Creamy Buffalo Ranch Sausage

As seen in: Evening Meals to Gather Around

This dish brings together tender rotini pasta coated in a luscious creamy sauce bursting with buffalo’s spicy kick and smooth ranch flavors. Italian sausage adds hearty richness, perfectly balanced by melted cheddar and mozzarella cheeses. Quick to prepare, it’s ideal for dinners full of warmth and bold character. Garnished with fresh green onions or parsley, each bite captures layers of zest and creaminess that make this a satisfying family favorite or a standout for casual gatherings.

A woman named Sophie is smiling and holding a plate of food.
Created By Sophie
Last updated on Sun, 04 Jan 2026 16:50:57 GMT
A plate of food with a creamy buffalo ranch sausage rotini. Save Pin
A plate of food with a creamy buffalo ranch sausage rotini. | sophietable.com

This creamy buffalo ranch sausage rotini delivers a cozy meal filled with bold flavors and comforting textures. It combines the spicy tang of buffalo sauce with the creamy smoothness of ranch dressing, all wrapped around perfectly cooked rotini pasta and savory Italian sausage. This dish quickly became one of my favorites for casual dinners, especially when I want something satisfying yet simple enough to whip up any night of the week.

I first made this when craving something with a little kick but still very creamy. Now it’s a staple whenever my family comes over—they can’t get enough of that buffalo ranch combo.

Ingredients

  • Italian sausage: choose mild or spicy to control heat fresh and quality sausage brings the best flavor
  • Rotini pasta: its spiral shape captures the rich sauce well pick good quality pasta to hold texture after cooking
  • Heavy cream: adds the luscious creaminess that balances the spicy buffalo sauce
  • Buffalo sauce: provides the signature spicy tang try authentic brands for a real buffalo flavor
  • Ranch dressing: introduces a cool and savory note that mellows the heat
  • Cheddar cheese: gives sharpness and depth freshly shredded melts better than pre shredded
  • Mozzarella cheese: brings gooey creaminess and stretch, perfect for texture
  • Olive oil: used for browning the sausage, choose extra virgin for subtle richness
  • Garlic powder: boosts savory notes avoid fresh garlic here to keep the sauce smooth
  • Salt and pepper: essential for seasoning to taste
  • Chopped green onions or parsley: add color and fresh brightness as garnish

Step-by-Step Instructions

Sauté the Sausage:
In a large skillet heat olive oil over medium heat. Add Italian sausage, breaking it apart with a spoon. Cook 5 to 7 minutes until browned and cooked through. Drain excess grease if needed to avoid a greasy sauce.
Cook the Pasta:
While the sausage cooks, prepare rotini pasta according to package directions for al dente texture. Drain and set aside to be added later.
Combine Creamy Sauces:
Reduce heat to medium low. Stir garlic powder into the sausage. Then add heavy cream, buffalo sauce, and ranch dressing. Stir well to combine and bring the mixture to a gentle simmer. Let it cook for 2 to 3 minutes to blend flavors.
Mix Pasta and Cheese:
Add cooked rotini to the skillet. Toss everything to coat the pasta evenly with the creamy sauce. Sprinkle in shredded cheddar and mozzarella cheese. Stir continuously until cheeses melt and the sauce is smooth and creamy.
Final Seasoning and Garnish:
Taste and season with salt and pepper as needed. Serve warm, topped with chopped green onions or parsley for an added pop of freshness and color.
A bowl of creamy buffalo ranch sausage rotini. Save Pin
A bowl of creamy buffalo ranch sausage rotini. | sophietable.com

My favorite part is the creamy buffalo ranch sauce because it gives this dish its fun boldness. I remember sharing this with friends during a relaxed weekend dinner and everyone loved the playful blend of Italian and Southern flavors. It’s a dish that sparks good conversation and happy tummies.

Storage Tips

Store leftovers in an airtight container in the refrigerator for up to 3 days. Reheat gently on the stove adding a splash of cream or milk to restore creaminess. Avoid the microwave to keep the sauce smooth and prevent the pasta from drying out. For longer storage freeze in portions for up to 2 months.

Ingredient Substitutions

Use ground chicken or turkey sausage if you prefer a leaner meat option. For dairy free swap heavy cream with coconut cream and use vegan cheese alternatives. Substitute rotini with penne or fusilli if that’s what you have on hand—just watch cooking time for firm texture.

Serving Suggestions

Serve with a crisp green salad dressed in vinaigrette to balance the richness. Garlic bread or toasted baguette makes a perfect side to soak up the creamy sauce. Paired with chilled white wine or a sparkling lemonade the meal feels complete and refreshing.

Cultural Twist

This dish is a fun fusion of Southern American and Italian flavors which makes it unique. Combining the bold heat of buffalo sauce with creamy ranch and traditional Italian sausage and pasta creates an exciting new comfort food you can easily make at home.

Pro Tips

  • Toast the garlic powder in the pan briefly with the sausage to deepen flavor but do not let it burn
  • Use freshly shredded cheese for the best melt and texture
  • Adjust buffalo sauce amount carefully to control spice level and keep balance with ranch and cream

Commonly Asked Questions

→ Can I substitute the rotini with other pasta types?

Yes, penne, fusilli, or farfalle work well too. Just adjust cooking times to keep the texture al dente.

→ Is it possible to prepare the sausage sauce in advance?

Absolutely. Cook the sausage and sauce ahead, then toss with freshly cooked pasta to preserve the creamy texture.

→ How can I make a dairy-free version of this dish?

Replace heavy cream with coconut or cashew cream and use dairy-free cheese alternatives for a similar creamy finish.

→ What are some ways to control the spice level?

Use milder buffalo sauce or reduce its quantity. You can also add spices gradually according to your heat preference.

→ Can additional vegetables be added to this pasta?

Yes, sautéed spinach, bell peppers, or mushrooms complement the flavors nicely and add nutritional value.

→ What’s the best method to reheat leftovers without drying them out?

Reheat on the stovetop over low heat, adding a splash of cream or milk to keep the sauce silky smooth.

Creamy Buffalo Ranch Sausage

Spicy buffalo and creamy ranch mingle with sausage and rotini for a cozy, flavorful pasta dish.

Preparation Time
10 Minutes
Cooking Duration
15 Minutes
Overall Time
25 Minutes
Created By: Sophie

Recipe Type: Dinner

Skill Level: Simple

Cuisine Type: Italian-American Fusion

Portion Size: 4 Number of Servings (4 servings)

Diet Preferences: ~

What You'll Need

→ Meat

01 454 g Italian sausage (mild or spicy)

→ Pasta

02 340 g rotini pasta

→ Dairy

03 240 ml heavy cream
04 113 g shredded cheddar cheese
05 56 g shredded mozzarella cheese

→ Condiments & Sauces

06 120 ml buffalo sauce
07 120 ml ranch dressing
08 15 ml olive oil

→ Spices & Seasonings

09 1 tsp garlic powder
10 Salt and black pepper to taste

→ Garnish

11 Chopped green onions or parsley (optional)

Step-by-Step Directions

Step 01

Heat olive oil in a large skillet over medium heat. Add Italian sausage, breaking it up with a spoon, and cook until browned, approximately 5 to 7 minutes. Drain excess grease if necessary.

Step 02

Prepare rotini pasta according to package directions until al dente. Drain and set aside.

Step 03

To the browned sausage, add garlic powder, heavy cream, buffalo sauce, and ranch dressing. Stir and bring to a gentle simmer, cooking for 2 to 3 minutes.

Step 04

Add cooked rotini to the skillet, stirring to coat the pasta thoroughly. Incorporate shredded cheddar and mozzarella cheeses, stirring until fully melted and creamy.

Step 05

Adjust seasoning with salt and black pepper to taste. Serve warm, garnished with chopped green onions or parsley if desired.

Helpful Notes

  1. For reheating leftovers, warm gently on the stovetop with a splash of cream to maintain creaminess and prevent drying.
  2. Substitute heavy cream and shredded cheeses with plant-based alternatives for a dairy-free version.
  3. Adjust buffalo sauce quantity to control the heat level.

Recommended Tools

  • Large skillet
  • Pot for boiling pasta
  • Colander for draining pasta
  • Wooden spoon or spatula

Allergen Information

Always review ingredients for any allergens and consult a healthcare provider with any concerns.
  • Contains dairy and gluten.

Nutritional Information (Per Serving)

These details are estimates and shouldn't be considered professional health advice.
  • Calories: 670
  • Fat Content: 40 grams
  • Carbohydrate Content: 50 grams
  • Protein Content: 28 grams