Penne with Sausage and Tomato Sauce

This penne with sausage and tomato cream sauce is the easiest, quickest weeknight dinner packed with flavor! 

Penne with Tomato Sage Sausage Sauce in a skillet with a spoon

Why this recipe works


Penne with sausage and tomato sauce is hearty, filling, and so easy to prepare. If you chop and measure out everything ahead of time, it comes together in a snap.

Ground pork sausage adds a lot of flavor to this meal as it is, but when paired with a rich, slightly creamy tomato-based sauce that’s seasoned with oregano, sage, and red pepper flakes plus garlic and shallots – you can bet it’s swimming with flavor. Whenever it’s on sale we stock up for easy meals like this pasta or colorful stuffed peppers.

Plate of Penne with Tomato Sage Sausage Sauce topped with cheese

Ingredients you will need


Get all measurements, ingredients, and instructions in the printable version at the end of this post.

Ingredients for Penne with Tomato Sage Sausage Sauce

Ingredient Info and Substitution Suggestions


PASTA – We used penne pasta, but you can use any kind of pasta you prefer here! Spaghetti, ziti, rigatoni, mostaccoli – you name it.

SAUSAGE – Grab a pound of ground sausage. Regular, mild, or hot all work. You can easily substitute with ground beef if preferred.

How to Make Penne with Tomato Sage Sausage Sauce


These step by step photos and instructions are here to help you visualize how to make this recipe. You can Jump to Recipe to get the printable version of this recipe, complete with measurements and instructions at the bottom.

  1. Cook the penne according to package directions.
  2. Add the sausage, shallots, and garlic to a large heavy bottomed skillet.adding garlic to pan with ground pork sausageadding shallots to pan with ground pork sausage and garlic
  3. Cook over medium heat, stirring to crumble the sausage, for 5 minutes, or until lightly browned and thoroughly cooked. Drain sausage if needed.cooked ground pork sausage in a skillet with shallots and garlic
  4. Stir in the tomatoes, oregano, sage, and red pepper flakes. When the liquid comes to a boil, cook, stirring occasionally, for 4 minutes.diced tomatoes and seasonings added to ground sausage in skilletground sausage tomato sauce in a skillet
  5. When the penne is done, drain well, and return to the pasta pan.
  6. Add the tomato sauce and cream to the pasta.adding cream to penne pastaadding tomato and sausage sauce to pan with pasta
  7. Stir over low heat for one minute or until warm.penne with tomato sage sausage sauce in a pot
  8. Garnish the servings with Parmesan cheese.

Frequently Asked Questions & Expert Tips


How do you store leftover pasta?

Store leftovers in an air-tight container kept in the refrigerator for 3-4 days. Reheat in a skillet over medium-low heat until warmed through or pop it in the microwave.

Close up photo of Penne with Tomato Sage Sausage Sauce in a skillet with a spoon

Serving Suggestions


Serve penne with sausage tomato sauce along with garlic bread and a crisp dinner salad. Enjoy warm with a garnish of parmesan cheese.

Ingredients

  • 16 ounces penne pasta 14-16 ounces
  • 1 pound ground pork sausage
  • 1/2 cup minced shallots
  • 1 teaspoon minced garlic
  • 28 ounces diced tomatoes two 14 ounce cans
  • 1 teaspoon dried oregano
  • 1 teaspoon dried sage or 1/2 teaspoon ground sage
  • 1/8 teaspoon red pepper flakes
  • 1/2 cup heavy cream
  • freshly shredded Parmesan cheese

Things You’ll Need

  • Large saucepan

  • Large skillet

Before You Begin

  • You can easily halve this recipe for less servings.
  • We used penne pasta, but you can use any kind of pasta you prefer here! Spaghetti, ziti, rigatoni, mostaccoli – you name it.
  • Grab a pound of ground pork sausage. Regular, mild, or hot all work. You can easily substitute with ground beef if preferred.

Instructions

  • Cook the penne according to package directions.

  • Add the sausage, shallots, and garlic to a large skillet.

  • Cook over medium heat, stirring to crumble the sausage, for 5 minutes, or until lightly browned and thoroughly cooked. Drain sausage if needed.

  • Stir in the tomatoes, oregano, sage, and red pepper flakes. When the liquid comes to a boil, cook, stirring occasionally, for 4 minutes.

  • When the penne is done, drain well, and return to the pasta pan.

  • Add the tomato sauce and cream to the pasta.

  • Stir over low heat for one minute or until warm.

  • Garnish with parmesan cheese.

Expert Tips & FAQs

  • Store leftovers in an air-tight container kept in the refrigerator for 3-4 days. Reheat in a skillet over medium-low heat until warmed through or pop it in the microwave.
  • Serve with parmesan cheese, garlic bread, and a dinner salad.

Nutrition

Serving: 1serving | Calories: 462cal | Carbohydrates: 50g | Protein: 18g | Fat: 21g | Saturated Fat: 9g | Polyunsaturated Fat: 3g | Monounsaturated Fat: 8g | Trans Fat: 0.1g | Cholesterol: 58mg | Sodium: 380mg | Potassium: 523mg | Fiber: 3g | Sugar: 5g | Vitamin A: 392IU | Vitamin C: 11mg | Calcium: 68mg | Iron: 3mg

Related Posts

FDA Issues New “Green List” to Block Illegal GLP-1 Drug Ingredients From Entering U.S.

FRIDAY, Sept. 5, 2025 (HealthDay News) — In response to growing concerns over the safety of unregulated versions of popular weight-loss and diabetes medications, the U.S. Food…

Substance Use During Pregnancy Poses Hidden but Serious Risks, Experts Warn

SUNDAY, Sept. 7, 2025 (HealthDay News) — The use of alcohol, nicotine, marijuana, or other substances during pregnancy can have profound effects on a developing baby, even…

Hollywood icon has used the same 12-minute workout routine since the 1960s

Helen Mirren, 80, remains a glowing testament to the power of consistency — and not just in her acting.  The celebrated Oscar-winning actress recently revealed that she…

Finding Hope in Despair

Famous author and theologian C.S. Lewis once said, “Mental pain is less dramatic than physical pain, but it is more common and also more hard to bear….

Breaking Free From the Chains

After World War I, Second Lieutenant Bill Wilson failed to graduate from law school because he was too drunk to pick up his diploma. Years later a…

The Power of Love

Laci* grew up in a quaint farming community in Wichita Falls, Kansas. Her father’s transfer to Beaumont, Texas in the middle of the school year faced her…