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Italian Sausage Alfredo

Italian Sausage Alfredo - Linguine with sausage and mushrooms in a creamy, cheesy sauce. Great for family dinners or special occasions.
Course Pasta
Cuisine American
Prep Time 5 minutes
Cook Time 20 minutes
Total Time 25 minutes
Servings 2 servings
Calories 1134kcal


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


  • 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.


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Serving: 1g | Calories: 1134kcal | Carbohydrates: 82g | Protein: 49g | Fat: 68g | Saturated Fat: 31g | Polyunsaturated Fat: 36g | Trans Fat: 1g | Cholesterol: 155mg | Sodium: 1991mg | Fiber: 6g | Sugar: 12g