklist

Directions

Instructions Checklist
  • 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.

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  • 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.

  • Stir cooked pasta into sauce, and heat through. Sprinkle with parsley.

Nutrition Facts

656 calories; protein 20.1g 40% DV; carbohydrates 50.9g 16% DV; fat 42.1g 65% DV; cholesterol 111.3mg 37% DV; sodium 1088.4mg 44% DV. Full Nutrition

Reviews (2754)

Read More Reviews

Most helpful positive review

Rating: 5 stars
10/24/2007
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. It's supposed to be added and then mixed to the pasta. Therefore it absorbs into the pasta and is never too thin or runny. Read More
(943)

Most helpful critical review

Rating: 2 stars
12/05/2011
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. Read More
(16)
3913 Ratings
  • 5 star values: 2976
  • 4 star values: 741
  • 3 star values: 145
  • 2 star values: 35
  • 1 star values: 16
Rating: 5 stars
10/23/2007
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. It's supposed to be added and then mixed to the pasta. Therefore it absorbs into the pasta and is never too thin or runny. Read More
(943)
Rating: 5 stars
05/13/2007
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 about 5 oz. frozen chopped spinach (thawed) to boost nutrition and flavor. My whole family loved it! Read More
(487)
Rating: 5 stars
04/29/2009
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. Don't criticize the recipe when you don't use the ingredients that are called for. The person said the recipe was bland but used turkey sausage and didn't use the Italian tomatoes - of course it is lacking some taste. If you have to substitute that's fine - but then don't criticize the recipe. You didn't make it like it was intended to be made. Read More
(291)
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Rating: 5 stars
12/29/2003
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 strange orange color:-). I will definately drain the grease next time. I am also going to substitute ground italian sausage. The links didn't provide a unique-enough texture for all the trouble I went to. Other than that I would highly recommend it! Read More
(286)
Rating: 5 stars
03/19/2007
Hmmm...one 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 most of it in one go - so he'll be on very slim rations indeed! Made exactly as per recipe only substituting spicy Italian sausage for sweet and basil for parsley as that's what I had to hand. Extremely tasty and presents well - would definitely serve to guests (if Himself doesn't neck the lot first). Thanks for a very quick easy and delicious recipe. Read More
(203)
Rating: 5 stars
04/24/2007
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 a lot of chopping. Instead of heavy cream I used half and half and used corn starch to thicken up the sauce. This made the dish a bit healthier. Since my husband loves spicy food I used Spicy Italian Sausage and still added the crushed red pepper. When my husband ate it he was kidding around and asking me which restaurant I purchased this from. I will definitely make this again!!! Read More
(155)
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Rating: 5 stars
12/29/2003
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 and garlic I added 1/2 chopped green bell pepper (maybe next time I'll add a whole one) for color and more texture. It was wonderful. Although all the adults found it to be the perfect amt of spice my daughter thought it to be on the hot side. So for her sake I may reduce the red pepper flakes to 1/4 tsp. I can't wait to pass on the recipe! Read More
(128)
Rating: 5 stars
04/19/2008
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 cream...just to cut down on fat. Next time I make I will omit the oil...don't believe it is necessary as the italian sausage made enough on its own. Also I used the sweet (mild) italian sausage and it was plenty spicy. Thanks for the terrific recipe! Made this in no time at all! 5/19/08 Made again tonight. Used all fat free half and half. Also omitted the oil. It was absolutely without doubt just as great without lots of the fat! Read More
(104)
Rating: 5 stars
06/12/2007
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 bell peppers and fresh basil and hot sausage instead of sweet. It was amazing - I will use this again for sure!! Read More
(76)
Rating: 2 stars
12/05/2011
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. Read More
(16)