Recipes » Main Dish Recipes » Pasta » Italian Sausage Alfredo

Italian Sausage Alfredo

Linguine with sausage and mushrooms in a creamy, cheesy sauce. Great for family dinners or special occasions.
5 from 5 votes
Prep Time 5 minutes
Cook Time 20 minutes
A serving of Italian sausage alfredo on a blue plate.

Italian Sausage Alfredo is linguine with sausage and mushrooms in a creamy, cheesy sauce. Great for family dinners or special occasions.

Pasta is a perennial favorite, isn’t it? I mean, really, have you ever heard anyone say, “I just really don’t like pasta.” Nope. Me either. That’s why I’m always excited to cook a new pasta recipe like this Italian Sausage Alfredo.

A serving of Italian sausage alfredo on a blue plate.

This particular pasta recipe came about after talking to our granddaughter on the phone one evening. They were getting ready for dinner and I asked her what they were having.

“Sausage Al-a-fraydo!” she said. She was really excited about the al-a-fraydo, too. She’s a good eater, that girl.

How to Make Italian Sausage Alfredo

Start the water heating for the pasta. Be sure to salt it well. Add the pasta when the water begins to boil and cook for the time indicated on the package.

Browning Italian Sausage and onions in a skillet.

In a large skillet over medium heat, add 1 tablespoon of the olive oil and saute the sausage and onion until the sausage is brown throughout. Remove to a plate lined with paper towels to drain.

Cooking mushroom in olive oil.

To the same skillet, add the remaining olive oil and mushrooms. Sprinkle the mushrooms with salt and cook until wilted and browned. I used cremini mushrooms this time, but you can use any kind you like.

Add half and half to the pan.

Return the sausage and onions to the pan with the mushrooms. Slowly add the half and half (or cream if you want a little bit richer sauce), stirring constantly. Bring the mixture to a gentle bubble.

Adding the cheeses, parsley, salt and pepper to the sauce.

Gradually add the Parmesan and Romano cheeses. Stir until cheeses melt. Add the parsley and pepper.

Add the cooked, lightly drained pasta to the skillet. Stir until well coated. Taste for seasoning and add salt if needed.

I found that this recipe did not need any additional salt because the cheeses themselves are fairly salty. I do like a good amount of black pepper in it.

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A serving of Italian sausage alfredo on a blue plate.

Italian Sausage Alfredo

Linguine with sausage and mushrooms in a creamy, cheesy sauce. Great for family dinners or special occasions.
5 from 5 votes
Print It Rate It Save
Course: Pasta
Cuisine: American
Prep Time: 5 minutes
Cook Time: 20 minutes
Total Time: 25 minutes
Servings: 2 servings
Calories: 1202kcal
Author: Lana Stuart

Ingredients

  • 8 ounces linguini or spaghetti
  • 2 tablespoons olive oil divided
  • 4 ounces Italian sausage removed from casing
  • 1 small onion diced
  • 8 ounces mushrooms sliced
  • ¼ teaspoon salt
  • 1 cup half and half or cream
  • 1 cup grated Parmesan cheese
  • ½ cup grated Romano cheese
  • ¼ cup chopped fresh parsley
  • ¼ teaspoon black pepper

Instructions

  • Start the water heating for the pasta. Be sure to salt it well. Add the pasta when the water begins to boil and cook for the time indicated on the package.
  • In a large skillet over medium heat, add 1 tablespoon of the olive oil and saute the sausage and onion until the sausage is brown throughout. Remove to a plate lined with paper towels to drain.
  • To the same skillet, add the remaining olive oil and mushrooms. Sprinkle the mushrooms with salt and cook until wilted and browned.
  • Return the sausage and onions to the pan with the mushrooms.
  • Slowly add the half and half, stirring constantly. Bring the mixture to a gentle bubble.
  • Gradually add the Parmesan and Romano cheeses. Stir until cheese melt.
  • Add the parsley and pepper.
  • Add the cooked, lightly drained pasta to the skillet. Stir until well coated.
  • Taste for seasoning and add salt if needed.

Nutrition Information

Serving: 1 | Calories: 1202kcal | Carbohydrates: 101g | Protein: 58g | Fat: 61g | Saturated Fat: 26g | Cholesterol: 133mg | Sodium: 1848mg | Potassium: 966mg | Fiber: 6g | Sugar: 12g | Vitamin A: 1289IU | Vitamin C: 20mg | Calcium: 882mg | Iron: 4mg

Nutrition information is calculated by software based on the ingredients in each recipe. It is an estimate only and is provided for informational purposes. You should consult your health care provider or a registered dietitian if precise nutrition calculations are needed for health reasons.

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