Bow Ties with Sausage, Tomatoes, and Cream


A delicious creamy sausage pasta dish. 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.

Prep Time:
15 mins
Cook Time:
30 mins
Total Time:
45 mins


  • 1 (12 ounce) package bow tie pasta

  • 2 tablespoons olive oil

  • 1 pound sweet Italian sausage, casings removed and crumbled

  • ½ teaspoon red pepper flakes

  • ½ cup diced onion

  • 3 cloves garlic, minced

  • 1 (28 ounce) can Italian-style plum tomatoes, drained and coarsely chopped

  • 1 ½ cups heavy cream

  • ½ teaspoon salt

  • 3 tablespoons minced fresh parsley


  1. Bring a large pot of lightly salted water to a boil. Cook pasta in boiling water until al dente, 8 to 10 minutes; drain.

    Pasta cooked until al dente.

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  2. Heat oil in a large, deep skillet over medium heat. Cook sausage and pepper flakes until sausage is evenly brown.

    Sausage cooking in skillet until browned.

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  3. Stir in onion and garlic, and cook until onion is tender.

    Onions and garlic added to sausage.

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  4. Stir in tomatoes, cream, and salt. Simmer until mixture thickens, 8 to 10 minutes.

    Rest of ingredients stirred in until thickened.

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

    Once heated and mixed throughly, sprinkle with parsley.

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  6. Enjoy!

    close up on bow ties with sausage, tomatoes and cream
    Dotdash Meredith Food Studios

Nutrition Facts (per serving)

656 Calories
42g Fat
51g Carbs
20g Protein
Nutrition Facts
Servings Per Recipe 6
Calories 656
% Daily Value *
Total Fat 42g 54%
Saturated Fat 20g 98%
Cholesterol 111mg 37%
Sodium 1088mg 47%
Total Carbohydrate 51g 19%
Dietary Fiber 3g 12%
Total Sugars 7g
Protein 20g
Vitamin C 17mg 86%
Calcium 91mg 7%
Iron 3mg 19%
Potassium 350mg 7%

* 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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