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Home » Mains » Pasta

Creamy Pasta with Sausage and Peppers

Published: Oct 27, 2025 by Jess @ Whisk & Wine · This post may contain affiliate links · 1 Comment

Jump to Recipe·Print Recipe·5 from 1 review

Get ready to fall in love with this creamy pasta with sausage and peppers. It's the kind of weeknight dinner that feels indulgent but comes together in under 40 minutes. Orecchiette is my favorite pasta for this recipe - its little scoop shape catches the sausage and silky sauce in every bite, making it the perfect match.

Parmesan cheese being sprinkled over a bowl of creamy orechiette pasta with sausage peppers and feta. this recipe

This dish truly stands on its own - hearty, flavorful, and satisfying straight from the skillet. But if you feel like rounding out the table, it pairs beautifully with a fresh, vibrant salad.

If you like this and are looking for more easy weeknight staples, you should try my Crispy Chicken Cutlets or cozy Chicken Enchiladas next.

Jump to:
  • Why You'll Love This Creamy Pasta with Sausage
  • Ingredients You'll Need
  • How you Make This Creamy Pasta with Sausage and Peppers
  • Substitutions
  • Variations of Creamy Pasta with Sausage and Peppers
  • Equipment You'll Love
  • How to Store Creamy Pasta with Sausage
  • Top Tip
  • FAQ
  • Want more simple weeknight dinners?
  • Recent Recipes
  • 📖 Recipe
  • 💬 Reviews

Why You'll Love This Creamy Pasta with Sausage

  • Fast and foolproof: Ready in 30 minutes - perfect for busy nights.
  • Creamy without being heavy: Feta cheese melts into a silky sauce that coats the pasta beautifully.
  • Versatile: Works with mild or spicy sausage and any shape of pasta, though I'll always have a soft spot for orecchiette.

Ingredients You'll Need

One of my favorite parts of this Creamy Pasta with Sausage is how a few simple, colorful ingredients transform into something incredibly comforting. The orecchiette catches the creamy sauce perfectly, making every bite balanced and flavorful.

Flat lay of ingredients for creamy pasta with sausage — Italian sausage, cream, garlic, Parmesan, and pasta.
  • Italian sausage (mild or spicy)
  • Bell peppers (tri-color, chopped)
  • Olive oil (for sautéing)
  • Garlic cloves, minced
  • Dried oregano
  • Orecchiette pasta
  • Feta cheese, crumbled
  • Reserved pasta water

See recipe card for quantities.

Quick Hint: Use a Meat Chopper to break up sausage quickly - it's a total game-changer for even browning and texture.

How you Make This Creamy Pasta with Sausage and Peppers

Making this pasta is as simple as it gets: brown the sausage, soften the peppers, cook the pasta, then let the sauce come together right in the same pan. Here's how I do it step by step..

Italian sausage browning in a pan over the stove

Brown the sausage

Bring a large pot of salted water to a boil. In a large skillet or Dutch oven over medium-high heat, add sausage. Break it up with a meat chopper until browned and cooked through. Remove sausage with a slotted spoon to a bowl.

Sauteeing colorful peppers in a pan over the stove for Creamy Pasta with Sausage

Sauté the peppers

Add the olive oil to the same pan with the sausage drippings, then add chopped bell peppers and cook until softened, about 8-10 minutes. Stir in minced garlic and cook just until fragrant, about 30 seconds.xt

Combining the sausage and peppers with garlic and oregano in a pan for creamy pasta with sausage and peppers

Combine and season

Return the sausage (and all of the drippings in the bowl) to the pan, sprinkle in oregano, and stir to combine. Reduce heat to low.

three jars of raw pasta and salt next to kitchen equipment

Cook the pasta

Meanwhile, cook orecchiette in the boiling water until al dente. Reserve 1 cup of pasta water, then drain.

Mixing pasta, sausage, feta, pepper sand and garlic sauce together to make creamy pasta with sausage and peppers

Bring it all together

Add the pasta to the sausage mixture along with feta and ½ cup of the reserved pasta water. Cover and cook over medium heat for 10 minutes, stirring halfway through. Add more pasta water as needed to loosen the sauce.

Substitutions

You can easily make this pasta your own - here are a few simple swaps that still deliver all that creamy, satisfying flavor:

  • Chicken sausage instead of pork.
  • Fusilli, penne, or rigatoni in place of orecchiette.
  • Goat cheese instead of feta for a tangier, creamier finish.

Variations of Creamy Pasta with Sausage and Peppers

Want to change up your Creamy Pasta with Sausage from time to time? Try these easy variations:

  • Add fresh spinach or kale in the last few minutes of cooking for a pop of green.
  • Stir in a pinch of red pepper flakes if you love a little heat
  • Add a handful of sun-dried tomatoes or a few spoonfuls of roasted cherry tomatoes when you return the sausage to the pan - the sweet-tart flavor deepens the sauce beautifully.

Equipment You'll Love

Let's be honest - breaking up and browning meat has never been my favorite part of cooking. But this year, I discovered the Meat Chopper (took me long enough), and I swear it's a total game changer. It makes quick work of sausage, breaks everything up evenly, and saves your wrist from all that awkward spatula work. Once you try it, there's no going back.

  • I love this dutch oven from Staub- it's beautiful to serve in and makes clean up a breeze.
  • This is a more budget friendly dutch oven option that still performs beautifully.
  • Meat Chopper - it's a game-changing time saver!

How to Store Creamy Pasta with Sausage

Store any leftovers in an airtight container in the fridge for up to 3 days. Reheat gently on the stovetop or in the microwave with a splash of water to bring back that silky texture.

Top Tip

Don't skip the pasta water! It's the secret to that glossy, restaurant-style sauce. The starch helps everything cling together so every curve of orecchiette gets coated in creamy goodness.

FAQ

Can I make this ahead?

Visit the search results to see which questions come up under the People also ask section for your primary keyword, and answer them here

Can I use another cheese?

Absolutely. Ricotta or mascarpone can create a creamier, milder sauce.

Is it spicy?

Only if you want it to be! Choose mild or spicy Italian sausage to fit your preference.

Want more simple weeknight dinners?

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Bowl of creamy pasta with sausage and peppers, topped with Parmesan..

Creamy Pasta with Sausage and Peppers


5 Stars 4 Stars 3 Stars 2 Stars 1 Star

5 from 1 review

  • Author: Jess @ Whisk & Wine
  • Total Time: 30
  • Yield: 4-6 Servings 1x
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Description

 A cozy, 30-minute pasta with Italian sausage, sweet bell peppers, and feta cheese - creamy, flavorful, and endlessly comforting.


Ingredients

Scale

1.5 pounds ground Italian sausage (mild or spicy)

3 bell peppers, chopped

1 tbsp olive oil

2 large garlic cloves, minced

1 tsp dried oregano

1 lb orecchiette pasta

6 oz feta cheese, crumbled (double for extra creaminess)

1 cup reserved pasta water (divided)

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Instructions

  1. Bring a large pot of salted water to a boil.

  2. In a Dutch oven over medium-high heat, add the sausage directly to the pan. Break it up until browned and cooked through. Remove to a bowl with a slotted spoon- you want to hang on to any drippings to flavor your pasta. 

  3. Add a drizzle of olive oil to the same pan with the drippings. Add bell peppers and sauté until soft, 8-10 minutes. Stir in garlic and cook for 30 seconds.

  4. Return sausage to pan, sprinkle in oregano, and stir well. Set aside.

  5. Cook orecchiette until al dente. Reserve 1 cup pasta water and drain.

  6. Add pasta, feta, and ½ cup pasta water to sausage mixture. Cover and cook over medium heat for 10 minutes, stirring halfway. Add more water if needed. You know it is done when feta has melted into a sauce that coats your pasta.

  7. Serve warm, topped with grated parmesan if desired.

Notes

  • Use a meat chopper for fast browning and don't skip the pasta water - it's what makes the sauce silky.
  • Prep Time: 10
  • Cook Time: 20
  • Category: Dinner
  • Cuisine: Italian-inspired

Nutrition

  • Serving Size: 1.5 Cups
  • Calories: 750
  • Sugar: 6g
  • Sodium: 1100mg
  • Fat: 32g
  • Saturated Fat: 15g
  • Unsaturated Fat: 17g
  • Trans Fat: 0g
  • Carbohydrates: 67g
  • Fiber: 4g
  • Protein: 32g
  • Cholesterol: 110mg

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  1. Emma Van Degna says

    November 03, 2025 at 10:28 am

    Surprisingly quick to make! I first tried it with pasta and it was the ultimate creamy comfort food 🤍 Then I swapped in spaghetti squash and it was just as satisfying, still rich and delicious, just a little lighter. The best part, is that it's easy to make. I’ll be able to whip this up from memory next time!
    *(Tip: When swapping with Spaghetti Squash, use less pasta water in sauce)

    Reply
Whisk and Wine - Jessica Wine Headshot in Kitchen

I'm Jess!


I’m so glad you’re here! As a busy parent and professional, I believe mealtime should work with the chaos of the weekdays and feel special when there’s time to slow down. Here you’ll find simple, flavorful recipes made to meet you right where you are!


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