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Creamy Sausage Ditalini Salsiccia

As seen in: Evening Meals to Gather Around

Creamy Sausage Ditalini Pasta with Salsiccia features tender pasta blended with robust Italian sausage, sautéed onions, and garlic in a luscious cream and Parmesan sauce. This comforting classic pairs perfectly with garlic bread or fresh salad and is quick enough for any weeknight meal. Customize it with spicy sausage or try a vegetarian twist using mushrooms and zucchini. Each bite balances savory depth and silky texture, offering a satisfying, crowd-pleasing option for gatherings or family dinners. Simple steps and familiar ingredients make this dish both approachable and delicious.

A woman named Sophie is smiling and holding a plate of food.
Created By Sophie
Last updated on Tue, 19 Aug 2025 22:02:01 GMT
A bowl of pasta with meat and vegetables. Save Pin
A bowl of pasta with meat and vegetables. | sophietable.com

Creamy Sausage Ditalini Pasta is the ultimate weeknight comfort meal that looks and tastes like something straight from a trending food video. I was drawn to this recipe after seeing it shared everywhere by home cooks online and decided to try it one chilly evening. It did not disappoint. The combination of perfectly chewy ditalini and a luscious sausage cream sauce is the kind of cozy, crowd-pleasing food I love to bring to the table when everyone craves something hearty but is short on time.

The first time I served this, my family asked for seconds before their plates were empty. Now it is our go-to quick pasta dinner and I often double the batch.

Ingredients

  • Ditalini pasta: provides a sturdy satisfying bite and its small tubes soak up plenty of sauce try to use a high quality Italian brand for the best texture
  • Salsiccia sausage: infuses each bite with rich savory flavors choose fresh mild or spicy Italian sausage from a butcher if possible or any good grocery store brand
  • Heavy cream: forms the backbone of the silky sauce reach for heavy whipping cream with no additives for the best consistency
  • Parmesan cheese: freshly grated Parmesan ensures maximum flavor and perfect melt avoid pre-shredded varieties which can be gritty
  • Yellow onion and garlic: these aromatics are the foundation for flavor use a firm onion and fresh garlic for the brightest taste
  • Chicken or vegetable broth: adds depth and ensures your sauce is not too thick opt for a low sodium variety so you can control seasoning
  • Fresh parsley and optional red pepper flakes: brighten the dish when added before serving use flat leaf parsley and crush pepper flakes gently for best distribution

Step-by-Step Instructions

Cook the Pasta:
Boil salted water in a large pot and add ditalini pasta stir occasionally and cook until just al dente about 10 minutes Then reserve one cup of the cooking water before draining Set the pasta aside
Brown the Sausage:
Heat a wide skillet over medium heat and add a drizzle of olive oil Crumble Salsiccia sausage into the skillet Cook until browned and corners start to crisp about 7 minutes Use a slotted spoon to remove sausage and keep the flavorful fat behind in the pan
Sauté Aromatics:
In the same pan lower the heat slightly and add diced onion Sauté for several minutes until translucent and soft Add minced garlic and cook another minute just until you smell the aroma Stir constantly to prevent browning
Prepare the Sauce:
Pour in chicken or vegetable broth scraping the pan with a wooden spoon to release any stuck bits Add heavy cream and bring to a gentle simmer Slowly sprinkle in grated Parmesan cheese while stirring In a minute or two a smooth silky sauce will form
Combine Pasta and Sauce:
Return the browned sausage to the pan along with the pasta Toss until everything is evenly coated in sauce If the mixture seems thick gradually stir in a bit of reserved pasta water until you reach the perfect creamy consistency
Season and Serve:
Taste and add salt black pepper and a pinch of red pepper flakes if you like heat Serve hot in bowls topped with more Parmesan and a sprinkle of chopped parsley
A plate of pasta with meat and sauce. Save Pin
A plate of pasta with meat and sauce. | sophietable.com

My favorite ingredient is the Salsiccia sausage which gives the whole dish so much personality You could swap it out but I love the way it perfumes the kitchen as it browns My family once requested this two nights in a row after a snowstorm and now it is our blizzard tradition

Storage Tips

Let leftovers cool to room temperature before transferring to an airtight container This pasta will keep well in the fridge for up to three days Reheat gently on the stove with a splash of milk or extra broth to revive the creamy texture You can also freeze portions for up to one month but the sauce may separate a little after thawing so stir well when reheating

Ingredient Substitutions

No ditalini Try small shells elbow macaroni or even orecchiette Any small tubular shape works For sausage swap in hot Italian sausage or even chicken sausage for a lighter version If you do not have heavy cream use a mix of whole milk and a splash of cream cheese to mimic the richness

Serving Suggestions

This pasta is delicious on its own but feels extra special with a side of crusty garlic bread or a crisp Italian salad It also makes a great centerpiece for a casual dinner party Serve family style with extra Parmesan and a big bowl of roasted vegetables on the side

A bowl of pasta with meat sauce and cheese. Save Pin
A bowl of pasta with meat sauce and cheese. | sophietable.com

Cultural Context

Ditalini means little thimbles in Italian and is often found in comforting soups across Italy This modern creamy pasta is a nod to classic Italian sausage and cream sauce dishes but with viral social media appeal The recipe carries old world rustic charm made new with internet buzz

Commonly Asked Questions

→ What is salsiccia sausage and can I substitute it?

Salsiccia is an Italian sausage seasoned with fennel, garlic, and spices. You can use other mild or spicy Italian sausages for similar flavor.

→ What makes ditalini pasta suitable for this dish?

Ditalini has a short, tubular shape that holds creamy sauces well, ensuring each bite is flavorful and perfectly textured.

→ Can I make this dish vegetarian?

Absolutely. Substitute the sausage with sautéed mushrooms and zucchini for hearty flavor without meat.

→ How do I avoid a runny sauce?

Simmer the cream sauce until it thickens, and use reserved pasta water sparingly until desired consistency is reached.

→ Is there a dairy-free version available?

Yes. Swap heavy cream for cashew cream and use plant-based sausage for a dairy-free alternative while keeping the dish creamy.

Creamy Sausage Ditalini Salsiccia

Hearty sausage and ditalini in a velvety cream sauce—an easy, comforting dish perfect for quick, satisfying dinners.

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

Recipe Type: Dinner

Skill Level: Simple

Cuisine Type: Italian

Portion Size: 4 Number of Servings (Serves 4 portions)

Diet Preferences: ~

What You'll Need

→ Pasta

01 300 g ditalini pasta

→ Protein

02 350 g Salsiccia Italian sausage, casings removed and crumbled

→ Dairy

03 200 ml heavy cream
04 60 g freshly grated Parmesan cheese, plus extra for garnish

→ Aromatics

05 1 small yellow onion, finely chopped
06 2 cloves garlic, minced

→ Liquids

07 150 ml chicken or vegetable broth

→ Oils & Seasonings

08 2 tablespoons extra virgin olive oil
09 Salt, to taste
10 Freshly ground black pepper, to taste
11 Red pepper flakes, optional, to taste

→ Garnish

12 Fresh parsley, chopped, to serve

Step-by-Step Directions

Step 01

Bring a large pot of salted water to a boil. Cook ditalini pasta until al dente, then reserve 240 ml of pasta cooking water. Drain pasta and set aside.

Step 02

Heat olive oil in a large skillet over medium heat. Add crumbled Salsiccia sausage and cook, stirring, until browned and crisp at the edges. Transfer sausage to a plate, leaving rendered fat in the skillet.

Step 03

Add finely chopped onion to the same skillet and cook for 2–3 minutes until translucent. Stir in minced garlic and sauté for 1 minute until aromatic, avoiding browning.

Step 04

Deglaze skillet with chicken or vegetable broth, scraping up any caramelized bits from the pan. Pour in heavy cream and bring to a gentle simmer. Add grated Parmesan cheese, stirring constantly, until fully melted for a smooth, creamy sauce.

Step 05

Return browned sausage to skillet. Add cooked ditalini and toss to coat evenly with sauce. If needed, incorporate reserved pasta water a little at a time to achieve a silky consistency.

Step 06

Season with salt, black pepper, and red pepper flakes if using. Serve immediately, garnished with fresh parsley and extra Parmesan.

Helpful Notes

  1. Reserve pasta water before draining as it helps to emulsify and adjust the consistency of the sauce.
  2. For a vegetarian adaptation, substitute the Salsiccia sausage with sautéed mushrooms and use vegetable broth.

Recommended Tools

  • Large pot for boiling pasta
  • Large skillet
  • Wooden spoon or spatula
  • Chef's knife
  • Colander

Allergen Information

Always review ingredients for any allergens and consult a healthcare provider with any concerns.
  • Contains gluten (wheat pasta)
  • Contains dairy (cream, Parmesan cheese)

Nutritional Information (Per Serving)

These details are estimates and shouldn't be considered professional health advice.
  • Calories: 640
  • Fat Content: 35 grams
  • Carbohydrate Content: 52 grams
  • Protein Content: 23 grams